TY - JOUR T1 - Nature’s Wastebasket: The Role of the External Carotid Artery in Acute Stroke JF - BMJ Case Reports DO - 10.1136/bcr-2017-013228 VL - 2017 SP - bcr-2017-013228 AU - Jesse Jones AU - Conrad William Liang AU - Nima Ramezan-Arab AU - Gary Duckwiler AU - Satoshi Tateshima Y1 - 2018/01/15 UR - http://casereports.bmj.com/content/2017/bcr-2017-013228.abstract N2 - We describe a novel technical approach to acute stroke illustrated by the case of a 41 year old male who presented with tandem right common carotid artery (CCA) and M1 occlusions. His NIHSS was 17 and Alberta stroke programe early CT score (ASPECTs) was 8. Thrombectomy initially proved challenging due to large volume CCA thrombus that repeatedly occluded the aspiration catheters. However, by inflating a balloon distally and pulling clot into the adjacent ECA, we were able to quickly restore distal contrast flow to the intracranial circulation and achieve Thrombolysis In Cerebral Infarction/Arterial Occlusive Lesion (TICI2C/AOL3) revascularization. ER -