FIG 1. Endovascular fibrinolysis of the left ICA embolism.

A, Anteroposterior-view angiogram of the left carotid artery reveals occlusion of the left ICA at the cisternal portion.

B, Lateral-view angiogram of the left carotid artery reveals occlusion of the left ICA at the cisternal portion.

C, A microcatheter was advanced into the embolus, and the distal lumen was visualized. This lumen later proved to be a saccular aneurysm. Note that the tip of the microcatheter is on the aneurysmal wall (arrow).

D, Anteroposterior-view angiogram of the left carotid artery after recanalization of the carotid embolism.

E, Left anterior oblique–view angiogram of the left carotid artery after recanalization of the carotid embolism.