Superselective Intraarterial Fibrinolysis in Central Retinal Artery Occlusion
Riccardo Padolecchia
,a,
Michele Pugliolia,
Maria Cristina Ragonea,
Andrea Romania and
Paolo Luigi Collavolia
a From the Section of Neuroradiology (R.P., M.P., P.L.C.) and the Department of Neurosciences (Section of Ophthalmology) (M.C.R., A.R.), S. Chiara Hospital, Pisa University, Italy.
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FIG 1. Case 1: Lateral subtraction angiogram of the right ICA. The microcatheter is placed at the origin of the ophthalmic artery
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FIG 2. Case 2: Fluorescein angiography.
A, Before treatment, diffuse hypoperfusion of the retinal vessels is seen.
B, Immediately after treatment, nearly complete recanalization of the retinal vessels is detectable, with some small emboli present in the superior temporal quadrant.
C, Two days after thrombolysis, recanalization is complete.
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FIG 3. Case 3: Lateral subtraction angiogram of the left external carotid artery. The microcatheter is placed in the middle meningeal artery, which reaches the ophthalmic artery via an anastomosis on the side of the CRAO
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