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Balloon Angioplasty for Embolic Total Occlusion of the Middle Cerebral Artery and Ipsilateral Carotid Stenting in an Acute Stroke Stage

Takahisa MoriGo,a, Ken Kazitaa, Tatsuo Mimaa and Koreaki Moria

a From the Division of Neurological Endovascular Intervention (T.M., K.K.) and the Department of Neurosurgery (T.M., K.M.), Kochi Medical School Hospital, Kochi, Japan.



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  		FIG 1. Time-density curve, calculated from dynamic CT scanning, reveals decreased flow of the left MCA (arrow) compared with the right MCA.FIG 2. A, Anteroposterior view left carotid angiogram, obtained before PTCBA, reveals total occlusion of the left MCA (arrow).

B, Anteroposterior view roentgenogram of the skull shows the 2.5-mm inflated balloon catheter (arrow).

C, Anteroposterior view left carotid angiogram, obtained after PTCBA, shows complete recanalization of the left MCA.

FIG 3. A, Lateral view left carotid angiogram reveals a high-grade stenosis of the left ICA (arrow).

B, Lateral view cervical roentgenogram shows the stent (arrow) and the balloon catheter (arrowhead).

C, Lateral view of the left carotid angiogram, obtained after stenting, reveals sufficient dilation of the left ICA (arrow).

FIG 4. One-year follow-up angiograms of the left MCA (A) and ICA (B) depict good patency





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X