Rheolytic Thrombectomy of the Occluded Internal Carotid Artery in the Setting of Acute Ischemic Stroke
Richard J. Bellon
,a,
Christopher M. Putmana,
Ronald F. Budzika,
Richard S. Pergolizzia,
Gregory F. Reinkinga and
Alexander M. Norbasha
a From the Department of Interventional Neuroradiology, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA.
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FIG 1. Patient 1.
A, Lateral-view angiogram of the left common carotid artery shows occlusion of the ICA at its origin.
B, After one pass with the Possis AngioJet, there is partial reconstitution.
C, After repeated passes with the Possis AngioJet, the cervical ICA has reconstituted, but there is residual thrombus in the cavernous and supraclinoid ICA.
D, After angioplasty and stenting, wide patency of the ICA is reestablished.
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FIG 2. Patient 3.
A, Initial lateral-view angiogram of the left common carotid artery shows ICA occlusion and extensive thrombus (arrows) extending into the distal common carotid artery.
B, After using the Possis AngioJet in the distal common carotid artery and ICA, wide ICA patency is reestablished.
C, This allowed access to the intracranial circulation, which was then treated with intraarterial thrombolysis, leading to a good angiographic result.
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AJNR - American Journal of Neuroradiology