Balloon Catheter Disruption of Middle Cerebral Artery Thrombus in Conjunction with Thrombolysis for the Treatment of Acute Middle Cerebral Artery Embolism
I. Ikushimaa,
H. Ohtab,
T. Hiraic,
K. Yokogamib,
D. Miyaharab,
N. Maedaa and
Y. Yamashitac
a Department of Radiology, Miyakonojo Medical Association Hospital, Miyakonojo, Japan
b Department of Neurosurgery, Miyakonojo Medical Association Hospital, Miyakonojo, Japan
c Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Japan
View larger version (33K):
[in this window]
[in a new window]
|
Fig 1. Disruption of the MCA thrombus by a deflated microballoon catheter; the catheter navigates into the thrombus in the MCA along the guidewire (A). When it is advanced, the thrombus is fragmented (B).
| |
View larger version (79K):
[in this window]
[in a new window]
|
Fig 2. A 76-year-old man (case 2).
A, A CT on admission shows no LDA, without small lacunar infarction in the left basal ganglia. B, A preprocedural angiogram shows an occlusion of the left MCA trunk. C, A deflated microballoon is gently advanced to the embolus. D, An angiogram obtained immediately after the treatment shows complete recanalization. E, On the CT scan obtained 24 hours after treatment, there is no change compared with the initial CT on admission.
| |
View larger version (157K):
[in this window]
[in a new window]
|
Fig 3. A 63-year-old man (case 7).
A, A CT on admission shows no LDA. B, A preprocedural angiogram shows an occlusion of the left MCA trunk. C, An angiogram obtained immediately after the treatment shows complete recanalization. D, On the CT obtained 24 hours after the treatment, LDA was demonstrated in the left basal ganglia.
| |
