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Fig 1. A 64-year-old man with cardiac arrhythmia presented with dysarthria, facial palsy, and left-sided weakness. The patient had improvement of the NIHSS score from 14 to 2. His mRS was 1 after 1 year.
A, Anteroposterior view of the right common carotid arteriogram shows complete occlusion of the right ICA.
B, The left ICA arteriogram reveals good leptomeningeal collateral circulation through the anterior cerebral artery. Note the filling defects (arrows) in the right M1 because of intracranial emboli.
C, Reopening of the right ICA bulb with stent placement reveals a residual filling defect (arrow) in the right M2 segment.
D, Final angiogram obtained after intra-arterial administration of thrombolytic agents showed no residual emboli in the middle cerebral arterial branches.
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