Intervention and outcomes in the 7 patients with acute stroke due to occluded ICA
| Patient No. | IA tPA (mg) | Stenting and angioplasty of ICA | Lysis of MCA Clot through occluded ICA | TIMI Flow after Thromboysis | Post Rx CT | Outcome (mRS) at 30 days |
|---|---|---|---|---|---|---|
| 1 | 20 | Yes | Yes | 2 | Basal ganglia infarct | 4 |
| 2 | 10 | Yes | Yes | 3 | Patchy parietal infarcts | 3 |
| 3 | 9 | No | Yes | 3 | Basal ganglia infarct | 0 |
| 4 | 0* | Yes | No | 3 | Basal ganglia infarct | 0 |
| 5 | 18 | No | Yes | 3 | Basal ganglia infarct | 0 |
| 6 | 10 | No | No | 3 | Evolving frontal bleed | 1 |
| 7 | 15 | Yes† | Yes | 3 | Small frontal lobe infarct | 0 |
Note:—ICA indicates internal carotid artery; IA tPA, intra-arterial tissue plasminogen activator; MCA, middle cerebral artery; CT, computed tomography; mRS, modified Rankin Scale.
* This patient received 38 mg intravenous tPA prior to angiography.
† ICA pseudoaneurysm was treated with 2 overlapping covered stents.