Nature's Wastebasket: The Role of the External Carotid Artery in Acute Stroke

Journal of Neurointerventional Surgery
Jesse JonesSatoshi Tateshima

Abstract

We describe a novel technical approach to acute stroke illustrated by the case of a 41 year old male who presented with tandem right common carotid artery (CCA) and M1 occlusions. His NIHSS was 17 and Alberta stroke programe early CT score (ASPECTs) was 8. Thrombectomy initially proved challenging due to large volume CCA thrombus that repeatedly occluded the aspiration catheters. However, by inflating a balloon distally and pulling clot into the adjacent ECA, we were able to quickly restore distal contrast flow to the intracranial circulation and achieve Thrombolysis In Cerebral Infarction/Arterial Occlusive Lesion (TICI2C/AOL3) revascularization.

References

Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Aug 4, 2016·Stroke; a Journal of Cerebral Circulation·J MoccoUNKNOWN THERAPY Trial Investigators*

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