A thromboembolic occlusion of the right anterior cerebral artery (ACA) occurred during clot removal from the ipsilateral carotid termination. A thromboembolic.

Slides:

Advertisements

Similar presentations

Copyright © 2003 American Medical Association. All rights reserved.

Advertisements

Fig. 1. Conventional angiograms from a 58-year-old man with a proximal middle cerebral artery occlusion (Case No.7). A. Conventional angiogram shows left.

Carotid angioplasty and stenting

Multimodal 3 Tesla MRI Confirms Intact Arterial Wall in Acute Stroke Patients After Stent-Retriever Thrombectomy by Kety Hsieh, Rajeev K. Verma, Gerhard.

Ischemic Stroke in a Young Patient Heralding a Left Ventricular Noncompaction Cardiomyopathy - DOI: / Fig. 1. a–c CT scan obtained on admission.

Cerebral hyperperfusion syndrome after endovascular covered stent grafting for a giant extracranial aneurysm of the internal carotid artery Sakyo Hirai,

Photographs by microscope showing straight (left) and 180° curved models (right) of a fusiform aneurysm in a 3 mm diameter vessel in which the new Low-profile.

Large vessel occlusion screening tools—brain view

Target lesion ulceration and arch calcification are associated with increased incidence of carotid stenting-associated ischemic lesions in octogenarians

Examples of three aneurysms treated with stand-alone coiling.

Two-stage carotid saphenous vein interposition graft and superficial temporal artery bypass for acute carotid occlusion Lukas Andereggen, MD, Robert.

Combined therapeutic approach of intra-arterial thrombolysis and carotid endarterectomy in selected patients with acute thrombotic carotid occlusion

Alexander Ghanem et al. JACC 2010;55:

Case 10: 61-year-old man with hyperacute ischemic stroke with arterial occlusion and increased CBV. A, T2-weighted image (3500/90) is normal except for.

Right carotid angiogram (A) demonstrates a small carotid cave aneurysm in a patient who had an anterior communicating artery aneurysm previously treated.

Successful Use of Solitaire FR for Stroke in a Pediatric Ventricular Assist Device Patient Ibrahim Alnaami, MSc, FRCSC, Holger Buchholz, MD, Robert Ashforth,

Two-stage carotid saphenous vein interposition graft and superficial temporal artery bypass for acute carotid occlusion Lukas Andereggen, MD, Robert.

Automatic contour detection algorithm for carotid artery quantification. Automatic contour detection algorithm for carotid artery quantification. The endoluminal.

Embolic occlusion of the right middle cerebral artery (MCA), treated by mechanical thrombectomy using a Solitaire stent. Embolic occlusion of the right.

Photos of a pCONus device showing the stent-like shaft, the four distal petals that rest within the aneurysm, and the polyamide fibers that cross the distal.

Case 1, a 45-year-old female (same patient shown in Figure 1 images) with recurrent infarctions in the right middle cerebral artery. (A) Axial fluid attenuation.

Contralateral microemboli following carotid artery stenting in patients with a contralateral internal carotid artery occlusion Kevin Casey, MD, Elizabeth.

Figure 1 Management of acute ischaemic stroke after ICA-T occlusion

Patient No 3 presented with aphasic transient ischemic attacks and a history of a motor vehicle collision 20 years earlier. Patient No 3 presented with.

A 46-year-old female with a giant left internal carotid artery carotid–ophthalmic aneurysm symptomatic with headaches and left eye vision impairment. A.

Transvascular hematoma creation and CB-CT-guided hematoma evacuation with the Apollo system. Transvascular hematoma creation and CB-CT-guided hematoma.

Figure 1 Endovascular treatment in acute ischaemic stroke

Examples of immediate flow restoration (A, B) and thrombus retrieval (C, D). Examples of immediate flow restoration (A, B) and thrombus retrieval (C, D).

Angiogram acquired at the end of endovascular treatment (A) and coronal multiplanar reformatting from bolus enhanced CT angiography (B), showing two overlapping.

Photographs showing optical coherence tomography (OCT) images after deployment of the new Low-profile Visualized Intraluminal Support device (LVIS Blue)

Examples of three aneurysms treated with coil embolization except for the ophthalmic aneurysm (C) that was treated with stent assistance. Examples of three.

(A) Incidental finding of a wide-necked middle cerebral artery aneurysm on the left side in a 53-year-old woman (right anterior oblique and caudal view).

(A) Simulation of flow diversion of a wide neck aneurysm by the pipeline device (PD). (A) Simulation of flow diversion of a wide neck aneurysm by the pipeline.

Parent artery occlusion of a giant serpentine aneurysm of the PCA complicated by cerebral infarction in the distal arterial territory. Parent artery occlusion.

Lateral projection angiogram at completion of the procedure from the left internal carotid artery demonstrating preservation of the transverse sinus providing.

T2-weighted images of a patient with an infarction within the anterior MCA branch territory on day 5 (patient 15) show high SI changes within the ipsilateral.

Three perfusion sections.

Large vessel occlusion screening tools—brain view

Baseline lateral left vertebral artery angiogram (A) showing the distal stenosis (arrow). Baseline lateral left vertebral artery angiogram (A) showing.

Image processing of aneurysm 6 (Target) including (A) the scanned image, (B) the binary image, (C) the binary image with elliptical mask adjusted to account.

Pial vasodilation. Pial vasodilation. A, Axial GRE T2 image shows a left frontal sulcal SAH (black arrowhead), possibly located in the “watershed” territory.

(A) The total number of soft elastic clot (SEC) emboli is reduced with the use of the balloon guide catheter (BGC). (A) The total number of soft elastic.

Images obtained in an 83-year-old man with cerebral hyperperfusion after carotid stent placement. Images obtained in an 83-year-old man with cerebral hyperperfusion.

Trend of mean arterial blood pressure over time stratified by outcome defined by modified Rankin Scale (mRS) score: good outcome defined as mRS score ≤2;

Case 6, a 73-year-old woman with SAH

Comparison of the number of passes made using a stent retriever in the endovascular therapy following IV rt-PA administration group (IV+EV) and endovascular.

Fig. 4. A 74-year-old female with right hemiplegia and aphasia, 2 hours ago. (a) DWI shows hyperintense lesion in the entire left cerebral hemisphere.

A middle-aged patient with 9 mm internal carotid artery-terminus aneurysm with contralateral access via SL-10 microcatheter, avoiding Y-stent, and demonstrating.

Anteroposterior (A and C) and lateral (B and C) images from a left internal carotid artery angiogram obtained during the early (A and B) and delayed angiographic.

Unruptured left middle cerebral artery aneurysm

(A) Axial FLAIR MRI reveals multiple areas of high signal intensity (arrows) in leptomeninges. (A) Axial FLAIR MRI reveals multiple areas of high signal.

Adult patient with enlarging recurrent bilateral chronic subdural hematoma (cSDH) following initially successful burr hole craniotomy. Adult patient with.

Non-contrast head CT (A) showing diffuse subarachnoid hemorrhage and hydrocephalus. Non-contrast head CT (A) showing diffuse subarachnoid hemorrhage and.

Multiple PCA associated with Moya-Moya disease, successfully treated with GDC. A, Frontal view of left internal carotid angiogram showing occlusion of.

Changes of treatment selection for ruptured and unruptured cerebral aneurysms in the USA before and after the publication of the International Subarachnoid.

A 63-year-old female with a giant left internal carotid artery, cavernous segment aneurysm undergoing treatment with PED. Angiography from a catheter positioned.

A 69-year-old patient with subarachnoid and intraventricular hemorrhage on CT of the head (A). A 69-year-old patient with subarachnoid and intraventricular.

Case 25. Case 25. This patient presented with a decreased level of consciousness and was treated with intra-arterial nimodipine for symptomatic cerebral.

The Merci retriever. The Merci retriever. A, Baseline angiogram demonstrates complete occlusion of the right ICA terminus (black arrow). B, Posttreatment.

Posterior-anterior projection after Onyx embolization in a patient with recurrent chronic subdural hematoma following initial surgical evacuation. Posterior-anterior.

(A) Pre-embolization right external carotid lateral view angiograms demonstrating a large blush consistent with a hypervascular glomus jugulare tumor.

Hyperacute infarction (2 hours after onset) in a 39-year-old man with the left internal carotid artery dissection presenting with right-sided weakness.

Woven EndoBridge (WEB) devices used in the US WEB-IT Study.

An algorithm for the diagnosis and management of CVT

Temporal profiles of C-reactive protein (CRP), interleukin 6 (IL-6) and interleukin 1 receptor antagonist (IL-1Ra) after subarachnoid hemorrhage plotted.

(A) Anteroposterior view of the cerebral circulation following a left common carotid artery injection showing a large aneurysm arising from the cavernous.

Accuracy of the volumetric impedance phase shift spectroscopy (VIPS) device in differentiating severe stroke from small strokes compared with other commonly.

Receiver operating characteristic curve for the volumetric impedance phase shift spectroscopy (VIPS) device to differentiate subjects with severe stroke.

‘Pull up traction test’ setting: the figure shows a stent retriever deployed within a silicone tube maintained by a rigid scaffold; the push wire is connected.

A 71-year-old female with multiple large intracranial aneurysms.

Presentation transcript:

A thromboembolic occlusion of the right anterior cerebral artery (ACA) occurred during clot removal from the ipsilateral carotid termination. A thromboembolic occlusion of the right anterior cerebral artery (ACA) occurred during clot removal from the ipsilateral carotid termination. (A) Initial frontal angiogram showing a right terminal carotid occlusion. (B) Solitaire FR deployed through the thrombus allowed immediate flow restoration. (C) After Solitaire FR retrieval, the thrombus is removed from the occlusion site. (D, E) Diffusion weighted imaging before and after the procedure shows an extension of ischemic lesion in the right ACA territory. Paolo Machi et al. J NeuroIntervent Surg 2012;4:62-66 Copyright © Society of NeuroInterventional Surgery. All rights reserved.