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Endovascular treatment of an internal carotid artery thrombus using reversal of flow: A case report  Juan C. Parodi, MD, Brian G. Rubin, MD, Ali Azizzadeh,

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Presentation on theme: "Endovascular treatment of an internal carotid artery thrombus using reversal of flow: A case report  Juan C. Parodi, MD, Brian G. Rubin, MD, Ali Azizzadeh,"— Presentation transcript:

1 Endovascular treatment of an internal carotid artery thrombus using reversal of flow: A case report 
Juan C. Parodi, MD, Brian G. Rubin, MD, Ali Azizzadeh, MD, Michele Bartoli, MD, Gregorio A. Sicard, MD  Journal of Vascular Surgery  Volume 41, Issue 1, Pages (January 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative duplex scan demonstrates the presence of homogenous echolucent material in the internal carotid artery consistent with a thrombus. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 First angiogram shows nearly completely occlusive thrombus in the right internal carotid. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Second angiogram shows an evolution of the thrombus in the internal carotid, with a threatening tail. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 The Parodi Anti-Embolism System (PAES, ArteriA Medical Science, San Francisco, Calif): (a) PAES sheath, placed in the common carotid artery below the bifurcation, (b) is armed with a soft occlusion balloon and a second occlusion balloon is placed into the external carotid artery. (c), The balloons in the common and external carotid arteries are inflated, which results in reversal of flow. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Angiogram after treatment with PAES shows no residual stenosis.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Postoperative carotid Doppler ultrasound scan demonstrates shows lack of stent apposition to vessel wall. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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