Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia
Acute thrombotic occlusions of the large vessels, such as internal carotid artery, arms and legs arteries, and intracranial vessels, frequently require multiple techniques such as selective thrombolysis, manual aspiration, and stent retrievers for mechanical thrombectomy with combination of the ment...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-02-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043317303321 |
| _version_ | 1818200330821697536 |
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| author | Anton A. Khilchuk Sergey V. Vlasenko Sergey G. Scherbak Andrey M. Sarana Vitaliy V. Popov |
| author_facet | Anton A. Khilchuk Sergey V. Vlasenko Sergey G. Scherbak Andrey M. Sarana Vitaliy V. Popov |
| author_sort | Anton A. Khilchuk |
| collection | DOAJ |
| description | Acute thrombotic occlusions of the large vessels, such as internal carotid artery, arms and legs arteries, and intracranial vessels, frequently require multiple techniques such as selective thrombolysis, manual aspiration, and stent retrievers for mechanical thrombectomy with combination of the mentioned techniques. Because of the massive thrombotic burden associated with these conditions, the response to systemic intravenous thrombolysis is poor. We present a case of a successful massive thrombi aspiration in a single attempt using an 8Fr guide catheter with aspiration syringe, subsequent ipsilateral middle cerebral artery mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke, right arm critical ischemia, and persistent atrial fibrillation. |
| first_indexed | 2024-12-12T02:35:57Z |
| format | Article |
| id | doaj.art-929206cbce434c3691b42f2a8511b3b1 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T02:35:57Z |
| publishDate | 2018-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-929206cbce434c3691b42f2a8511b3b12022-12-22T00:41:17ZengElsevierRadiology Case Reports1930-04332018-02-0113118318510.1016/j.radcr.2017.10.030Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemiaAnton A. Khilchuk0Sergey V. Vlasenko1Sergey G. Scherbak2Andrey M. Sarana3Vitaliy V. Popov4Department of Interventional Radiology, City Hospital No. 40, 197706, Borisova Str. 9, Sestroretsk, Saint-Petersburg, Russian FederationDepartment of Interventional Radiology, City Hospital No. 40, 197706, Borisova Str. 9, Sestroretsk, Saint-Petersburg, Russian FederationDepartment of Postgraduate Medical Education, Saint-Petersburg State University, 197706, Borisova Str. 9, Sestroretsk, Saint-Petersburg, Russian FederationDepartment of Postgraduate Medical Education, Saint-Petersburg State University, 197706, Borisova Str. 9, Sestroretsk, Saint-Petersburg, Russian FederationDepartment of Interventional Radiology, City Hospital No. 40, 197706, Borisova Str. 9, Sestroretsk, Saint-Petersburg, Russian FederationAcute thrombotic occlusions of the large vessels, such as internal carotid artery, arms and legs arteries, and intracranial vessels, frequently require multiple techniques such as selective thrombolysis, manual aspiration, and stent retrievers for mechanical thrombectomy with combination of the mentioned techniques. Because of the massive thrombotic burden associated with these conditions, the response to systemic intravenous thrombolysis is poor. We present a case of a successful massive thrombi aspiration in a single attempt using an 8Fr guide catheter with aspiration syringe, subsequent ipsilateral middle cerebral artery mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke, right arm critical ischemia, and persistent atrial fibrillation.http://www.sciencedirect.com/science/article/pii/S1930043317303321StrokeThrombectomyAspirationAtrial fibrillationThrombolysis |
| spellingShingle | Anton A. Khilchuk Sergey V. Vlasenko Sergey G. Scherbak Andrey M. Sarana Vitaliy V. Popov Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia Radiology Case Reports Stroke Thrombectomy Aspiration Atrial fibrillation Thrombolysis |
| title | Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia |
| title_full | Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia |
| title_fullStr | Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia |
| title_full_unstemmed | Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia |
| title_short | Successful carotid thrombus aspiration, middle cerebral mechanical thrombectomy, and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia |
| title_sort | successful carotid thrombus aspiration middle cerebral mechanical thrombectomy and axillary artery clot disruption attempt in a patient with acute ischemic stroke and critical upper limb ischemia |
| topic | Stroke Thrombectomy Aspiration Atrial fibrillation Thrombolysis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043317303321 |
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