Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting

54-year-old male patient was admitted to emergency service with bilateral loss of sight, consciousness and a Glasgow Coma Scale score of 15. His neurologic examination revealed no lateralized deficit but left homonymous hemianopia. Brain CT and diffusion MRI showed acute infarction in the right pari...

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Main Author: Enes Duman
Format: Article
Language:English
Published: Cukurova University 2015-03-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=189650
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author Enes Duman
author_facet Enes Duman
author_sort Enes Duman
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description 54-year-old male patient was admitted to emergency service with bilateral loss of sight, consciousness and a Glasgow Coma Scale score of 15. His neurologic examination revealed no lateralized deficit but left homonymous hemianopia. Brain CT and diffusion MRI showed acute infarction in the right parietal and occipital lobes. There was a wide penumbra region on brain perfusion CT. The selective angiography showed preocclusive stenosis at the origin of right internal carotid artery (ICA) and massive floating thrombus (FT) in the cervical ICA segment.We report successful endovascular treatment of FT in the ICA using intra-arterial tissue plasminogen activator and stenting. [Cukurova Med J 2015; 40(Suppl 1): 142-146]
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spelling doaj.art-b2ee26c0db06452f807d1b4f130027642023-02-15T16:18:52ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502015-03-01401142146189650Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and StentingEnes Duman0Baskent Universitesi Konya Uygulama ve Arastirma Merkezi girismsel radyoloji bolumu54-year-old male patient was admitted to emergency service with bilateral loss of sight, consciousness and a Glasgow Coma Scale score of 15. His neurologic examination revealed no lateralized deficit but left homonymous hemianopia. Brain CT and diffusion MRI showed acute infarction in the right parietal and occipital lobes. There was a wide penumbra region on brain perfusion CT. The selective angiography showed preocclusive stenosis at the origin of right internal carotid artery (ICA) and massive floating thrombus (FT) in the cervical ICA segment.We report successful endovascular treatment of FT in the ICA using intra-arterial tissue plasminogen activator and stenting. [Cukurova Med J 2015; 40(Suppl 1): 142-146]http://www.scopemed.org/fulltextpdf.php?mno=189650Floating thrombustPAendovascular stent placementcarotid stenosis
spellingShingle Enes Duman
Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Floating thrombus
tPA
endovascular stent placement
carotid stenosis
title Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting
title_full Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting
title_fullStr Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting
title_full_unstemmed Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting
title_short Endovascular Treatment of Acute Stroke due to the Floating Carotid Thrombus with Intra-Arterial Tissue Plasminogen Activator and Stenting
title_sort endovascular treatment of acute stroke due to the floating carotid thrombus with intra arterial tissue plasminogen activator and stenting
topic Floating thrombus
tPA
endovascular stent placement
carotid stenosis
url http://www.scopemed.org/fulltextpdf.php?mno=189650
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