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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Format: | Article |
Language: | English |
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Cukurova University
2015-03-01
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Series: | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
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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 |
collection | DOAJ |
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] |
first_indexed | 2024-04-10T11:15:58Z |
format | Article |
id | doaj.art-b2ee26c0db06452f807d1b4f13002764 |
institution | Directory Open Access Journal |
issn | 0250-5150 |
language | English |
last_indexed | 2024-04-10T11:15:58Z |
publishDate | 2015-03-01 |
publisher | Cukurova University |
record_format | Article |
series | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
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 |
work_keys_str_mv | AT enesduman endovasculartreatmentofacutestrokeduetothefloatingcarotidthrombuswithintraarterialtissueplasminogenactivatorandstenting |