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

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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.
LanguageEnglish
Pages183-185
Number of pages3
JournalRadiology Case Reports
Volume13
Issue number1
DOIs
StatePublished - 1 Feb 2018

Keywords

  • Aspiration
  • Atrial fibrillation
  • Stroke
  • Thrombectomy
  • Thrombolysis

Cite this

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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",
abstract = "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.",
keywords = "Aspiration, Atrial fibrillation, Stroke, Thrombectomy, Thrombolysis",
author = "Khilchuk, {Anton A.} and Щербак, {Сергей Григорьевич} and Сарана, {Андрей Михайлович} and Власенко, {Сергей Васильевич}",
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T1 - 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

AU - Khilchuk, Anton A.

AU - Щербак, Сергей Григорьевич

AU - Сарана, Андрей Михайлович

AU - Власенко, Сергей Васильевич

PY - 2018/2/1

Y1 - 2018/2/1

N2 - 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.

AB - 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.

KW - Aspiration

KW - Atrial fibrillation

KW - Stroke

KW - Thrombectomy

KW - Thrombolysis

UR - http://www.mendeley.com/research/successful-carotid-thrombus-aspiration-middle-cerebral-mechanical-thrombectomy-axillary-artery-clot-1

U2 - 10.1016/j.radcr.2017.10.030

DO - 10.1016/j.radcr.2017.10.030

M3 - Article

VL - 13

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EP - 185

JO - Radiology Case Reports

T2 - Radiology Case Reports

JF - Radiology Case Reports

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