Transfer of internal carotid artery thrombus to the external carotid artery using a balloon microcatheter.
We report a case of acute occlusion of the left internal carotid artery successfully treated by withdrawing a large clot into the external carotid artery using a balloon microcatheter and urokinase. This technique may not only reduce the amount of thrombolytic agent required but also lower the incidence of haemorrhagic transformation.
Hama
Y
Y
Department of Radiology, National Defence Medical College, Tokorozawa, Saitama, Japan.
Kaji
T
T
Iwasaki
Y
Y
Naeshiro
H
H
Higo
R
R
Shima
T
T
Kusano
S
S
D000368:Aged; D000369:Aged, 80 and over; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D002342:Carotid Artery, External; D002343:Carotid Artery, Internal; D002404:Catheterization; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D010960:Plasminogen Activators / Q000627:therapeutic use*; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator