title: Successful recovery from carotid terminus occlusion after mechanical embolectomy in a fully anticoagulated patient.
abstract: METHODS
  We describe a case of the patient with multiple contraindications for thrombolysis who underwent successful mechanical embolectomy for occlusion of the right carotid terminus. Her pre-procedural NIHSS was 16.
  
  
  CONCLUSIONS
  The patient demonstrated remarkable recovery within an hour of the procedure, and this clinical improvement was sustained at followup.
  
  
  RESULTS
  This case illustrates that mechanical embolectomy is a safe and potentially very effective intervention to treat major intracranial vessel occlusions in patients with multiple contraindications for thrombolysis.
authors: Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
authors: Alexander Y
authors: AY
authors: Zubkov
authors: Bryan
authors: B
authors: Klassen
authors: David F
authors: DF
authors: Kallmes
authors: Kelly D
authors: KD
authors: Flemming
authors: Alejandro A
authors: AA
authors: Rabinstein
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000075202:Contraindications; D017128:Embolectomy; D004617:Embolism / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D020127:Recovery of Function; D015912:Thrombolytic Therapy; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants
references: Stroke. 2006 May;37(5):1340-1; discussion 1342-3
references: 16601216
references: Neurol Clin. 2006 Nov;24(4):783-93
references: 16935203
references: Stroke. 2005 Feb;36(2):400-3
references: 15653576
references: Arch Neurol. 2004 Nov;61(11):1682-6
references: 15534179
references: JAMA. 1999 Dec 1;282(21):2003-11
references: 10591382
references: Ann Neurol. 1992 Jul;32(1):78-86
references: 1642475
references: Stroke. 2004 Dec;35(12):2848-54
references: 15514171
references: Stroke. 2001 Jun;32(6):1365-9
references: 11387500
references: Stroke. 2006 May;37(5):1341-2; discussion 1342-3
references: 16601224
references: AJNR Am J Neuroradiol. 1995 Nov-Dec;16(10 ):1977-86
references: 8585483
references: Stroke. 2005 Jul;36(7):1432-8
references: 15961709
references: AJNR Am J Neuroradiol. 1993 Jan-Feb;14 (1):3-13
references: 8427107