Successful recovery from carotid terminus occlusion after mechanical embolectomy in a fully anticoagulated patient.
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.
Zubkov
Alexander Y
AY
Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Klassen
Bryan
B
Kallmes
David F
DF
Flemming
Kelly D
KD
Rabinstein
Alejandro A
AA
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
D000925:Anticoagulants
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