Chronic innominate artery occlusion with hyperacute intracranial thromboembolism: Revascularization with simultaneous local thromboaspiration and mechanical thrombectomy.
Chronic innominate artery occlusion with acute right internal carotid terminus thromboembolism and successful revascularization using simultaneous local thromboaspiration and mechanical thrombectomy has not been previously described. A 51-year-old male presented with transient left hemiparesis. A CT angiogram of the head and neck demonstrated chronic occlusion of the right innominate artery with no intracranial thromboembolism. More profound symptoms recurred twelve hours after admission. A diagnostic catheter-based angiogram confirmed occlusion of the innominate artery and identified hyper-acute right carotid terminus thromboembolism. Angioplasty of the innominate artery was followed by simultaneous mechanical and aspiration thrombectomy of the right internal carotid artery terminus. Combination local thromboaspiration and mechanical thrombectomy was shown in this case to be effective in achieving a favorable clinical outcome.
Department of Neurointerventional Radiology, St Joseph Medical Center, Bloomington, IL, USA.
Ajeet
A
Gordhan
Department of Cardiovascular Surgery, St Joseph Medical Center, Bloomington, IL, USA.
Jesse
J
Vanle
D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D061185:Mechanical Thrombolysis / Q000379:methods*; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D013396:Suction; D014057:Tomography, X-Ray Computed
Carotid-T thromboembolism; Innominate artery occlusion; Mechanical thrombectomy; Middle cerebral artery thromboembolism; Thromboaspiration