Proximal right MCA M1 segment embolic occlusion

Case contributed by Tim Phillips , 1 Dec 2017
Diagnosis certain
Changed by Tim Luijkx, 18 Mar 2018
Back to revision history

Updates to Study Attributes

Findings was changed:

Baseline frontal DSA projection of the right internal carotid artery demonstrating complete occlusion of the proximal right MCA M1 segment and retrograde filling of distal MCA branches from ACA-MCA pial communications. Baseline lateral DSA projection demonstrates retrograde filling of distal MCA branches from ACA-MCA pial communications.

Frontal and lateral right ICA DSA withshow stent-retriever in situ (Stryker TREVO XP 6 x 25 mm) highlighting the clot and providing "temporary endovascular bypass".

Final DSA post retrievalfollowing removal of the stent-retriever demonstrating re-perfusionreperfusion of the previously occluded MCA. TICI 2C angiographic result (some underfilling of small distal parietal MCA cortical branches).

modified TICI 2C
Images Changes:

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Baseline DSA frontal projection demonstrating right MCA M1 occlusion and retrograde filling of distal MCA branches from ACA-MCA pial communications.

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Baseline DSA lateral projection demonstrating right MCA M1 occlusion and retrograde filling of distal MCA branches from ACA-MCA pial communications.

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Stryker TREVO XP 6 x 25 mm stent-retriever device in situ.

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Stryker TREVO XP 6 x 25 mm stent-retriever device in situ outlining the clot and providing "temporary endovascular bypass"

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Stryker TREVO XP 6 x 25 mm stent-retriever device in situ outlining the clot and providing "temporary endovascular bypass"

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Final DSA following removal of the stent-retriever demonstrating reperfusion of the previously occluded MCA.

Image DSA (angiography) (Internal carotid artery) ( update )

Description was removed:
Final DSA following removal of the stent-retriever demonstrating reperfusion of the previously occluded MCA. TICI 2C angiographic result (some underfilling of small distal parietal MCA cortical branches).

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