Successful recovery from carotid terminus occlusion after mechanical embolectomy in a fully anticoagulated patient

Neurocrit Care. 2009;10(1):87-90. doi: 10.1007/s12028-007-0082-0.

Abstract

Case description: 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.

Discussion: 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.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / drug therapy
  • Carotid Artery Diseases / complications
  • Carotid Artery Diseases / diagnosis
  • Carotid Artery Diseases / surgery*
  • Contraindications
  • Embolectomy*
  • Embolism / complications
  • Embolism / diagnosis
  • Embolism / surgery*
  • Female
  • Humans
  • Middle Aged
  • Recovery of Function
  • Thrombolytic Therapy
  • Treatment Outcome

Substances

  • Anticoagulants