Carotid Artery Coiling Associated with Ipsilateral Ischemic Stroke Treated by Mechanical Thrombectomy

We have presented a case of asymptomatic internal carotid artery coiling resulting in devastating ipsilateral ischemic stroke that was treated by intracranial mechanical thrombectomy. Morphologic changes the arteries been reported to be associated with aging, female gender, and standard cardiovascular risk factors. Dolichoarteriopathies (DICAs) are not uncommon, presence tortuosity, kinking, or coiling, particular, can cerebral ischemia. an 88-year-old woman our institution for acute right-sided stroke. The patient given intravenous systemic thrombolysis without effect. In accordance institutional guidelines, she subsequently referred Angiography showed significant left occlusion middle (Fig 1). Multiple old emboli were removed from after several aspirations full recanalization M1 segment 2). However, because other comorbidities, patient’s status improved only slightly sequelae disabilities. Subsequently, complex examination did find any source embolization except coiling. present has illustrated untreated DICA is potentially life-threatening finding deleterious outcomes. appropriate treatment DICAs result good outcomes low morbidity mortality rates. despite success surgical reconstruction, therapy remained subject numerous debates owing lack multicenter, randomized, prospective studies.Fig 2Selective angiography showing (blue arrow).View Large Image Figure ViewerDownload Hi-res image Download (PPT)