Case 2 - Intra-arterial t-PA


Case History
A 77 year old female with sudden onset of left-sided neglect and dense left hemiplegia. Initial arteriogram shows total occlusion of the right internal carotid artery. The patient received a total of 20 mg of intra-arterial t-PA during a two hour interval. Follow-up arteriogram illustrates total resolution of the clot with reconstitution of normal flow throughout the right hemisphere. The patient had marked improvement in neurologic symptoms following the procedure.

Occluded right internal carotid artery

After t-PA opening right ICA