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Table 2: Intervention and outcomes in the 7 patients with acute stroke due to occluded ICA
Patient No. IA tPA (mg) Stenting and angioplasty of ICA Lysis of MCA Clot through occluded ICA TIMI Flow after Thromboysis Post Rx CT Outcome (mRS) at 30 days
1 20 Yes Yes 2 Basal ganglia infarct 4
2 10 Yes Yes 3 Patchy parietal infarcts 3
3 9 No Yes 3 Basal ganglia infarct 0
4 0^* Yes No 3 Basal ganglia infarct 0
5 18 No Yes 3 Basal ganglia infarct 0
6 10 No No 3 Evolving frontal bleed 1
7 15 Yes^† Yes 3 Small frontal lobe infarct 0
Note:—ICA indicates internal carotid artery; IA tPA, intra-arterial tissue plasminogen activator; MCA, middle cerebral artery; CT, computed tomography; mRS, modified Rankin Scale.
* This patient received 38 mg intravenous tPA prior to angiography.
† ICA pseudoaneurysm was treated with 2 overlapping covered stents.