Aspiration thrombectomy of acute complete carotid bulb occlusion

J Vasc Interv Radiol. 2005 Apr;16(4):539-42. doi: 10.1097/01.RVI.0000150925.36365.8E.


Two patients with acute complete carotid bulb occlusion were treated using intra-arterial aspiration thrombectomy a mean of 3 hours after stroke onset. A slightly angulated 8-F guiding catheter designed for general interventional use was employed to aspirate the thrombus in the carotid artery. Manual aspiration through a 50-mL syringe resulted in effective removal of the thrombus followed by good patency of the internal carotid artery. Aspiration thrombectomy is a simple, feasible and effective rescue procedure for patients with acute complete carotid bulb occlusion.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Carotid Artery Thrombosis / surgery*
  • Carotid Artery, Common / pathology*
  • Carotid Stenosis / therapy
  • Catheterization / instrumentation
  • Cerebral Angiography
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Plasminogen Activators / therapeutic use
  • Stents
  • Stroke / surgery
  • Suction / instrumentation
  • Suction / methods*
  • Thrombectomy / instrumentation
  • Thrombectomy / methods*
  • Urokinase-Type Plasminogen Activator / therapeutic use


  • Plasminogen Activators
  • Urokinase-Type Plasminogen Activator