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Related to arterial occlusion: venous occlusion
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Endovascular therapy consists of coil embolization of the vessel stump in arterial occlusions, reconstruction of a hemodynamically significantly narrowed artery with self-expanding or balloon-expandable stents (Figure 2), stenting of non-hemodynamically significant dissections with highly irregular intimal flaps, primary coiling of pseudoaneurysms, and stent and coil embolization of pseudoaneurysms.
Design and validation of a prehospital stroke scale to predict large arterial occlusion: the rapid arterial occlusion evaluation scale.
Proximal arterial occlusion was also observed more frequently in the patients with neurological deterioration in previous studies.
The retina was attached but had a diffuse pale appearance due to retinal arterial occlusion, and there were widespread intraretinal hemorrhages.
According to the degree of arterial occlusion, the pattern can change into to monophasic pattern.
These results might suggest that ischemia, during upper arm arterial occlusion, abolished the effect of homocysteine on vascular function.
Recently, it has been utilized as an adjunct tool to characterize retinal venous or arterial occlusion [10,12,13].
Cases like ours with carotid artery occlusion [3, 4] or peripheral arterial occlusion leading to limb ischemia, gangrene, and amputation [5, 6] are reported.
Thromboembolectomy using Fogarty catheter is the classic surgical treatment of acute arterial occlusion. However, repeated manipulations can cause endothelial injury, local dissection, and distal embolization and a high number of patients (>20%) require secondary procedures [8].
Caption: Figure 1: Lower extremity physical exam findings leading to the further workup of embolic and infectious sources, Osler nodes on the right foot, and decreased perfusion of the left leg due to proximal arterial occlusion in the iliac and superficial femoral arteries.
This case report represents an acute diagnosis and also a therapeutic challenge because of a multitude of particularities of patient's cerebral blood vessels (path, old arterial occlusion, stenosis), raising the question of possible different immediate attitudes after thrombolysis.