Figure 2 | Scientific Reports

Figure 2

From: Significance of atherosclerotic plaque location in recanalizing non-acute long-segment occlusion of the internal carotid artery

Figure 2

Proximal atherosclerotic plaques involving the common carotid artery bifurcation and causing long-segment occlusion of the right internal carotid artery (ICA) treated with hybrid surgery comprising carotid endarterectomy (CEA) and endovascular treatment in a patient in their 50 s. (A) Magnetic resonance imaging (MRI) showed multiple infarcts in the right semioval region. (B–E) The time-to-peak (B) and mean transit time (C) were prolonged, and the cerebral blood volume (D) and cerebral blood flow (E) were decreased. (F) Computed tomography angiography revealed occlusion of the right ICA. (G) Digital subtraction angiography demonstrated occlusion of the right ICA. (H) CEA was conducted, and a Forgarty balloon was used for removal of the atherosclerotic plaque. (I) The atherosclerotic plaque (double arrows) and the thrombi (arrow heads) were approximately 8 cm long. (J) After the surgery, the ICA occlusion was successfully recanalized.

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