Abstract
In the patients with symptomatic occlusion of the internal carotid artery (ICA), maximal treatment seldom results in a favorable outcome. We performed recanalization therapy using mild hypothermia with left ICA occlusion, and obtained good results. A 59-year-old man, his NIH stroke scale was 27 points. Angiography revealed left cervical ICA and left middle cerebral artery (MCA) occlusion. The ICA occlusion was treated by carotid angioplasty and stenting (3 hours after onset), and the MCA occlusion was treated by local intraarterial fibrinolytic therapy (4 hours after onset). In patients with the symptomatic ICA occlusion, because hypothermia needs to be initiated as soon as possible, induction of hypothermia therapy should take precedence over the recanalization therapy. ICA occlusion needs to be classified based on the difficulty of the racanalization therapy.
