Ischemic Stroke due to Intracranial Embolization of a Pelvic Phlebolith in a Pregnant Patient Successfully Treated by Surgical Embolectomy following Attempted Endovascular Thrombectomy

Figure 4

(a–d) Digital subtraction angiography, arterial phase, and frontal and lateral views, obtained during injection of the right internal carotid artery (a, b) pre- and post-endarterectomy and embolectomy (c, d), demonstrate complete occlusion of the right internal carotid artery at the terminus (a, b), with complete recanalization (TICI 3) following endarterectomy and embolectomy (c, d). There is metallic subtraction artifact due to aneurysm clip overlying the carotid terminus on frontal view (c).