Fig. 3.

Intraoperative angiography; (A) OPTIMO (black arrow) is placed at the right common carotid artery (CCA). Balloons placed in the CCA are inflated; then a transluminal balloon angioplasty was performed with a 3.0-mm Gateway™ PTA balloon catheter (white arrowhead) for the occluded area of the internal carotid artery (ICA). (B) Penumbra aspiration catheter, 5 MAX™ ACE (black arrowhead), is passed distal to the position, allowing suctioning of the floating clot (white arrow) using this aspiration system. (C) A carotid wall stent was deployed and revascularization was recognized. (D) Postoperative angiography confirmed successful recanalization of the right ICA (thrombolysis in cerebral infarction (TICI) grade 3).