Fig. 1. (A) Angiogram shows total occlusion of the right cervical ICA. (B) After partial balloon recanalization of the cervical ICA, the angiogram reveals MCA occlusion. (C) To improve proximal blood flow, the steno-occlusive carotid lesion is treated with an open-cell stent. (D) The Solitaire stent harboring the captured thrombus is caught in the open-cell carotid stent. Manipulation of a stiff guide wire around the Solitaire stent is ineffective. (E) A gross picture of the Solitaire stent capturing the thrombus. The captured thrombus renders the stent wide open, which results in subsequent complications. ICA = internal carotid artery; MCA = middle cerebral artery.