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Digital subtraction angiography of a 58-year-old female patient is showing high-grade stenosis and endoluminal elongated thrombus causing pseudo-occlusion appearance at the left proximal internal carotid artery (ICA) and sluggish flow, which was diagnosed as ICA occlusion on CT angiography. Proximal ICA stenting was performed to trap the thrombus elongating from the stenosis site and SAT was applied to distal occlusion.
