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To the Editor:
Georgiadis et al.1 report that carotid T occlusion may have a better clinical outcome than previously thought, especially after IV thrombolysis.2,3 In their series of 42 consecutive patients, 17% achieved a modified Rankin score (mRS) of 2 6 months poststroke and the mortality rate was only 31%. Furthermore, complete or partial middle cerebral artery (MCA) recanalization was observed in 12 of 18 patients treated with thrombolysis. This is interesting because intracranial carotid occlusion is often considered as a contraindication of IV and even intraarterial thrombolysis because …
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