The right CCA was catheterized, and angiography demonstrated occlusion of the right supraclinoid ICA with contrast pooling in the cervical ICA due to lack of flow (pseudo-occlusion). The ophthalmic artery arises at the site of occlusion.
A stent retriever was deployed. The distal aspiration catheter was subsequently advanced to the proximal clot face, and 2 passes with concomitant aspiration resulted in good reperfusion.