This nuclear medicine case involves a seventy-four-year-old woman who had a fall at her residence. She was subsequently taken to the emergency department. Immediately after her arrival, an ensuing stroke was suspected, and interventional radiology was consulted. A CT showed ischemic stroke, and the patient was then sent for a MERCI clot retrieval. Upon entering the carotid artery, severe carotid artery stenosis was identified but shortly after a dissection occurred rendering the clot inextricable. This decreased cerebral perfusion leading to global ischemia in the brain parenchyma. Unfortunately, the patient was left permanently disabled, with left-sided paralysis and fully dependent for all activities of daily living. A cardiovascular radiology expert was sought to opine on the case.