Figure 1

Endovascular management of tandem occlusions in stroke: Treatment strategies in a real-world scenario

Juan J Cirio*, Celina Ciardi, Matias Lopez, Esteban V Scrivano, Javier Lundquist, Ivan Lylyk, Nicolas Perez and Pedro Lylyk

Published: 29 June, 2021 | Volume 5 - Issue 1 | Pages: 055-060

jnnd-aid1051-g001

Figure 1:

1a Distal approach. 62 years old patient with acute left T.O. (a) Diagnostic DSA with severe stenosis in the bulbar ICA with fl oating thrombus, (b) intracranial DSA showed thrombus, (c) Trevo 6/20 mm in the left MCA and ICA, (d) After the First pass, TICI 3 scale was achieved, (e) Balloon angioplasty was done in the ICA, (f) stent angioplasty was done. 1b. Proximal approach. 48 years old patient with acute right T.O. Diagnostic MRI (e) right the DWI showed a basal ganglia and subinsular white matter substance restriction area with (f) mismatch DWI/FLAIR, (g) SWI with thrombus in right M1, (h) The TOF MRA showed lack of signal in the right ICA and MCA s, (i) PWI with Tmax prolongation. (j) Pre dilatation balloon angioplasty was done with 3/15 mm and (k) a 7 mm x 40 cm carotid wall was used, (l) in the intracranial DSA proximal M1 was occluded, (m) a solitaire 4/20 mm was used, after two passes, (n) TICI 3 was achieved.

Read Full Article HTML DOI: 10.29328/journal.jnnd.1001051 Cite this Article Read Full Article PDF

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