Delayed reperfusion therapy for ischemic stroke tandem occlusion with subsequent secondary prophylaxis of cerebral ischemic events: A case report and literature review.

Autor:	Khilchuk AA; Interventional Radiology Department, City Hospital #40, 9 Borisova str., Sestroretsk, Saint Petersburg 197706, Russian Federation.; Medical Faculty, Saint-Petersburg State University, Saint Petersburg, Russian Federation., Shcherbak SG; Medical Faculty, Saint-Petersburg State University, Saint Petersburg, Russian Federation., Gukov KD; Interventional Radiology Department, City Hospital #40, 9 Borisova str., Sestroretsk, Saint Petersburg 197706, Russian Federation., Vlasenko SV; Interventional Radiology Department, City Hospital #40, 9 Borisova str., Sestroretsk, Saint Petersburg 197706, Russian Federation.; Medical Faculty, Saint-Petersburg State University, Saint Petersburg, Russian Federation.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2021 Oct 02; Vol. 16 (12), pp. 3708-3720. Date of Electronic Publication: 2021 Oct 02 (Print Publication: 2021).
DOI:	10.1016/j.radcr.2021.09.012
Abstrakt:	Mechanical thrombectomy is currently the gold standard treatment of large vessel occlusions, especially in anterior circulation acute ischemic stroke. At the same time, the problem of tandem occlusions seems especially important since most of the major clinical mechanical thrombectomy studies did not specifically evaluate patients with concomitant extracranial occlusions or critical stenoses. To date, there is no universally accepted optimal treatment strategy for such tandem lesions in acute ischemic stroke: it remains unclear which lesion - intracranial or extracranial - should be treated first. The selected reperfusion method should be based on the patients' individual characteristics, data from non-invasive radiologic studies, and the stroke team experience. We present a case of successful reperfusion therapy of acute tandem occlusion of the right internal carotid artery, followed by contralateral carotid artery stenting in a patient with stenosing extracranial atherosclerosis. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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