Emergency embolectomy for acute middle cerebral artery occlusion with chronic common carotid artery occlusion

Autor: Taro Yanagawa, MD, Yoichi Harada, MD, Masaru Kiyomoto, MD, Keiichi Yamashita, MD, Toru Hatayama, MD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Radiology Case Reports, Vol 15, Iss 4, Pp 375-378 (2020)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2020.01.013
Popis: Occurrence of acute middle cerebral artery occlusion with common carotid artery occlusion is rare, and its treatment may be complicated. If the approach route cannot be secured because of carotid artery occlusion, endovascular embolectomy may not be indicated. The best treatment approach for such cases remains controversial. A woman in her 70s was transferred to our hospital in ambulance following a sudden onset of dysarthria and left hemiparesis. Magnetic resonance imaging revealed an ischemic lesion in the right basal ganglia and occlusion of the right common carotid and intracranial middle cerebral arteries. Emergency embolectomy was performed for acute middle cerebral artery occlusion. Postoperative magnetic resonance imaging revealed complete recovery of the right middle cerebral artery blood flow. Emergency embolectomy can effectively treat acute middle cerebral artery occlusion with common carotid artery occlusion. Keywords: Embolectomy, Middle cerebral artery occlusion, Chronic carotid artery occlusion
Databáze: Directory of Open Access Journals