Combined Use of Invatec Mo.Ma Proximal Protection Device and Solitaire AB Retrievable Stent for Tandem Occlusions in a Patient With Acute Ischemic Stroke


TASAL A., Asil T. , GOKTEKIN O.

JOURNAL OF INVASIVE CARDIOLOGY, cilt.25, 2013 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 25 Konu: 10
  • Basım Tarihi: 2013
  • Dergi Adı: JOURNAL OF INVASIVE CARDIOLOGY

Özet

Recanalization of tandem vascular occlusions in the setting of an acute stroke is problematic. Here we report a successful treatment of an acute ischemic stroke with tandem cervical internal carotid artery and middle cerebral artery occlusions. A 56-year-old woman presented with acute left-sided hemiplegia. Diffusion magnetic resonance imaging showed an acute infarction in the right frontal and parietal lobes. We planned to perform rescue endovascular treatment after fibrinolytic therapy failed. Stent-assisted carotid angioplasty with proximal embolic protection device was followed by stent-based mechanical thrombectomy of the proximal middle cerebral artery occlusion. Her neurological condition improved after the procedure with National Institutes of Health Stroke Scale of 3 points. The combination of proximal embolic protection device and retrievable Solitaire stent could be a feasible and safe treatment strategy in acute ischemic stroke patients with extra-and intracranial tandem occlusions.