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, vol.25, no.10, 2013 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Review
  • Volume: 25 Issue: 10
  • Publication Date: 2013
  • Journal Name: JOURNAL OF INVASIVE CARDIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

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.