Simultaneous Bilateral Carotid Thrombectomies: A Technical Note
- 1 May 2020
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Operative Neurosurgery
- Vol. 18 (5), E143-E148
- https://doi.org/10.1093/ons/opz230
Abstract
BACKGROUND: Although extremely rare, acute bilateral large vessel occlusion (LVO) is a morbid condition that requires prompt intervention. OBJECTIVE: To report the technique used to achieve recanalization of bilateral internal carotid artery (ICA) terminus occlusions. METHODS: This is a case of bilateral ICA terminus occlusionsmanaged with simultaneous bilateral thrombectomies with poor collateral circulation. RESULTS: Recanalization of bilateral ICA with thrombolysis in cerebral infarction (TICI) grade 0 to left TICI 2b flow with distal left A1 occlusion and right TICI 3 flow was achieved in 32 min with the use of simultaneous catheterization and aspiration thrombectomies. CONCLUSION: The described technique offers an efficient and feasible means to reduce time to recanalization and radiation in cases of bilateral LVO.This publication has 9 references indexed in Scilit:
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