Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion

Acute bilateral internal carotid occlusion was a very rare disease with a very poor prognosis. Clinical case reports according to the literature showed that mechanical thrombectomy was the most optimal treatment. We reported a clinical case of successful treatment with simultaneous thrombectomy in b...

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Autores principales:	Duy Ton Mai, Associate Professor, Msc, Dr, PhD, Dang Luu Vu, associate professor, Dr, PhD, Quang-Anh Nguyen, Dr, An Nguyen Huu, Dr, Minh Anh Nguyen, Dr, Viet Phương Dao, Dr. PhD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Embolic stroke Internal Carotid artery Thrombectomy Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/2a74f33bcddc422bbc241c15f94357aa
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spelling	oai:doaj.org-article:2a74f33bcddc422bbc241c15f94357aa2021-11-30T04:15:12ZSimultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion1930-043310.1016/j.radcr.2021.10.023https://doaj.org/article/2a74f33bcddc422bbc241c15f94357aa2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007391https://doaj.org/toc/1930-0433Acute bilateral internal carotid occlusion was a very rare disease with a very poor prognosis. Clinical case reports according to the literature showed that mechanical thrombectomy was the most optimal treatment. We reported a clinical case of successful treatment with simultaneous thrombectomy in both occluded carotid arteries. A 62-year-old woman was admitted at our hospital within three hours of stroke onset secondary to an acute simultaneously bilateral carotid artery occlusion. On admission, her NIHSS (National Institutes of Health Stroke Scale) was 32. Non-contrast computed tomography right after that showed hyperacute infarction lesions in both hemispheres with right inferior temporal and insular cortex (Alberta Stroke Program Early CT Score – ASPECTS 8) and left putamen (ASPECTS 9). Her medical history included paroxysmal atrial fibrillation, prior ischemic stroke, pacemaker due to sick sinus syndrome. Her pre-stroke modified Rankin Scale score was 0 that she was fully recovered from previous stroke 4 months ago thanks to successful thrombectomy of the right internal carotid arteries (ICA). This time, the patient underwent again the simultaneous bilateral mechanical thrombectomy of both occluded ICA. The complete recanalization achieved on both sides with recanalization level of TICI-3 (thrombolysis in cerebral infarction) only in 38 mins after the groin puncture. She showed dramatic recovery and was discharged on day 28 with a Rankin Scale score of 2. Mechanical thrombectomy on bilateral ICA performed simultaneously will helps shorten the reperfusion time compared to the alternative one and thus, provides a better prognosis in acute ischemic stroke.Duy Ton Mai, Associate Professor, Msc, Dr, PhDDang Luu Vu, associate professor, Dr, PhDQuang-Anh Nguyen, DrAn Nguyen Huu, DrMinh Anh Nguyen, DrViet Phương Dao, Dr. PhDElsevierarticleEmbolic strokeInternalCarotid arteryThrombectomyMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 142-146 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Embolic stroke Internal Carotid artery Thrombectomy Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Embolic stroke Internal Carotid artery Thrombectomy Medical physics. Medical radiology. Nuclear medicine R895-920 Duy Ton Mai, Associate Professor, Msc, Dr, PhD Dang Luu Vu, associate professor, Dr, PhD Quang-Anh Nguyen, Dr An Nguyen Huu, Dr Minh Anh Nguyen, Dr Viet Phương Dao, Dr. PhD Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
description	Acute bilateral internal carotid occlusion was a very rare disease with a very poor prognosis. Clinical case reports according to the literature showed that mechanical thrombectomy was the most optimal treatment. We reported a clinical case of successful treatment with simultaneous thrombectomy in both occluded carotid arteries. A 62-year-old woman was admitted at our hospital within three hours of stroke onset secondary to an acute simultaneously bilateral carotid artery occlusion. On admission, her NIHSS (National Institutes of Health Stroke Scale) was 32. Non-contrast computed tomography right after that showed hyperacute infarction lesions in both hemispheres with right inferior temporal and insular cortex (Alberta Stroke Program Early CT Score – ASPECTS 8) and left putamen (ASPECTS 9). Her medical history included paroxysmal atrial fibrillation, prior ischemic stroke, pacemaker due to sick sinus syndrome. Her pre-stroke modified Rankin Scale score was 0 that she was fully recovered from previous stroke 4 months ago thanks to successful thrombectomy of the right internal carotid arteries (ICA). This time, the patient underwent again the simultaneous bilateral mechanical thrombectomy of both occluded ICA. The complete recanalization achieved on both sides with recanalization level of TICI-3 (thrombolysis in cerebral infarction) only in 38 mins after the groin puncture. She showed dramatic recovery and was discharged on day 28 with a Rankin Scale score of 2. Mechanical thrombectomy on bilateral ICA performed simultaneously will helps shorten the reperfusion time compared to the alternative one and thus, provides a better prognosis in acute ischemic stroke.
format	article
author	Duy Ton Mai, Associate Professor, Msc, Dr, PhD Dang Luu Vu, associate professor, Dr, PhD Quang-Anh Nguyen, Dr An Nguyen Huu, Dr Minh Anh Nguyen, Dr Viet Phương Dao, Dr. PhD
author_facet	Duy Ton Mai, Associate Professor, Msc, Dr, PhD Dang Luu Vu, associate professor, Dr, PhD Quang-Anh Nguyen, Dr An Nguyen Huu, Dr Minh Anh Nguyen, Dr Viet Phương Dao, Dr. PhD
author_sort	Duy Ton Mai, Associate Professor, Msc, Dr, PhD
title	Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
title_short	Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
title_full	Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
title_fullStr	Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
title_full_unstemmed	Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
title_sort	simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/2a74f33bcddc422bbc241c15f94357aa
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Simultaneous mechanical thrombectomy for bilateral acute internal carotid artery occlusion

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