Tandem Occlusions (Antegrade First Technique with Stent)

  • Mohammed A. AlmekhlafiEmail author
  • Mayank Goyal


A 70-year-old male was admitted with 5 h duration of left-sided weakness. The NIHSS score was 17, and the patient had a tandem occlusion; there was a tight stenosis at the origin of the right ICA along with M1 MCA occlusion. There were good collaterals along with a small infarct core (Fig. 90.1).

Suggested Reading

  1. Marnat G, et al. Endovascular management of tandem occlusion stroke related to internal carotid artery dissection using a distal to proximal approach: insight from the RECOST study. AJNR Am J Neuroradiol. 2016;37(7):1281–8.CrossRefGoogle Scholar
  2. Spiotta AM, et al. Proximal to distal approach in the treatment of tandem occlusions causing an acute stroke. J Neurointerv Surg. 2015;7(3):164–9.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Department of Neurology, Faculty of MedicineKing Abdulaziz UniversityJeddahSaudi Arabia
  2. 2.Department of RadiologySeaman Family MR Research Centre, Foothills Medical CentreCalgaryCanada

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