Intracranial Occlusion with Tandem Carotid Stenosis: Distal to Proximal Approach
A 61-year-old man presented with right hemiplegia and aphasia. NIH stroke scale was 20. The ASPECTS score was 9, and CT angiogram showed occlusion at the origin of the left internal carotid artery and left M1–MCA occlusion. He was started on IV tPA and transferred for endovascular management.