Intracranial Occlusion with Tandem Carotid Stenosis: Retained Filter

  • Rajsrinivas Parthasarathy
  • Vipul Gupta


A 70-year-old diabetic and hypertensive presented at 2 h with right-sided weakness and speech disturbance. Examination revealed dense right-sided weakness and global aphasia adding up to a NIHSS score of 19. Tandem left ICA and M1 occlusion was noted on CTA.

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. Rangel-Castilla L, et al. Management of acute ischemic stroke due to tandem occlusion: should endovascular recanalization of the extracranial or intracranial occlusive lesion be done first? Neurosurg Focus. 2017;42(4):E16.CrossRefGoogle Scholar
  3. 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

  • Rajsrinivas Parthasarathy
    • 1
  • Vipul Gupta
    • 2
  1. 1.Vascular Neurology and Neurointerventional SurgeryArtemis Agrim Institute of NeuroscienceGurgaonIndia
  2. 2.Neurointerventional Surgery, Stroke UnitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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