Extensive Stent Reconstruction for Long-Segment Symptomatic Dissections
A patient in her early 50s presented to the emergency department with a sudden onset of left-sided hemiplegia and neglect. The initial stroke scale was 16. CTA showed a right common carotid artery (CCA) occlusion close to its origin. An emergency MRI/MRA showed multiple small emboli in the right cerebral hemisphere with non-visualization of the right common and internal carotid arteries (Fig. 94.1a, b). Perfusion MRI showed a large penumbra on the right side (Fig. 94.1c, d). The patient was prepared for an emergency revascularization under general anesthesia.