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Tandem Occlusions (Antegrade First Technique with Stent)

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100 Interesting Case Studies in Neurointervention: Tips and Tricks

Abstract

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).

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Suggested Reading

  • 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.

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  • 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.

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Correspondence to Mohammed A. Almekhlafi .

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Almekhlafi, M.A., Goyal, M. (2019). Tandem Occlusions (Antegrade First Technique with Stent). In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_90

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_90

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

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