Simultaneous Bilateral Carotid Thrombectomies: A Technical Note. Issue 5 (23rd August 2019)

• Record Type: Journal Article
• Authors: Larrew, Thomas; Hubbard, Zachary; Almallouhi, Eyad; Banerjee, Chirantan; Moss, Mark; Spiotta, Alejandro M
• Is Part Of: Operative neurosurgery. Volume 18:Issue 5(2020)
• Page Start: E143
• Page End: E148
• Publication Date: 2019-08-23
• Subjects: Stroke -- Thrombectomy -- Bilateral carotid occlusion -- Aspiration; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1093/ons/opz230
• Languages: English
• ISSNs: 2332-4252

Abstract

Abstract: BACKGROUND: Although extremely rare, acute bilateral large vessel occlusion (LVO) is a morbid condition that requires prompt intervention. OBJECTIVE: To report the technique used to achieve recanalization of bilateral internal carotid artery (ICA) terminus occlusions. METHODS: This is a case of bilateral ICA terminus occlusions managed with simultaneous bilateral thrombectomies with poor collateral circulation. RESULTS: Recanalization of bilateral ICA with thrombolysis in cerebral infarction (TICI) grade 0 to left TICI 2b flow with distal left A1 occlusion and right TICI 3 flow was achieved in 32 min with the use of simultaneous catheterization and aspiration thrombectomies. CONCLUSION: The described technique offers an efficient and feasible means to reduce time to recanalization and radiation in cases of bilateral LVO.