Tandem Middle Cerebral Artery–Internal Carotid Artery Occlusions
نویسندگان
چکیده
منابع مشابه
Clinical and vascular outcome in internal carotid artery versus middle cerebral artery occlusions after intravenous tissue plasminogen activator.
BACKGROUND AND PURPOSE Early reperfusion is a predictor of good outcome in acute ischemic stroke. We investigated whether middle cerebral artery (MCA) occlusions have a better clinical outcome and proportion of recanalization compared with internal carotid artery (ICA) occlusion after standard treatment with intravenous (IV) tissue plasminogen activator (tPA). PATIENTS In a retrospective anal...
متن کاملIntra-arterial thrombolysis of occluded middle cerebral artery by use of collateral pathways in patients with tandem cervical carotid artery/middle cerebral artery occlusion.
BACKGROUND AND PURPOSE Cervical internal carotid artery (ICA) occlusion with middle cerebral artery (MCA) embolic occlusion is associated with a low rate of recanalization and poor outcome after intravenous thrombolysis. Prompt revascularization is required to prevent disabling stroke. We report our experience on acute ischemic stroke patients with tandem ICA or MCA occlusions treated with micr...
متن کاملMiddle cerebral artery infarction: relationship of cavernous carotid artery calcification.
BACKGROUND AND PURPOSE This study was designed to determine whether calcification of the cavernous carotid artery (CCA) is associated with cerebrovascular infarcts in the same way that coronary artery calcification scores indicate myocardial infarctions. We sought to correlate the grade of CCA calcification with infarctions in the middle cerebral artery (MCA) distribution. METHODS Nonenhanced...
متن کاملEarly recanalization rates and clinical outcomes in patients with tandem internal carotid artery/middle cerebral artery occlusion and isolated middle cerebral artery occlusion.
BACKGROUND Patients with isolated middle cerebral artery (MCA) and tandem MCA/internal carotid artery (ICA) obstruction have similar presenting symptoms and stroke severity. We aimed to investigate early recanalization of MCA and clinical outcomes in patients with tandem ICA/MCA obstructions and isolated MCA occlusion. METHODS Patients with MCA occlusion on pretreatment transcranial Doppler w...
متن کاملEmergent surgical embolectomy in conjunction with cervical internal carotid ligation and superficial temporal artery-middle cerebral artery bypass to treat acute tandem internal carotid and middle cerebral artery occlusion due to cervical internal carotid artery dissection
BACKGROUND Acute tandem cervical dissecting internal carotid artery (ICA) occlusion and intracranial embolic middle cerebral artery (MCA) occlusion can be devastating, and the optimal treatment strategy for this condition has not been established yet. CASE DESCRIPTION A 45-year-old male presented with aphasia and right hemiparesis preceded by neck pain. Computed tomography showed a high-densi...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2015
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2014.11.018