Radiology Case Reports (Jun 2022)

Dissective tandem stroke: an endovascular approach

  • Amedeo Guida, MD,
  • Fabio Tortora, MD, PhD,
  • Mario Tortora, MD,
  • Giuseppe Buono, MD,
  • Mariano Marseglia, MD,
  • Margherita Tarantino, MD,
  • Michele Rizzuti, MD,
  • Giovanni Loiudice, MD,
  • Fiore Manganelli, MD, PhD,
  • Francesco Briganti, MD, PhD

Journal volume & issue
Vol. 17, no. 6
pp. 2170 – 2174

Abstract

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Ischemic stroke due to internal carotid artery occlusion is a potential devastating condition. More frequently the occlusions are embolic in nature, but sometimes they are caused by arterial dissection and their treatment is a challenge. We describe an illustrative case where a young patient with middle cerebral artery stroke caused by carotid artery dissection was submitted to endovascular treatment of mechanical thrombectomy and stenting, giving an excellent outcome. We believe that tandem approach is a treatment of choice in these cases.