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

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

Affiliations

Amedeo Guida, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy; Corresponding author.
Fabio Tortora, MD, PhD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Mario Tortora, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Giuseppe Buono, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Mariano Marseglia, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Margherita Tarantino, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Michele Rizzuti, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Giovanni Loiudice, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy
Fiore Manganelli, MD, PhD: Department of Neuroscience and Reproductive Sciences and Dentistry, University “Federico II”, Naples, Italy
Francesco Briganti, MD, PhD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy

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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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