• Cardiovasc Intervent Radiol · Jun 2014

    Case Reports

    Endovascular treatment in two cases of bilateral ischemic stroke.

    • Raoul Pop, Monica Manisor, Valerie Wolff, Mohamed Habashy, Olivier Rouyer, Pierre Kehrli, Christian Marescaux, and Remy Beaujeux.
    • Service de Radiologie A, Hôpitaux Universitaires de Strasbourg, Strasbourg, France, pop.raoul@gmail.com.
    • Cardiovasc Intervent Radiol. 2014 Jun 1;37(3):829-34.

    AbstractAcute bilateral intracranial large artery occlusion is a rare occurrence that can lead to bihemispheric ischemia and potentially devastating functional consequences. We discuss two cases that initially presented with unilateral symptoms and did not show signs of bilateral arterial occlusions on the initial MRI imaging. This became evident while performing the angiographic study at the beginning of the endovascular procedure. Both patients were successfully treated with bilateral mechanical thrombectomy as a complement to intravenous thrombolysis. We describe our method of simultaneous sequential bilateral thrombectomy. To our knowledge, this is the first report of successful endovascular therapy in bilateral ischemic stroke.

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