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Dissective tandem stroke: an endovascular approach
Authors:Amedeo Guida  Fabio Tortora  Mario Tortora  Giuseppe Buono  Mariano Marseglia  Margherita Tarantino  Michele Rizzuti  Giovanni Loiudice  Fiore Manganelli  Francesco Briganti
Affiliation:aDepartment of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Naples, Italy;bDepartment of Neuroscience and Reproductive Sciences and Dentistry, University “Federico II”, Naples, Italy
Abstract: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.
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