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100 Interesting Case Studies in Neurointervention: Tips and Tricks pp 387–389Cite as

Intracranial Occlusion with Tandem Carotid Stenosis: Distal to Proximal Approach

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Abstract

A 61-year-old man presented with right hemiplegia and aphasia. NIH stroke scale was 20. The ASPECTS score was 9, and CT angiogram showed occlusion at the origin of the left internal carotid artery and left M1–MCA occlusion. He was started on IV tPA and transferred for endovascular management.

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Suggested Reading

  • Marnat G, et al. Endovascular management of tandem occlusion stroke related to internal carotid artery dissection using a distal to proximal approach: insight from the RECOST study. AJNR Am J Neuroradiol. 2016;37(7):1281–8.

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  • Rangel-Castilla L, et al. Management of acute ischemic stroke due to tandem occlusion: should endovascular recanalization of the extracranial or intracranial occlusive lesion be done first? Neurosurg Focus. 2017;42(4):E16.

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  • Spiotta AM, et al. Proximal to distal approach in the treatment of tandem occlusions causing an acute stroke. J Neurointerv Surg. 2015;7(3):164–9.

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Author information

Authors and Affiliations

  1. Radiology, and Neurosurgery, Division of Neurointerventional Surgery, Neurointerventional Fellowship Program, University of Massachusetts Medical Center, Worcester, MA, USA

    Ajit S. Puri

  2. Vascular Neurology and Neurointerventional Surgery, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Rajsrinivas Parthasarathy

Authors
  1. Ajit S. Puri
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  2. Rajsrinivas Parthasarathy
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Corresponding author

Correspondence to Ajit S. Puri .

Editor information

Editors and Affiliations

  1. Neurointerventional Surgery, Stroke Unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

  2. Division of Neurointerventional Surgery, University of Massachusetts Medical Center, Worcester, MA, USA

    Ajit S. Puri

  3. Department of Vascular Neurology and Neurointerventional Surgery, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Rajsrinivas Parthasarathy

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Puri, A.S., Parthasarathy, R. (2019). Intracranial Occlusion with Tandem Carotid Stenosis: Distal to Proximal Approach. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_91

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_91

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

  • eBook Packages: MedicineMedicine (R0)

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