Turk J Cerebrovasc Dis. 2020; 26(3): 275-277 | DOI: 10.5505/tbdhd.2019.22599

Contralateral stent-assisted thrombectomy via fenestrated anterior communicating artery in acute tandem middle cerebral artery occlusion: a case report

Pinar Gelener¹, Leman Ergüven², Süha Halil Akpýnar^3
1University Of Kyrenia, Faculty Of Medicine, Department of Neurology, Girne, TRNC
²Dr Burhan Nalbantoðlu Nicosia State Hospital, Neurology Clinic, Lefkoþa, TRNC
³Near East University Faculty of Medicine, Department of Radiology, Lefkoþa, TRNC

We report a unique case with acute tandem left internal carotid and middle cerebral artery occlusion in whom the catheterisation of the left common carotid was not possible so the patient underwent stent-assisted thrombus fragmentation after applying intraarterial t-PA via the fenestrated anterior communicating artery. The procedure was resulted with successful recanalization (TICI 2b) and a modified Rankin Scale (mRS) 3 outcome.

Keywords: Tandem occlusion, contralateral thrombectomy, fenestrated anterior communicating artery.

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Akut orta serebral arter oklüzyonunda kontralateral (fenestre anterior komunikan arter üzerinden) stent aracýlý trombektomi: olgu sunumu

Pinar Gelener¹, Leman Ergüven², Süha Halil Akpýnar^3
1Girne Üniversitesi Týp Fakültesi, Nöroloji Anabilim Dalý, Girne, KKTC
²Dr Burhan Nalbantoðlu Lefkoþa Devlet Hastanesi, Nöroloji Kliniði, Lefkoþa, KKTC
³Yakýn Doðu Üniversitesi Týp Fakültesi, Radyoloji Anabilim Dalý, Lefkoþa, KKTC

Sunulan olgu akut tandem sol internal karotis ve orta serebral arter oklüzyonu saptanan bir hastadýr. Sol komon karotis kateterizasyonu mümkün olamayan hastaya sað internal karotis kateterize edilerek intraarteriyel tPA sonrasý fenestre Anterior Komuninan Arter (ACoMA) üzerinden kontralateral stent aracýlý trombus fragmantasyonu islemi yapýlýp ve ve sonrasýnda baþarýlý rekanalizasyon (TICI 2b) ve modifiye rankin skoru (mrS 3) elde edilmiþtir.

Anahtar Kelimeler: Tandem oklüzyon, kontralateral trombektomi, fenestre anterior komunikan arter.

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