Endovascular Recanalization by Mechanical Thrombectomy in Tandem Extracranial and Intracranial Occlusive Lesion in Acute Ischemic Stroke is Still a Therapeutic Challenge: A Case Report

Authors

  • Sirajee Shafiqul Islam Associate Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Kazi Mohibur Rahman Associate Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Sharif Uddin Khan Associate Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Dewan Md Elyas Assistant Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Khairul Kabir Patwary Associate Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Muhammad Abdul Momen Khan Assistant Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Amir Hossain Assistant Professor, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • ATM Hasibul Hasan Registrar, Department of Interventional Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jninb.v5i1.42178

Keywords:

Acute Ischemic stroke, mechanical thrombectomy, tandem lesion, stent retriever

Abstract

A 55-year-old male presented with complete left-sided weakness of the body with a National Institutes of Health Stroke Scale (NIHSS) 15 and Alberta Stroke Program Early Computed Tomography (ASPECT) score 8 and occlusion of the right middle cerebral artery (MCA) in the M1 segment on Computed Tomography Angiography (CTA). Intravenous thrombolysis (IVT) was not performed as symptoms developed at sleep. Mechanical Thrombectomy was performed after 4.5 hours of the symptom onset with recanalization of Thrombolysis in Cerebral Infarction (TICI classification 2b).

Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 90-94

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Published

2019-07-12

How to Cite

Islam, S. S., Rahman, K. M., Khan, S. U., Md Elyas, D., Patwary, K. K., Khan, M. A. M., Hossain, M. A., & Hasan, A. H. (2019). Endovascular Recanalization by Mechanical Thrombectomy in Tandem Extracranial and Intracranial Occlusive Lesion in Acute Ischemic Stroke is Still a Therapeutic Challenge: A Case Report. Journal of National Institute of Neurosciences Bangladesh, 5(1), 90–94. https://doi.org/10.3329/jninb.v5i1.42178

Issue

Vol. 5 No. 1 (2019)

Section

Case Reports

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