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Tandem Occlusion of ICA and MCA - Decision making:

Page 3 of 5: Decision making:

Decision making:
IV tPA: Not given due to established ischemic changes, ASPECTS 6
EVT: Yes, proximal target occlusions, poor NIHSS
Challenges: Difficult arch, cervical ICA occlusion, may require angioplasty or stenting. Cardiac amyloidosis with poor cardiac output.



Endovascular treatment:
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