Tandem Occlusion of ICA and MCA - Endovascular treatment:

Page 4 of 5: Endovascular treatment:

Endovascular treatment: Under GA, with intra-arterial BP monitoring.

Procedure: Thromboaspiration of cervical ICA through guide catheter. Followed by intracranial stent-retriever thrombectomy. Distal clot fragmentation and migration noted. Cervical ICA acutely stented after angioplasty. Final mTICI score of 2a/b.
Immediate post-procedure CT performed to rule out intracranial hemorrhage before loading on dual antiplatelets.