title: Treatment of middle cerebral artery occlusion and internal carotid artery dissection with combined mechanical thrombectomy and stenting of the internal carotid artery. A case report.
abstract: We describe a case of combined mechanical thrombectomy of the right middle cerebral artery and stent angioplasty of the right internal carotid artery in a severe stroke caused by arterio-arterial embolism due to a traumatic dissection of the internal carotid artery. The patient was admitted with an NIHSS score of 19 and was discharged from hospital with a score of 2. Three months later neurological examination disclosed no pathological findings. The case demonstrates the crucial role of interventional procedures in the treatment of severe stroke where intravenous thrombolysis has little prospect of success.
authors.affiliation: Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany. axel.wetter@uk-essen.de
authors.forename: A
authors.initials: A
authors.lastname: Wetter
authors.forename: Mi-Rim
authors.initials: MR
authors.lastname: Shin
authors.forename: D
authors.initials: D
authors.lastname: Meila
authors.forename: F
authors.initials: F
authors.lastname: Brassel
authors.forename: M
authors.initials: M
authors.lastname: Schlunz-Hendann
mesh_terms: D002343:Carotid Artery, Internal / Q000473:pathology; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000628:therapy*; D002533:Cerebral Angiography; D017023:Coronary Angiography; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015607:Stents; D017131:Thrombectomy / Q000379:methods*