Emergency Microsurgical Embolectomy for the Treatment of Acute Intracranial Artery Occlusion: Report of Two Cases.
- Author:
Dae Won KIM
1
;
Sung Jo JANG
;
Sung Don KANG
Author Information
- Publication Type:Case Report
- Keywords: acute ischemic stroke; large-vessel occlusion; microsurgical embolectomy; alternative treatment
- MeSH: Arteries; Carotid Artery, Internal; Embolectomy; Emergencies; Humans; Middle Cerebral Artery; Stroke; Thrombolytic Therapy
- From:Journal of Clinical Neurology 2011;7(3):159-163
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: The main treatment for acute arterial ischemic stroke is intravenous or intra-arterial thrombolysis within a particular time window. Endovascular mechanical embolectomy is another treatment option in the case of major artery occlusion. Endovascular mechanical embolectomy is a useful technique for restoring blood flow in patients with large-vessel occlusion, and especially in those who are contraindicated for thrombolytics or in whom thrombolytic therapy has failed. CASE REPORT: We report herein two cases of emergency microsurgical embolectomy for the treatment of acute middle cerebral artery and internal carotid artery occlusion as an alternative treatment for major artery occlusion. CONCLUSIONS: Emergency microsurgical mechanical embolectomy may be an alternative treatment option for restoring blood flow in selected patients with large-vessel acute ischemic stroke.
