Journal of Clinical Neurology  2011;7(3):159-163

doi:10.3988/jcn.2011.7.3.159

Emergency Microsurgical Embolectomy for the Treatment of Acute Intracranial Artery Occlusion: Report of Two Cases.

Dae Won KIM 1 ; Sung Jo JANG ; Sung Don KANG

Affiliations

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Keywords

acute ischemic stroke; large-vessel occlusion; microsurgical embolectomy; alternative treatment

Country

Republic 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.