Simon Escalard*, Satoshi Koizumi, Raphaël Blanc and Michel Piotin
Department of Interventional Neuroradiology, Fondation Rothschild Hospital, FranceFulltext PDF
Bilateral simultaneous occlusion of both Middle Cerebral Arteries (MCA) is a rare cause of acute coma. Most existing reports have unfavorable outcomes. Mechanical thrombectomy, by allowing fast and successful reperfusion of both MCA, might allow to expect favorable outcome. We report and detail a procedure of bilateral M1 occlusion treated with simultaneous thrombectomy allowing successful reperfusion of both sides in 27 min. The patient was discharged after 11 days with a NIHSS of 4 and Modified Rankin Scale (mRS) score of 2.
Escalard S, Koizumi S, Blanc R, Piotin M. Successful Mechanical Reperfusion of an Acute Bilateral M1-Occlusion Can Result in Favorable Outcome. Ann Clin Case Rep. 2020; 5: 1830. ISSN: 2474-1655.