Zhang M, Hao JH, Lin K, Cui QK, Zhang LY. Combined surgical and interventional treatment of tandem carotid artery and middle cerebral artery embolus: A case report. World J Clin Cases 2020; 8(3): 630-637 [PMID: 32110676 DOI: 10.12998/wjcc.v8.i3.630]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2020; 8(3): 630-637 Published online Feb 6, 2020. doi: 10.12998/wjcc.v8.i3.630
Combined surgical and interventional treatment of tandem carotid artery and middle cerebral artery embolus: A case report
Meng Zhang, Ji-Heng Hao, Kai Lin, Qing-Ke Cui, Li-Yong Zhang
Meng Zhang, Ji-Heng Hao, Kai Lin, Qing-Ke Cui, Li-Yong Zhang, Department of Neurosurgery, Liaocheng Brain Hospital, Liaocheng 252000, Shandong Province, China
Author contributions: Zhang LY and Zhang M designed the report; Zhang LY, Cui QK and Zhang M performed the operation; Hao JH and Lin K helped with the patient examination.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Received: October 13, 2019 Peer-review started: October 13, 2019 First decision: November 13, 2019 Revised: November 19, 2019 Accepted: December 6, 2019 Article in press: December 6, 2019 Published online: February 6, 2020 Processing time: 115 Days and 19.4 Hours
Core Tip
Core tip: We report a case of acute carotid artery and ipsilateral middle cerebral artery occlusion. The anatomy of the aortic arch was complex. We chose carotid artery incision thrombectomy combined with stent thrombectomy for this patient because of the following reasons. First, the anatomy of the aortic arch was complex, and simple intravascular treatment would take a longer time to establish the interventional path. Second, the embolus was located in the bifurcation of the carotid artery and the ipsilateral middle cerebral artery. There was no obvious embolus in the remaining segments of the internal carotid artery, so there was positive blood flow in the internal carotid artery. In such patients, carotid stent implantation for carotid artery embolization might result in distal escape of the thrombus.
