Combined intravenous recombinant-tissular plasminogen activator and endovascular treatment of spontaneous occlusive internal carotid dissection with tandem intracranial artery occlusion

Alain Lekoubou, Tae Hee Cho, Norbert Nighoghossian, Vincent Kumako, Laurent Derex, Paul Trouillas, Francis Turjman

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Internal carotid artery (ICA) dissection with tandem internal carotid and middle cerebral artery occlusion may carry a poor prognosis even if intravenous recombinant-tissular plasminogen activator is administered. A better outcome may be expected with the combination of intravenous thrombolysis and endovascular methods (stenting and thromboaspiration). This procedure was performed in 3 patients who had concurrent ICA dissection and intracerebral occlusion. Endovascular treatment was feasible and safe. All our patients had a good clinical outcome. This potential effective approach may need further validation.

Original languageEnglish (US)
Pages (from-to)211-214
Number of pages4
JournalEuropean Neurology
Volume63
Issue number4
DOIs
StatePublished - Apr 1 2010

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

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