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Related Experiment Video

Updated: Jan 19, 2026

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
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Simultaneous Bilateral Carotid Thrombectomies: A Technical Note.

Thomas Larrew1, Zachary Hubbard1, Eyad Almallouhi2

  • 1Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina.

Operative Neurosurgery (Hagerstown, Md.)
|September 11, 2019
PubMed
Summary

Acute bilateral large vessel occlusion (LVO) requires rapid treatment. Simultaneous bilateral thrombectomies achieved successful recanalization, offering an efficient approach for this rare condition.

Keywords:
AspirationBilateral carotid occlusionStrokeThrombectomy

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Area of Science:

  • Neurology
  • Interventional Neuroradiology

Background:

  • Acute bilateral large vessel occlusion (LVO) is a rare but severe condition.
  • Prompt intervention is critical for managing LVO.

Observation:

  • This case report details the management of bilateral internal carotid artery (ICA) terminus occlusions.
  • The patient presented with poor collateral circulation.

Findings:

  • Simultaneous bilateral thrombectomies were performed using catheterization and aspiration.
  • Successful recanalization was achieved in 32 minutes, restoring flow from Thrombolysis In Cerebral Infarction (TICI) grade 0 to TICI 2b on the left and TICI 3 on the right.

Implications:

  • This technique provides an efficient and feasible method for treating bilateral LVO.
  • It potentially reduces recanalization time and radiation exposure.
  • This approach may improve outcomes for patients with complex LVO cases.