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Updated: Jan 19, 2026

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Simultaneous Bilateral Carotid Thrombectomies: A Technical Note
Thomas Larrew1, Zachary Hubbard1, Eyad Almallouhi2
1Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina.
Background:
Although extremely rare, acute bilateral large vessel occlusion (LVO) is a morbid condition that requires prompt intervention.
Objective:
To report the technique used to achieve recanalization of bilateral internal carotid artery (ICA) terminus occlusions.
Methods:
This is a case of bilateral ICA terminus occlusions managed with simultaneous bilateral thrombectomies with poor collateral circulation.
Results:
Recanalization of bilateral ICA with thrombolysis in cerebral infarction (TICI) grade 0 to left TICI 2b flow with distal left A1 occlusion and right TICI 3 flow was achieved in 32 min with the use of simultaneous catheterization and aspiration thrombectomies.
Conclusion:
The described technique offers an efficient and feasible means to reduce time to recanalization and radiation in cases of bilateral LVO.
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