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Related Concept Videos

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Related Experiment Video

Updated: Jan 19, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
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Bilateral Mechanical Thrombectomies for Simultaneous MCA Occlusions.

Christopher Storey1, Jonathon Lebovitz1, Ahmad Sweid1

  • 1Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania, USA.

World Neurosurgery
|September 11, 2019
PubMed
Summary
This summary is machine-generated.

A patient with bilateral middle cerebral artery infarcts experienced significant neurological recovery after undergoing bilateral mechanical thrombectomies. This case highlights the effectiveness of mechanical thrombectomy in treating severe, bilateral strokes.

Keywords:
Bilateral MCA StrokeEndovascular treatmentIschemic StrokeMechanical Thrombectomy

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Area of Science:

  • Neurology
  • Interventional Neuroradiology

Background:

  • Bilateral hemispheric dysfunction severely impacts consciousness.
  • A case of bilateral middle cerebral artery infarcts is presented.

Observation:

  • A 64-year-old woman with atrial fibrillation presented with left hemiplegia after holding apixaban.
  • Imaging revealed right M1 and left M2 middle cerebral artery occlusions with a large penumbra.
  • Mechanical thrombectomy achieved TICI 3 revascularization for both infarcts.

Findings:

  • The patient showed rapid neurological improvement, regaining strength and orientation.
  • Successful bilateral thrombectomies led to significant recovery.

Implications:

  • Discontinuation of anticoagulants may increase stroke risk.
  • Continuing oral anticoagulants is supported for endovascular procedures.
  • Mechanical thrombectomy is crucial for minimizing morbidity and mortality in bilateral infarctions.