Case report: thrombectomy for left internal carotid artery occlusion with ipsilateral dual accessory middle cerebral arteries.

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  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: Austria NLM ID: 0151000 Publication Model: Electronic Cited Medium: Internet ISSN: 0942-0940 (Electronic) Linking ISSN: 00016268 NLM ISO Abbreviation: Acta Neurochir (Wien) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Wien, Springer.
    • Subject Terms:
      Thrombectomy*/methods ; Carotid Artery, Internal*/surgery ; Carotid Artery, Internal*/diagnostic imaging ; Middle Cerebral Artery*/surgery ; Middle Cerebral Artery*/diagnostic imaging; Humans ; Male ; Aged ; Carotid Stenosis/surgery ; Carotid Stenosis/diagnostic imaging ; Treatment Outcome
    • Abstract:
      Accessory middle cerebral arteries (AMCAs) are found in 0.3-4.0% of cases, and ipsilateral dual AMCAs are rare. A seventy-three-year-old man presented with right hemiplegia and total aphasia. Magnetic resonance angiography showed left carotid artery occlusion. We infused him with tissue plasminogen activator. Digital subtraction angiogram showed revascularization of the left internal carotid artery. However, the left proximal anterior cerebral artery was occluded. We performed mechanical thrombectomy and achieved partial reperfusion. CT angiography on the tenth day showed ipsilateral dual AMCAs. Due to middle cerebral artery anomalies, we performed mechanical thrombectomy using contact aspiration which is safer than other techniques.
      (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
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    • Contributed Indexing:
      Keywords: Accessory MCA; Anomaly MCA; Contact aspiration; Mechanical thrombectomy; Triplicated MCA
    • Publication Date:
      Date Created: 20241106 Date Completed: 20241106 Latest Revision: 20241106
    • Publication Date:
      20241106
    • Accession Number:
      10.1007/s00701-024-06338-x
    • Accession Number:
      39503897