20.500.12556/DiRROS-19288 Mechanical recanalization for acute bilateral cerebral artery occlusion - literature overview with a case Background. Acute bilateral internal carotid artery (ICA) and/or middle cerebral artery (MCA) occlusion is extremely rare and associated with poor clinical outcomes. There are only a few reports in the literature about mechanical thrombectomy being performed for acute bilateral occlusions. The treatment strategies and prognoses (clinical outcomes) are therefore unclear. Methods. A systematic review of the literature was performed through several electronic databases with the following search terms: acute bilateral stroke, mechanical recanalization and thrombectomy. Results. In the literature, we identified five reports of six patients with bilateral ICA and/or MCA occlusion treated with mechanical recanalization. Additionally, we report our experience with a subsequent contralateral large brain artery occlusion during intravenous thrombolytic therapy, where the outcome after mechanical thrombectomy was not dependent on the time from stroke onset but rather on the capacity of collateral circulation exclusively. Conclusions. Acute bilateral cerebral (ICA and/or MCA) occlusion leads to sudden severe neurological deficits (comas) with unpredicted prognoses, even when mechanical recanalization is available. As the collateral capacity seems to be more important than the absolute time to flow restoration in determining the outcomes, simultaneous thrombectomy by itself probably does not lead to improved functional outcomes. acute bilateral stroke mechanical recanalization thrombectomy akutna dvostranska kap mehanska rekanalizacija trombektomija true false true Association of Radiology and Oncology Ljubljana Angleški jezik Slovenski jezik by Authors Neznano 2024-07-12 12:32:24 2024-07-12 12:32:25 2024-07-13 03:49:24 0000-00-00 00:00:00 2020 0 0 str. 144-148, I no. 2 Vol. 54 Jun. 2020 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2020-06-01 616.8 1318-2099 10.2478/raon-2020-0017 19035907 https://content.sciendo.com/view/journals/raon/54/2/article-p144.xml 1 0a557b2c-403a-11ef-b487-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=26594 RAZ_Jeromel_Miran_2020.pdf RAZ_Jeromel_Miran_2020.pdf 1 767ACC3B11732D8DCDFE531F13C79EFB 762d0669ccb23d4631ea1e1c275121d15344ec220a5a1721df44808aa53c4383 33e9aec2-403a-11ef-b487-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=26595 Onkološki inštitut Ljubljana 0 0 0