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.
Keywords: Aspiration; Bilateral carotid occlusion; Stroke; Thrombectomy.
Copyright © 2019 by the Congress of Neurological Surgeons.