Combined surgical and interventional treatment of tandem carotid artery and middle cerebral artery embolus: A case report

Core Tip

Core tip: We report a case of acute carotid artery and ipsilateral middle cerebral artery occlusion. The anatomy of the aortic arch was complex. We chose carotid artery incision thrombectomy combined with stent thrombectomy for this patient because of the following reasons. First, the anatomy of the aortic arch was complex, and simple intravascular treatment would take a longer time to establish the interventional path. Second, the embolus was located in the bifurcation of the carotid artery and the ipsilateral middle cerebral artery. There was no obvious embolus in the remaining segments of the internal carotid artery, so there was positive blood flow in the internal carotid artery. In such patients, carotid stent implantation for carotid artery embolization might result in distal escape of the thrombus.