[Immediate results of staged treatment of patients with acute cerebral ischemia induced by tandem lesions of the internal carotid artery and its intracranial branches (clinical case)].

Abstract

Mechanical thrombectomy is widely used in treatment of patients with ischemic stroke in the anterior cerebral circulation, with the problem of a tandem lesion remaining fundamentally important, since the main clinical studies devoted to mechanical thrombectomy excluded patients with lesions of the internal carotid artery bifurcation. Currently, there is no generally accepted optimal strategy of treating patients with tandem lesions. Possibly, therapeutic decision-making and choosing the sequence of revascularization should be based on a patient's individual peculiarities, the findings of invasive diagnosis, and experience of the operating team. Presented in the article are 2 clinical case reports regarding staged treatment of patients with acute ischemic stroke induced by a tandem lesion of the internal carotid artery and its intracranial branches.