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<p>Acute ischemic stroke with multiple large vessel occlusions was usually noted in unilateral internal carotid artery region or vertebrobasilar artery region, whereas some rare cases could present multiple circulatory system vessel occlusions. For patients with multiple circulatory system vessels occlusions, there were some challenges during endovascular thrombectomy, such as acute occlusion or chronic occlusion, the first-line target vessel and thrombectomy strategy. We reported two cases with multiple circulatory system vessels occlusions, with unilateral internal carotid artery chronic occlusion, treated with endovascular thrombectomy crossing communicating artery. The two cases indicated that stent-retriever thrombectomy crossing communicating artery was technically feasible and safety.</p>

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Crossing communicating artery thrombectomy for acute ischemic stroke patients with multiple vessels occlusion

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月19日

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  • Xuan Zhu,
  • Fang Shen,
  • Hongjian Shen,
  • Minmin Zhang,
  • Pengfei Xing,
  • Yongwei Zhang,
  • Jianmin Liu

摘要

Acute ischemic stroke with multiple large vessel occlusions was usually noted in unilateral internal carotid artery region or vertebrobasilar artery region, whereas some rare cases could present multiple circulatory system vessel occlusions. For patients with multiple circulatory system vessels occlusions, there were some challenges during endovascular thrombectomy, such as acute occlusion or chronic occlusion, the first-line target vessel and thrombectomy strategy. We reported two cases with multiple circulatory system vessels occlusions, with unilateral internal carotid artery chronic occlusion, treated with endovascular thrombectomy crossing communicating artery. The two cases indicated that stent-retriever thrombectomy crossing communicating artery was technically feasible and safety.