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Bilateral middle cerebral artery occlusions treated with simultaneous bilateral thrombectomy: an approach to multivessel occlusions
  1. Katty Wu1,2,
  2. Kurt A Yaeger2,
  3. Christopher Paul Kellner2 and
  4. Hazem Shoirah2
  1. 1SUNY Downstate College of Medicine, Brooklyn, New York, USA
  2. 2Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA
  1. Correspondence to Katty Wu; kattywu96{at}


The scarcely described phenomenon of acute ischaemic stroke due to bilateral large vessel occlusions and limited reports of its treatment raises the question about the best method for revascularisation. We present a simultaneous bilateral thrombectomy method on a patient with acute bilateral middle cerebral artery occlusions. This technique resulted in successful vessel recanalisation within 35 min without haemorrhagic complications—deeming the method both safe and effective. Patient outcome was unfavourable, complicated by the patient’s history of heart failure and other cardiac-related problems. Patient is residing at a skilled nursing facility with maximal assistance.

  • stroke
  • vascular surgery
  • neurosurgery
  • interventional radiology

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  • Contributors HS: conceptualisation, design, drafting and critical revision of manuscript and figures. KW: design, drafting, critical revision and submission of manuscript and figures. KAY: curation of figures and critical revision of manuscript. CPK: conceptualisation and critical revision of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.