Tratamiento intravascular de la oclusión aguda carotídea con lesión en tándem intracraneal

We present the case of a patient with an acute obstruction in the origin of the internal carotid artery that was associated with occlusion of segment one of the ipsilateral medial cerebral artery and severe neurologic deterioration. We describe the neuroimaging findings (unenhanced cranial computed tomography [CT], CT angiography, CT perfusion studies, and cerebral angiography) and the intravascular treatment (mechanical and pharmacological intra-arterial fibrinolysis). Treatment yielded good morphological and clinical results; we also analyze the follow-up of the patient.