Emergency microsurgical embolectomy for the treatment of acute intracranial artery occlusion: report of two cases

J Clin Neurol. 2011 Sep;7(3):159-63. doi: 10.3988/jcn.2011.7.3.159. Epub 2011 Sep 29.


Background: The main treatment for acute arterial ischemic stroke is intravenous or intra-arterial thrombolysis within a particular time window. Endovascular mechanical embolectomy is another treatment option in the case of major artery occlusion. Endovascular mechanical embolectomy is a useful technique for restoring blood flow in patients with large-vessel occlusion, and especially in those who are contraindicated for thrombolytics or in whom thrombolytic therapy has failed.

Case report: We report herein two cases of emergency microsurgical embolectomy for the treatment of acute middle cerebral artery and internal carotid artery occlusion as an alternative treatment for major artery occlusion.

Conclusions: Emergency microsurgical mechanical embolectomy may be an alternative treatment option for restoring blood flow in selected patients with large-vessel acute ischemic stroke.

Keywords: acute ischemic stroke; alternative treatment; large-vessel occlusion; microsurgical embolectomy.