Bilateral middle cerebral artery occlusions treated with simultaneous bilateral thrombectomy: an approach to multivessel occlusions

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.

Automated summary

This study presents a simultaneous bilateral thrombectomy method for acute bilateral middle cerebral artery occlusions, resulting in successful vessel recanalisation without hemorrhagic complications. However, the patient's unfavorable outcome was complicated by a history of heart failure and other cardiac-related problems, requiring maximal assistance at a skilled nursing facility.