UMEM Educational Pearls

Category: Neurology

Title: Stroke

Keywords: Stroke, Carotid Artery Lesion, CVA (PubMed Search)

Posted: 7/29/2007 by Michael Bond, MD (Emailed: 7/30/2007) (Updated: 7/21/2019)
Click here to contact Michael Bond, MD

Learn the Lingo for Stroke Manangement: Patients with acute stroke due to a carotid artery thrombotic lesion that then embolizes to a cerebrovascular artery, have two problems that can be addressed with one coordinated intervention. * "Triple Play" = (1) Carotid artery lesion stenting followed by (2) retrieval of the embolic clot from the cerebrovascular artery via the Merci device followed by (3) intra-arterial tPA (the latter prevents complications that could result from removal of embolic clot). * "Double Play" = (1) Retrieval of the clot from the cerebrovascular artery via the Merci device followed by (2) intra-arterial tPA. Merci Device information: http://www.concentric-medical.com/products_retrieval.html