Tandem Occlusions (Antegrade First Technique with Stent)

A 70-year-old male was admitted with 5 h duration of left-sided weakness. The NIHSS score was 17, and the patient had a tandem occlusion; there was a tight stenosis at the origin of the right ICA along with M1 MCA occlusion. There were good collaterals along with a small infarct core (Fig. 90.1).