Navigability Trumps All: Stenting of Acute Middle Cerebral Artery Occlusions with a New Self-Expandable Stent

被引:33
作者
Chiam, P. T. L. [1 ,2 ,4 ]
Samuelson, R. M. [1 ,2 ,4 ]
Mocco, J. [1 ,2 ,4 ]
Hanel, R. A. [5 ]
Siddiqui, A. H. [1 ,2 ,3 ,4 ]
Hopkins, L. N. [1 ,2 ,3 ,4 ]
Levy, E. I. [1 ,2 ,3 ,4 ]
机构
[1] SUNY Buffalo, Sch Med & Biomed Sci, Dept Neurosurg, Buffalo, NY 14209 USA
[2] SUNY Buffalo, Sch Med & Biomed Sci, Toshiba Stroke Res Ctr, Buffalo, NY 14209 USA
[3] SUNY Buffalo, Sch Med & Biomed Sci, Dept Radiol, Buffalo, NY 14209 USA
[4] Millard Fillmore Gates Hosp, Dept Neurosurg, Buffalo, NY USA
[5] Mayo Clin, Dept Neurosurg, Jacksonville, FL 32224 USA
关键词
D O I
10.3174/ajnr.A1221
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Acute stroke intervention is rapidly evolving. New technologies are improving device deliverability and rates of recanalization. We describe 2 cases of acute middle cerebral artery occlusions wherein Wingspan stents could not be delivered to the occlusive site because of excessive vascular tortuosity. Merci thrombectomy was also unsuccessful. Revascularization was only achieved with deployment of the highly navigable Enterprise stent, resulting in thrombolysis in myocardial infarction 2/3 flow. Thus, all devices should be considered in the armamentariurn of stroke therapy.
引用
收藏
页码:1956 / 1958
页数:3
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