Navigability trumps all: stenting of acute middle cerebral artery occlusions with a new self-expandable stent

AJNR Am J Neuroradiol. 2008 Nov;29(10):1956-8. doi: 10.3174/ajnr.A1221. Epub 2008 Sep 3.

Abstract

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 armamentarium of stroke therapy.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Aged, 80 and over
  • Blood Vessel Prosthesis*
  • Cerebral Angiography / methods*
  • Equipment Design
  • Equipment Failure Analysis
  • Female
  • Humans
  • Infarction, Middle Cerebral Artery / surgery*
  • Stents*
  • Surgery, Computer-Assisted / methods*
  • Treatment Outcome