Histopathologic description of Wingspan stent in acute ischemic stroke

Neurocrit Care. 2009 Dec;11(3):377-80. doi: 10.1007/s12028-009-9258-0.


Objective and importance: We report the histopathologic examination of Wingspan stent in acute ischemic stroke.

Clinical presentation: A 75-year-old female presented with acute left-hemiplegia due to right carotid terminus occlusion. Mechanical embolectomy was unsuccessful.

Intervention: A Wingspan stent was placed from the distal intracranial carotid artery to the proximal middle cerebral artery stem and established partial antegrade flow. The patient died of malignant infarction on post-stroke day 7. At autopsy, embolized calcified atherosclerotic plaque fragments were noted within a non-occlusive thrombus over which the Wingspan stent was deployed. There was no evidence of intimal or media dissection or perforator ostium occlusion.

Conclusion: Our case provides a rare pathological description of intracranial stent placement in the setting of acute ischemic stroke.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Angioplasty, Balloon / instrumentation*
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / pathology*
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / pathology
  • Cerebral Angiography
  • Female
  • Humans
  • Middle Cerebral Artery / diagnostic imaging
  • Middle Cerebral Artery / pathology
  • Stents*
  • Stroke / diagnostic imaging
  • Stroke / pathology*
  • Tomography, X-Ray Computed