High-Resolution Magnetic Resonance Imaging Evidence for Intracranial Vessel Wall Inflammation Following Endovascular Thrombectomy

J Stroke Cerebrovasc Dis. 2017 May;26(5):e96-e98. doi: 10.1016/j.jstrokecerebrovasdis.2017.02.006. Epub 2017 Feb 27.

Abstract

Intracranial high-resolution vessel wall magnetic resonance imaging evidence of vessel wall inflammation is present following stent retriever manipulation but absent following aspiration thrombectomy. This is presented in a case of rotatory vertebral artery compression causing multiple posterior circulation infarctions requiring multiple separate aspiration and stent retriever thrombectomies.

Keywords: Endovascular thrombectomy; aspiration thrombectomy; cerebrovascular inflammation; high-resolution MRI; ischemic stroke; rotatory vertebral artery compression; stent retriever thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction
  • Cerebral Angiography / methods*
  • Diffusion Magnetic Resonance Imaging
  • Endovascular Procedures / adverse effects*
  • Endovascular Procedures / instrumentation
  • Humans
  • Iatrogenic Disease*
  • Lateral Medullary Syndrome / complications
  • Lateral Medullary Syndrome / diagnostic imaging
  • Lateral Medullary Syndrome / therapy*
  • Magnetic Resonance Angiography*
  • Predictive Value of Tests
  • Recurrence
  • Retreatment
  • Suction
  • Thrombectomy / adverse effects*
  • Thrombectomy / instrumentation
  • Treatment Outcome
  • Vascular Access Devices
  • Vasculitis, Central Nervous System / diagnostic imaging*
  • Vasculitis, Central Nervous System / etiology

Supplementary concepts

  • PICA syndrome