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AJNR - American Journal of Neuroradiology

Published ahead of print on March 11, 2009
doi: 10.3174/ajnr.A1536

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American Journal of Neuroradiology 30:1532-1533, September 2009
© 2009 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Temporary Endovascular Bypass: A Novel Treatment for Acute Stroke

E.F. Hauck^a,b, J. Mocco^a,b, K.V. Snyder^a,b and E.I. Levy^a,b

^aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (E.F.H., J.M., K.V.S., E.I.L.), School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY
^bDepartment of Neurosurgery (E.F.H., J.M., K.V.S. E.I.L.), Millard Fillmore Gates Hospital, Kaleida Health, Buffalo, NY.

Please address correspondence to Elad I. Levy, MD, University at Buffalo Neurosurgery, Millard Fillmore Gates Hospital, Kaleida Health, 3 Gates Circle, Buffalo, NY 14209; e-mail: elevy{at}buffins.com

SUMMARY: Intracranial stent placement is emerging as an effective treatment for acute stroke. As a means to avoid stent-associated complications and capitalize on stent-placement-related advantages, the concept of a "temporary endovascular bypass" (TEB) for stroke therapy was recently reported. In this technique, a stent is temporarily deployed for instant recanalization. Once sufficient flow is established to maintain vessel patency, the stent is recaptured and withdrawn. We report a second case to further characterize the merits of TEB.