AJDRAJNR - American Journal of Neuroradiology

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Urgent Stenting of the M2 (Superior) Division of the Middle Cerebral Artery after Systemic Thrombolysis in Acute Stroke

R. Guptaa, T.G. Jovina,c, A. Tayala and M.B. Horowitzb

a Department of Neurology University of Pittsburgh Medical Center, Pittsburgh, Pa
b Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pa
c Pittsburgh Health Care System, Pittsburgh, Pa


Figure 1
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Fig 1. A, Lateral right common carotid artery (CCA) injection reveals a M2 superior division (black arrowhead) occlusion (TIMI 0).

B, AP view of the right CCA injection visualizing the M2 superior division occlusion (black arrowhead).

C, BiodivYsio 2 x 10 mm stent (white arrowhead) deployed over the occlusion by use of a 0.014-in (white arrow) wire.

D, Lateral projection revealing TIMI 3 flow in the M2 division with the stent maintaining patency of the vessel (black arrowhead).