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AJNR - American Journal of Neuroradiology

Published ahead of print on September 3, 2008
doi: 10.3174/ajnr.A1221

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Navigability Trumps All: Stenting of Acute Middle Cerebral Artery Occlusions with a New Self-Expandable Stent

P.T.L. Chiam^a,c, R.M. Samuelson^a,c, J. Mocco^a,c, R.A. Hanel^d, A.H. Siddiqui^a,b,c, L.N. Hopkins^a,b,c and E.I. Levy^a,b,c

^a Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY
^b Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY
^c Department of Neurosurgery, Millard Fillmore Gates Hospital, Kaleida Health, Buffalo, NY
^d Department of Neurosurgery, Mayo Clinic, Jacksonville, Fla

View larger version (83K): [in this window] [in a new window]   Fig 1. A, Angiogram showing severe tortuosity of the left ICA. B, Neuron guide catheter (arrow) positioned deep in the ICA. C, Intracranial angiogram showing distal M1 occlusion. D, Recanalization of the M1 immediately after stent placement.

View larger version (122K): [in this window] [in a new window]   Fig 2. A, Angiogram showing tortuosity of the cavernous ICA and occlusion of the proximal M1. B, Recanalization of the M1 immediately after stent placement.