Stent-Retriever Thrombectomy Across Circle of Willis

被引：5

作者：

Grossberg, Jonathan A. ^{[1
]}

Haussen, Diogo C. ^{[2
]}

Bouslama, Mehdi ^{[2
]}

Nogueira, Raul G. ^{[2
]}

机构：

[1] Emory Univ, Sch Med, Grady Mem Hosp, Marcus Stroke & Neurosci Ctr,Dept Neurosurg, Atlanta, GA USA

[2] Emory Univ, Sch Med, Dept Neurol, Marcus Stroke & Neurosci Ctr,Grady Mem Hosp, Atlanta, GA 30322 USA

来源：

WORLD NEUROSURGERY | 2018年 / 115卷

关键词：

Ischemic; Stroke; Thrombectomy; MIDDLE CEREBRAL-ARTERY; ACUTE ISCHEMIC-STROKE; MECHANICAL THROMBECTOMY; ENDOVASCULAR TREATMENT; COLLATERAL PATHWAYS; REVASCULARIZATION; THROMBOLYSIS; OCCLUSION; THERAPY;

D O I：

10.1016/j.wneu.2018.03.212

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: Endovascular thrombectomy has become the gold standard for acute ischemic stroke intervention in appropriate patients. Occasionally, thrombectomy through the standard craniocervical artery related to the affected territory is not technically feasible due to patient-specific anatomic issues. METHODS: This is a retrospective review of cases where intracranial access was achieved via an unaffected circulation across the Circle of Willis. RESULTS: A technically successful thrombectomy is described in detail in 3 cases along with technical challenges encountered. CONCLUSIONS: Thrombectomy across the Circle of Willis is a potential bailout technique for select, complex cases. Further investigation is warranted.

引用

页码：47 / 53

页数：7

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