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Research ArticleInterventional

Frequency and Relevance of Anterior Cerebral Artery Embolism Caused by Mechanical Thrombectomy of Middle Cerebral Artery Occlusion

W. Kurre, K. Vorlaender, M. Aguilar-Pérez, E. Schmid, H. Bäzner and H. Henkes
American Journal of Neuroradiology August 2013, 34 (8) 1606-1611; DOI: https://doi.org/10.3174/ajnr.A3462
W. Kurre
aFrom the Klinik für Diagnostische und Interventionelle Neuroradiologie (W.K., K.V., M.A.-P., H.H.)
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K. Vorlaender
aFrom the Klinik für Diagnostische und Interventionelle Neuroradiologie (W.K., K.V., M.A.-P., H.H.)
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M. Aguilar-Pérez
aFrom the Klinik für Diagnostische und Interventionelle Neuroradiologie (W.K., K.V., M.A.-P., H.H.)
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E. Schmid
bNeurologische Klinik (E.S., H.B.), Klinikum Stuttgart, Stuttgart, Germany.
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H. Bäzner
aFrom the Klinik für Diagnostische und Interventionelle Neuroradiologie (W.K., K.V., M.A.-P., H.H.)
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H. Henkes
bNeurologische Klinik (E.S., H.B.), Klinikum Stuttgart, Stuttgart, Germany.
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    Fig 1.

    Distribution of modified Rankin Scale scores at 90 days.

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    Fig 2.

    A, Patient 5 was referred for endovascular treatment of an acute left M1 occlusion. B, After 4 thrombectomy passes, the inferior trunk of the MCA was recanalized at the expense of an acute embolic occlusion of the pericallosal artery (arrow). C, Recanalization of the pericallosal artery was attempted by mTE after complete recanalization of the MCA territory. D, The final angiographic run confirmed complete recanalization of the pericallosal artery and minor vasospasm (arrow). E, An ACA infarct was excluded on CT imaging.

Tables

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    Table 1:

    Summary of clinical data

    Characteristic
    Female sex (%)65 (61.9)
    Age (yr) (median) (range)75 (10–94)
    NIHSS score (median) (range)13 (0–30)
    Time window (average) (min) (range)287 (117–853)
    Unknown onset (No.) (%)25 (23.8)
    Fluctuating symptoms (No.) (%)1 (1.0)
    IVT bridging (No.) (%)8 (7.6)
    IVT and intra-arterial rtPA (No.) (%)2 (1.9)
    Intra-arterial rtPA alone (No.) (%)2 (1.9)
    Source of emboli
        Cardiac (No.) (%)75 (71.4)
        Extracranial stenosis (No.) (%)4 (3.8)
        Intracranial stenosis (No.) (%)3 (2.9)
        Dissection (No.) (%)2 (1.9)
        Endocarditis (No.) (%)2 (1.9)
        Paraneoplastic (No.) (%)1 (1.0)
        Unknown (No.) (%)18 (17.1)
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    Table 2:

    Summary of the types of devices used for mTE and the number of passes performed per device

    DeviceCompanySize (mm)No. of Passes
    Solitaire FR/ABCovidien Neurovascular3 × 202
    3 × 302
    4 × 153
    4 × 2045
    4 × 301
    pREsetPhenoxa4 × 2098
    CaptureMindFrameb3 × 302
    TrevoStryker3 × 102
    4 × 202
    BONnetPhenoxBON-2–527
    BONnet shortPhenoxBON-2–3-S13
    pCRPhenoxC-2–4-202
    C-3–5-203
    CRCPhenoxR-3–5-227
    • ↵a Bochum, Germany.

    • ↵b Irvine, California.

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American Journal of Neuroradiology: 34 (8)
American Journal of Neuroradiology
Vol. 34, Issue 8
1 Aug 2013
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W. Kurre, K. Vorlaender, M. Aguilar-Pérez, E. Schmid, H. Bäzner, H. Henkes
Frequency and Relevance of Anterior Cerebral Artery Embolism Caused by Mechanical Thrombectomy of Middle Cerebral Artery Occlusion
American Journal of Neuroradiology Aug 2013, 34 (8) 1606-1611; DOI: 10.3174/ajnr.A3462

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Frequency and Relevance of Anterior Cerebral Artery Embolism Caused by Mechanical Thrombectomy of Middle Cerebral Artery Occlusion
W. Kurre, K. Vorlaender, M. Aguilar-Pérez, E. Schmid, H. Bäzner, H. Henkes
American Journal of Neuroradiology Aug 2013, 34 (8) 1606-1611; DOI: 10.3174/ajnr.A3462
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  • Stent Retriever Thrombectomy of Small Caliber Intracranial Vessels Using pREset LITE: Safety and Efficacy
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