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Empty Microcatheter Technique for the Deployment of a Self‐Expanding Stent to Treat Refractory Middle Cerebral Artery Occlusion in the Setting of Severe Proximal Tortuosity
Author(s) -
Dabus Guilherme,
Nogueira Raul G.
Publication year - 2009
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2008.00252.x
Subject(s) - medicine , middle cerebral artery , tortuosity , angioplasty , urokinase , occlusion , conventional pci , balloon , stent , refractory (planetary science) , surgery , cardiology , ischemia , myocardial infarction , physics , geotechnical engineering , porosity , astrobiology , engineering
We report a case of an acute middle cerebral artery (M2 segment) occlusion that was refractory to intravenous tissue plasminogen activator (IV t‐PA), thrombectomy with the Merci ® device, intra‐arterial infusion of urokinase and eptifibatide, and balloon angioplasty. The artery was so tortuous that over‐the‐wire stent placement failed and a salvage technique was required to place the self‐expanding stent.