Stent-Retriever Thrombectomy Across the Circle of Willis.

Stent-Retriever Thrombectomy Across the Circle of Willis.

World Neurosurg. 2018 Apr 06;:

Authors: Grossberg JA, Haussen DC, Bouslama M, Nogueira RG

Abstract
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 anatomical issues.
METHODS: Retrospective review cases where intracranial access achieved via an unaffected circulation across the Circle of Willis.
RESULTS: Technically successful thrombectomy described in detail in three 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.

PMID: 29631079 [PubMed - as supplied by publisher]

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