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Histopathologic description of Wingspan stent in acute ischemic stroke.
MedLine Citation:
PMID:  19655277     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE AND IMPORTANCE: We report the histopathologic examination of Wingspan stent in acute ischemic stroke.
CLINICAL PRESENTATION: A 75-year-old female presented with acute left-hemiplegia due to right carotid terminus occlusion. Mechanical embolectomy was unsuccessful.
INTERVENTION: A Wingspan stent was placed from the distal intracranial carotid artery to the proximal middle cerebral artery stem and established partial antegrade flow. The patient died of malignant infarction on post-stroke day 7. At autopsy, embolized calcified atherosclerotic plaque fragments were noted within a non-occlusive thrombus over which the Wingspan stent was deployed. There was no evidence of intimal or media dissection or perforator ostium occlusion.
CONCLUSION: Our case provides a rare pathological description of intracranial stent placement in the setting of acute ischemic stroke.
Authors:
Vivien H Lee; Susan Samuels; Thomas J Herbst; Marlene Gallegos; Elizabeth J Cochran; Michael Chen; Shyam Prabhakaran; Demetrius K Lopes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurocritical care     Volume:  11     ISSN:  1556-0961     ISO Abbreviation:  Neurocrit Care     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2011-04-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156086     Medline TA:  Neurocrit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  377-80     Citation Subset:  IM    
Affiliation:
Department of Neurological Sciences, Rush University Medical Center, 1725 W. Harrison Street #1121, Chicago, IL 60612, USA. vivien_lee@rush.edu
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