Histopathologic Description of Wingspan Stent in Acute Ischemic Stroke

Lee, Vivien; Samuels, Susan; Herbst, Thomáš; Gallegos, Marlene; Cochran, Elizabeth J.; Chen, Michael; Lopes, Demetrius K.

doi:10.1007/s12028-009-9258-0

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Vasospasm has been noted after thrombectomy, but has resolved within minutes of the procedure 36. Lee et al 50 also performed a histopathological study of a Wingspan stent placed for a ‘carotid T’ occlusion. Microtome examination showed no evidence of perforator occlusion or dissection in the tunica surrounding the SES.…”

Section: Limitations Of Self-expanding Stentsmentioning

confidence: 99%

Impact of intracranial self-expanding stents in the treatment of acute ischemic stroke: efficacy and limitations: Table 1

Ansari

McConnell

Azari

et al. 2011

J NeuroIntervent Surg

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In recent years, endovascular self-expanding stents have become a viable option for neurointerventionalists treating acute ischemic stroke. Timely intervention for stroke could mean the difference between complete recovery and significant morbidity or death. Since 2006, a handful of clinical trials have demonstrated the potential of self-expanding stents in dependably achieving quick revascularization. These devices are expanding in utilization as new designs offer greater procedural flexibility and better clinical results. We discuss these clinical investigations, focusing on the procedural capabilities and limitations of each self-expanding stent design.

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Section: Limitations Of Self-expanding Stentsmentioning

confidence: 99%

Impact of intracranial self-expanding stents in the treatment of acute ischemic stroke: efficacy and limitations: Table 1

Ansari

McConnell

Azari

et al. 2011

J NeuroIntervent Surg

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“…Intracranial application of balloon-mounted stents may pose unique procedural risks because of differences between coronary and cerebral arterial anatomy. Unlike coronary vessels, cerebral arteries lack an extensive external elastic lamina and are relatively fixed in position because of small branching and perforating arteries [22]. In addition, clot origins often differ: coronary arterial occlusion is typically the result of local vessel disease, whereas intracranial arterial occlusion is generally the result of emboli lodged into an otherwise healthy blood vessel.…”

Section: Intracranial Stentsmentioning

confidence: 99%

Primary Intracranial Stenting in Acute Ischemic Stroke

et al. 2010

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Acute intracranial stroke is a major source of morbidity and mortality in the United States. Recent studies have shown improved clinical outcomes for patients who achieve timely arterial recanalization. Multimodal therapies have evolved to meet this end point and include intravenous and/or intra-arterial thrombolysis and mechanical thrombolysis. Modifications to existing balloon-mounted stents commonly used in cardiology have yielded more easily navigable and safer self-expanding intracranial stents that provide rapid arterial recanalization. We review the evolution of acute stroke therapy over the past few decades and the recent results of mechanical thrombolysis, focusing on intracranial stenting in the setting of acute stroke.

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Acute Stroke Intervention

DeVries

2013

Textbook of Cardiovascular Intervention

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Histopathologic Description of Wingspan Stent in Acute Ischemic Stroke

Abstract: Our case provides a rare pathological description of intracranial stent placement in the setting of acute ischemic stroke.

Cited by 4 publications

References 13 publications

Impact of intracranial self-expanding stents in the treatment of acute ischemic stroke: efficacy and limitations: Table 1

Impact of intracranial self-expanding stents in the treatment of acute ischemic stroke: efficacy and limitations: Table 1

Primary Intracranial Stenting in Acute Ischemic Stroke

Acute Stroke Intervention

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