Histopathologic description of wingspan stent in acute ischemic stroke

Vivien H. Lee, Susan Samuels, Thomas J. Herbst, Marlene Gallegos, Elizabeth J. Cochran, Michael Chen, Shyam Prabhakaran, Demetrius K. Lopes

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)377-380
Number of pages4
JournalNeurocritical Care
Volume11
Issue number3
DOIs
StatePublished - Jan 1 2009

Keywords

  • Angioplasty
  • Intracranial stenosis
  • Stroke
  • Wingspan stent

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

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