CASE REPORTS   

Chirurgia 2012 December;25(6):453-6

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Successful recanalization of non-acute middle cerebral artery occlusion by Wingspan stenting

Yin R., Zhang Z. Q., Zhang X. Y., Hou X. M., Wang W. M., Luo H. B., Yang J. S., Shao S. J., Shi X. Q.

Lanzhou General Hospital of Lanzhou Military Area Command of Chinese PLA, Lanzhou, Gansu Province, China

This report describes the successful recanalization of a subacute M1 occlusion. A 64-year-old male presented with left hemiparesis and aphasia for 13 hours. Computed tomography scan revealed hypodense signals at the basal ganglia. Despite dual antiplatelet therapy, the patient experienced recurrent transient ischemic attack (TIA). Digital subtraction angiography was performed and showed right middle cerebral artery occlusion. Successful revascularization was achieved with Wingspan stenting, after which no further TIA attacks occurred during the three month follow-up. Elective stenting may be a useful revascularization procedure to treat nonacute middle cerebral artery occlusion.