Flow dynamics in acute ischemic stroke due to embolic occlusion of a fetal posterior cerebral artery treated with endovascular thrombectomy - report of two cases.
Acute ischemic stroke
Cerebrovascular circulation
Fetal circle of Willis
Retriever
Stent
Thrombectomy
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
07
12
2021
revised:
10
01
2022
accepted:
13
01
2022
entrez:
29
3
2022
pubmed:
30
3
2022
medline:
30
3
2022
Statut:
epublish
Résumé
The fetal variant of the posterior cerebral artery (fPCA) conserves a major blood flow from the anterior to the posterior cerebral circulation via a strong persistent caudal portion of the embryonic internal carotid artery. We present two cases where endovascular treatment in acute ischemic stroke was complicated by this flow diversion. Though direct thrombectomy of the fPCA using a stent retriever was feasible and successful in both cases outcome remained unfavourable due to a continuous redirection of embolic material into the posterior circulation. Knowledge of flow dynamics in a fPCA is important for endovascular treatment in acute ischemic stroke.
Identifiants
pubmed: 35345563
doi: 10.1016/j.radcr.2022.01.025
pii: S1930-0433(22)00029-2
pmc: PMC8956950
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1727-1733Informations de copyright
© 2022 The Authors.
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