title: Navigability trumps all: stenting of acute middle cerebral artery occlusions with a new self-expandable stent.
abstract: Acute stroke intervention is rapidly evolving. New technologies are improving device deliverability and rates of recanalization. We describe 2 cases of acute middle cerebral artery occlusions wherein Wingspan stents could not be delivered to the occlusive site because of excessive vascular tortuosity. Merci thrombectomy was also unsuccessful. Revascularization was only achieved with deployment of the highly navigable Enterprise stent, resulting in thrombolysis in myocardial infarction 2/3 flow. Thus, all devices should be considered in the armamentarium of stroke therapy.
authors.affiliation: Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA.
authors.forename: P T L
authors.initials: PT
authors.lastname: Chiam
authors.forename: R M
authors.initials: RM
authors.lastname: Samuelson
authors.forename: J
authors.initials: J
authors.lastname: Mocco
authors.forename: R A
authors.initials: RA
authors.lastname: Hanel
authors.forename: A H
authors.initials: AH
authors.lastname: Siddiqui
authors.forename: L N
authors.initials: LN
authors.lastname: Hopkins
authors.forename: E I
authors.initials: EI
authors.lastname: Levy