Histopathologic description of Wingspan stent in acute ischemic stroke.
OBJECTIVE
We report the histopathologic examination of Wingspan stent in acute ischemic stroke.


METHODS
A 75-year-old female presented with acute left-hemiplegia due to right carotid terminus occlusion. Mechanical embolectomy was unsuccessful.


METHODS
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.


CONCLUSIONS
Our case provides a rare pathological description of intracranial stent placement in the setting of acute ischemic stroke.
Lee
Vivien H
VH
Department of Neurological Sciences, Rush University Medical Center, 1725 W. Harrison Street #1121, Chicago, IL 60612, USA. vivien_lee@rush.edu
Samuels
Susan
S
Herbst
Thomas J
TJ
Gallegos
Marlene
M
Cochran
Elizabeth J
EJ
Chen
Michael
M
Prabhakaran
Shyam
S
Lopes
Demetrius K
DK
D000208:Acute Disease; D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000473:pathology*; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D015607:Stents; D020521:Stroke / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed