title: Successful recanalization for acute ischemic stroke via the transbrachial approach.
abstract: The recent development of revascularization devices, including stent retrievers, has enabled increasingly higher revascularization rates for arterial occlusions in acute ischemic stroke. Patient-specific factors such as anatomy, however, may occasionally limit endovascular deployment of these new devices via the conventional transfemoral approach. We report three cases of acute ischemic stroke where a transbrachial endovascular approach to revascularization was used, resulting in successful recanalization. These examples suggest that a transbrachial approach may be considered as an alternative in the endovascular treatment of acute ischemic stroke.
authors.affiliation: Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Okawa
authors.affiliation: Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tateshima
authors.affiliation: Department of Neurology, UCLA, Los Angeles, California, USA.
authors.forename: David
authors.initials: D
authors.lastname: Liebeskind
authors.affiliation: Department of Neurology, UCLA, Los Angeles, California, USA.
authors.forename: Latisha K
authors.initials: LK
authors.lastname: Ali
authors.affiliation: Southland Neurological Associated, Long Beach Memorial Hospital, Long Beach, California, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Thompson
authors.affiliation: Department of Neurology, UCLA, Los Angeles, California, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Saver
authors.affiliation: Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA.
authors.forename: Gary R
authors.initials: GR
authors.lastname: Duckwiler
mesh_terms: D000368:Aged; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D020521:Stroke / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
keywords: Catheter; Stent; Stroke; Technique