Transcirculation Embolization to New Territory During Mechanical Thrombectomy for Acute Ischemic Stroke

Devin J Burke; Yasmin N Aziz; Kavit Shah; Ashutosh P Jadhav

doi:10.1177/19418744211041284

Transcirculation Embolization to New Territory During Mechanical Thrombectomy for Acute Ischemic Stroke

Neurohospitalist. 2022 Apr;12(2):323-327. doi: 10.1177/19418744211041284. Epub 2021 Aug 25.

Authors

Devin J Burke^{1

2}, Yasmin N Aziz^{1

3}, Kavit Shah¹, Ashutosh P Jadhav^{1

4}

Affiliations

¹ Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA.
² Clinical and Translational Neuroscience Unit, Feil Family and Mind Research Institute and Department of Neurology, Weill Cornell Medicine, New York, NY, USA.
³ Department of Neurology, University of Cincinnati, Cincinnati, OH, USA.
⁴ Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.

Abstract

Embolization in new territories (ENT) is a known complication of mechanical thrombectomy with incidence dependent upon a variety of procedural factors. We present 2 cases of anterior circulation to posterior circulation ENT. These cases were managed with manual aspiration thrombectomy with excellent radiographic and clinical outcome. We present the available literature involving ENT along with our experience in management.

Keywords: cerebrovascular disorders; clinical specialty; imaging; neurosurgery; stroke; stroke and cerebrovascular disease; techniques.

Publication types

Case Reports