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Rescue Stenting After Failed Thrombectomy of a Large Vessel Occlusion Related to Calcified Cerebral Embolus

  • Pierre-Marie Chiaroni,
  • Eimad Shotar,
  • Stéphanie Lenck,
  • Julien Allard,
  • Jugurtha Mathout,
  • Gaspard Gerschenfeld,
  • Mahmoud El Horany,
  • Kevin Premat,
  • Frédéric Clarençon,
  • Nader Sourour

摘要

Reperfusion of large vessel occlusion caused by calcified cerebral embolism remains a challenge, and failure to achieve reperfusion results in poor clinical outcome. In this chapter, we describe the steps to perform permanent intracranial stenting to treat a refractory occlusion caused by a calcified cerebral embolus, illustrated by a case of major stroke caused by the internal carotid artery. Four passes of mechanical thrombectomy failed to achieve reperfusion. Rescue stenting with a Neuroform Atlas stent was attempted and successfully performed, resulting in complete reperfusion and a favorable clinical outcome.