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Histopathologic Description of Wingspan Stent in Acute Ischemic Stroke

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Abstract

Objective and Importance

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

Clinical Presentation

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

Intervention

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.

Conclusion

Our case provides a rare pathological description of intracranial stent placement in the setting of acute ischemic stroke.

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Acknowledgment

We would like to thank Melissa Casey-Kolbow and the technical lab staff at BSC histology.

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Authors and Affiliations

  1. Department of Neurological Sciences, Rush University Medical Center, 1725 W. Harrison Street #1121, Chicago, IL, 60612, USA

    Vivien H. Lee, Susan Samuels, Elizabeth J. Cochran, Michael Chen & Shyam Prabhakaran

  2. Preclinical Pathology, Boston Scientific Corporation, 2 Scimed Place, P121, Osseo, MN, 55311, USA

    Thomas J. Herbst

  3. Department of Pathology, Rush University Medical Center, 1725 W. Harrison Street #1121, Chicago, IL, 60612, USA

    Marlene Gallegos & Elizabeth J. Cochran

  4. Department of Neurosurgery, Rush University Medical Center, 1725 W. Harrison Street #1121, Chicago, IL, 60612, USA

    Demetrius K. Lopes

Authors
  1. Vivien H. Lee
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  2. Susan Samuels
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  3. Thomas J. Herbst
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  4. Marlene Gallegos
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  5. Elizabeth J. Cochran
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  6. Michael Chen
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  7. Shyam Prabhakaran
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  8. Demetrius K. Lopes
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Corresponding author

Correspondence to Vivien H. Lee.

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Lee, V.H., Samuels, S., Herbst, T.J. et al. Histopathologic Description of Wingspan Stent in Acute Ischemic Stroke. Neurocrit Care 11, 377–380 (2009). https://doi.org/10.1007/s12028-009-9258-0

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  • DOI: https://doi.org/10.1007/s12028-009-9258-0

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