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Case series
Successful recanalization for acute ischemic stroke via the transbrachial approach
  1. Masakazu Okawa1,
  2. Satoshi Tateshima1,
  3. David Liebeskind2,
  4. Latisha K Ali2,
  5. Michael L Thompson3,
  6. Jeffrey Saver2,
  7. Gary R Duckwiler1
  1. 1Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA
  2. 2Department of Neurology, UCLA, Los Angeles, California, USA
  3. 3Southland Neurological Associated, Long Beach Memorial Hospital, Long Beach, California, USA
  1. Correspondence to Dr Satoshi Tateshima, Division of Interventional Neuroradiology, Department of Radiological Sciences, Ronald Reagan UCLA Medical Center and David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Suite 2129, Los Angeles, CA 90095-7437, USA; stateshi{at}ucla.edu

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.

  • Stent
  • Stroke
  • Technique
  • Catheter

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