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Abstract
The fetal variant of the posterior cerebral artery (fPCA) conserves a major blood flow from the anterior to the posterior cerebral circulation via a strong persistent caudal portion of the embryonic internal carotid artery. We present two cases where endovascular treatment in acute ischemic stroke was complicated by this flow diversion. Though direct thrombectomy of the fPCA using a stent retriever was feasible and successful in both cases outcome remained unfavourable due to a continuous redirection of embolic material into the posterior circulation. Knowledge of flow dynamics in a fPCA is important for endovascular treatment in acute ischemic stroke.
Original language | English |
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Pages (from-to) | 1727-1733 |
Number of pages | 7 |
Journal | Radiology Case Reports |
Volume | 17 |
Issue number | 5 |
DOIs | |
Publication status | Published - May 2022 |
Keywords
- Acute ischemic stroke
- Cerebrovascular circulation
- Fetal circle of Willis
- Retriever
- Stent
- Thrombectomy
ASJC Scopus subject areas
- Radiology, Nuclear Medicine and Imaging
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- 1 Finished
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Voxel-basierte Auswertung von Magnetresonaztomographie-Untersuchungen psychiatrischer Patienten
Nasel, C. (PI)
01.08.2019 → 30.04.2023
Project: Forschungsimpulse › Seed Funding