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  • Title: Stent retriever thrombectomy with aneurysm in target vessel: Technical note.
    Author: Singh J, Wolfe SQ.
    Journal: Interv Neuroradiol; 2016 Oct; 22(5):544-7. PubMed ID: 27301391.
    Abstract:
    Aneurysms within large occluded target vessels can present significant challenges for neuro interventionists because rupture can be catastrophic. We recently encountered a case of left internal carotid artery-middle cerebral artery (MCA) ischemic stroke with an incidental MCA bifurcation aneurysm that we were already aware of. IV tissue plasminogen activator (tPA) with mechanical thrombectomy (MTE) was performed with a stent retriever, proximal to the aneurysm. TICI 2b recanalization was achieved. MTE and IV tPA may not be withheld from patients with acute stroke with known target vessel aneurysms.
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