Emergency anterior cerebral artery endarterectomy after mechanical thrombectomy failure: illustrative case
Microsurgical treatment is feasible for a challenging ACA occlusion with a severe calcified lesion in which an endovascular attempt is considered to be too difficult. This is the first case in which a favorable clinical outcome was reached with an emergency endarterectomy performed for A3 severe stenosis. https://thejns.org/doi/10.3171/CASE2596.
Authors
- So Ohashi
- Hirokazu Nagasaki (ORCID: https://orcid.org/0000-0001-6828-8846)
- Michihisa Narikiyo
- Made Bhuwana Putra (ORCID: https://orcid.org/0000-0001-8472-2163)
- Yuichi Murayama (ORCID: https://orcid.org/0000-0003-3490-385X)
- Hidenori Matsuoka (ORCID: https://orcid.org/0000-0003-1778-801X)
- Yoshifumi Tsuboi (ORCID: https://orcid.org/0000-0001-7596-9594)
- Kohei Yamamoto (ORCID: https://orcid.org/0000-0002-1733-458X)
- H Narita
Institutions
- Jikei University School of Medicine (JP)
- Udayana University (ID)
- Kawasaki Hospital (JP)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-06-02
- DOI
- https://doi.org/10.3171/case2596
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00