Mechanical Thrombectomy of Primary Distal Anterior Cerebral Artery Occlusion: A Case Report

• Main Authors: Hironori Haruyama, Junji Uno, Kenta Takahara, Yosuke Kawano, Naoki Maehara, Yuhei Michiwaki, Shintaro Nagaoka, Kazushi Maeda, Yoshiaki Ikai, Hidefuku Gi
• Format: Article
• Language: English
• Published: Karger Publishers 2019-09-01
• Series: Case Reports in Neurology
• Subjects: Acute ischemic stroke; Anterior cerebral artery occlusion; Mechanical thrombectomy
• Online Access: https://www.karger.com/Article/FullText/502349

Objective: Primary anterior cerebral artery (ACA) occlusion is a rare condition and sometimes leads to significant neurological deficits. We herein report on the efficacy of mechanical thrombectomy (MT) in treating the distal ACA occlusion in a clinical setting. Case Presentation: A 76-year-old woman presented with a sudden onset of right hemiparesis. Computed tomographic angiography and perfusion imaging and subsequent analysis with RAPID software revealed acute left ACA occlusion with salvageable penumbra. The patient obtained a score of 11 on the National Institutes of Health Stroke Scale. MT was performed for occlusion of the left ACA (A4), and successful reperfusion (Thrombolysis in Cerebral Infarction score of 3) was achieved on the first attempt using a stent retriever. The patient’s recovery progressed well, and she was discharged 13 days after admission with a modified Rankin Scale score of 1. Conclusion: This case report demonstrates the clinical efficacy, safety, and favorable clinical outcome of treating a primary distal ACA occlusion with MT.