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Related Experiment Video

Updated: Jan 23, 2026

Author Spotlight: Establishing a Reliable Distal MCA Occlusion Model in Mice for Stroke Research

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Published on: December 15, 2023

Arterial vasospasm during mechanical thrombectomy for acute stroke.

¹Department of Neurology, Division of Cerebrovascular Diseases, Michigan State University, East Lansing, MI, USA. Rishi.gupta@ht.msu.edu

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging

|September 20, 2008

Summary

Mechanical thrombectomy for acute ischemic stroke can cause vasospasm, hindering recanalization. Prompt treatment with calcium channel blockers can resolve this complication, improving outcomes.

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Last Updated: Jan 23, 2026

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Area of Science:

Neurology
Interventional Neuroradiology
Vascular Surgery

Background:

Mechanical thrombectomy is increasingly used for large artery occlusion in acute ischemic stroke.
Arterial vasospasm during endovascular procedures can impede successful recanalization.

Observation:

Two cases of significant, occlusive vasospasm at the L5 Merci retrieval device deployment site are reported.
The vasospasm affected a division of the middle cerebral artery in both patients.

Findings:

Infusion of calcium channel antagonists effectively resolved the arterial narrowing in both reported cases.
Vasospasm is a potential cause of poor recanalization after mechanical thrombectomy, especially when severe.

Implications:

Pharmacological treatment for vasospasm should be considered during endovascular revascularization for acute ischemic stroke.
Careful blood pressure monitoring is crucial when administering agents to treat vasospasm.
Understanding and managing procedure-induced vasospasm is vital for optimizing stroke treatment outcomes.