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  11. Application Of Solitaire Double-stent Thrombectomy In The Treatment Of Accessory Middle Cerebral Artery Occlusion: A Case Report

Application of solitaire double-stent thrombectomy in the treatment of accessory middle cerebral artery occlusion: a case report

Qi Han1, Guang-Hui Dong1, En-Bo Zhu1

  • 1Department of Neurology, Yanbian University Hospital, Yanji, Jilin, China.

Frontiers in Surgery
|September 8, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

A rare accessory middle cerebral artery (AMCA) variation was identified during a stroke case. Successful thrombectomy used a Solitaire stent, preventing misidentification of the AMCA as the main artery.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Cerebrovascular Anatomy

Background:

  • The accessory middle cerebral artery (AMCA) is a rare cerebral vascular variation originating from the anterior cerebral artery.
  • AMCA typically follows the middle cerebral artery (MCA) path, supplying part of the MCA's territory.
  • Reported incidence rates vary between autopsy (0.3%-2.7%) and cerebral angiography (0.26%-4.0%).

Purpose of the Study:

  • To report a case of acute MCA occlusion involving an AMCA.
  • To highlight the importance of recognizing AMCA during endovascular procedures.
  • To demonstrate successful thrombectomy in a case with AMCA.

Main Methods:

  • Case report of acute MCA occlusion with AMCA.
  • Utilized Solitaire double-stent thrombectomy for recanalization.
Keywords:
AMCAcerebral infarctiondigital subtraction angiographydissection

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  • Intra-arterial imaging and procedural planning to differentiate AMCA from the main MCA.

    • Main Results:

    • Successful recanalization of the occluded main MCA was achieved.
    • The AMCA was successfully differentiated from the main MCA during the procedure.
    • The Solitaire stent effectively treated the acute MCA occlusion.

    Conclusions:

    • Accurate identification of AMCA is crucial during endovascular treatment of MCA occlusions.
    • Solitaire double-stent thrombectomy is a viable option for recanalizing occluded MCAs, even in the presence of anatomical variations like AMCA.
    • This case underscores the importance of meticulous pre-procedural assessment and technical skill in managing complex cerebrovascular cases.
    embolism
    magnetic resonance angiography
    solitaire