PT - JOURNAL ARTICLE AU - Chiam, P.T.L. AU - Samuelson, R.M. AU - Mocco, J. AU - Hanel, R.A. AU - Siddiqui, A.H. AU - Hopkins, L.N. AU - Levy, E.I. TI - Navigability Trumps All: Stenting of Acute Middle Cerebral Artery Occlusions with a New Self-Expandable Stent AID - 10.3174/ajnr.A1221 DP - 2008 Nov 01 TA - American Journal of Neuroradiology PG - 1956--1958 VI - 29 IP - 10 4099 - http://www.ajnr.org/content/29/10/1956.short 4100 - http://www.ajnr.org/content/29/10/1956.full SO - Am. J. Neuroradiol.2008 Nov 01; 29 AB - SUMMARY: Acute stroke intervention is rapidly evolving. New technologies are improving device deliverability and rates of recanalization. We describe 2 cases of acute middle cerebral artery occlusions wherein Wingspan stents could not be delivered to the occlusive site because of excessive vascular tortuosity. Merci thrombectomy was also unsuccessful. Revascularization was only achieved with deployment of the highly navigable Enterprise stent, resulting in thrombolysis in myocardial infarction 2/3 flow. Thus, all devices should be considered in the armamentarium of stroke therapy.