Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature Article Swipe
Milin Patel
,
Nanthiya Sujijantarat
,
Aman B. Patel
,
Adam A. Dmytriw
,
Robert W. Regenhardt
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.7461/jcen.2025.e2024.11.004
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.7461/jcen.2025.e2024.11.004
Endovascular therapy is the current gold standard treatment for the management of acute ischemic stroke from large vessel occlusion. Despite this, the presence of severe vascular tortuosity and cervical carotid loops can hinder the success of the procedure. We present a case of an 83-year-old female presenting with acute ischemic stroke and extreme tortuosity including common carotid artery and internal carotid artery consecutive loops, as well as a tandem common carotid artery bifurcation thrombus with an M1 segment occlusion. Subsequently, relevant literature is reviewed regarding the technical management of complex thrombectomy cases. The endovascular procedure involved navigating through extreme vascular tortuosity using multiple endovascular tools for optimal reperfusion using delivery devices to facilitate the procedure. Challenges such as vasospasm and straightening of an internal carotid artery loop occurred during the procedure. However, successful thrombectomy was performed using adequate procedural techniques discussed.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7461/jcen.2025.e2024.11.004
- https://www.the-jcen.org/upload/pdf/jcen-2025-e2024-11-004.pdf
- OA Status
- diamond
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4410016496
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4410016496Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.7461/jcen.2025.e2024.11.004Digital Object Identifier
- Title
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Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literatureWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-05-02Full publication date if available
- Authors
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Milin Patel, Nanthiya Sujijantarat, Aman B. Patel, Adam A. Dmytriw, Robert W. RegenhardtList of authors in order
- Landing page
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https://doi.org/10.7461/jcen.2025.e2024.11.004Publisher landing page
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https://www.the-jcen.org/upload/pdf/jcen-2025-e2024-11-004.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.the-jcen.org/upload/pdf/jcen-2025-e2024-11-004.pdfDirect OA link when available
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Tortuosity, Medicine, Stroke (engine), Carotid bifurcation, Endovascular treatment, Carotid arteries, Radiology, Surgery, Engineering, Aneurysm, Mechanical engineering, Geotechnical engineering, PorosityTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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