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CASE REPORT article

Front. Surg.

Sec. Neurosurgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1499918

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

Provisionally accepted
QI  HANQI HANGuang-Hui  DongGuang-Hui DongEn-Bo  ZhuEn-Bo ZhuMing-Quan  LinMing-Quan LinGuang-Lin  LiuGuang-Lin LiuGuang-lin  JinGuang-lin JinLin-Zhuo  QuLin-Zhuo QuHongjian  GuanHongjian Guan*
  • Yanbian University Hospital, Yanji, China

The final, formatted version of the article will be published soon.

The accessory middle cerebral artery (AMCA) refers to the cerebral vascular variation originating from the anterior cerebral artery, passing through the lateral fissure and accompanying the middle cerebral artery (MCA), and participating in the blood supply area of the MCA. Relevant literature reports that the incidence of this variant vessel is 0.3% -2.7% (autopsy) and 0.26% -4.0% (cerebral angiography) [1] , respectively. This article reports a case of acute MCA occlusion with AMCA mutation. The occluded main MCA was successfully opened using a Solitaire double-stent thrombectomy to avoid mistaking AMCA for the main MCA.

Keywords: AMCA, Solitaire, Cerebral Infarction, Dissection, Embolism, Digital subtraction angiography, Magnetic Resonance Angiography

Received: 22 Sep 2024; Accepted: 04 Aug 2025.

Copyright: © 2025 HAN, Dong, Zhu, Lin, Liu, Jin, Qu and Guan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Hongjian Guan, Yanbian University Hospital, Yanji, China

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