Endovascular treatment of distal medium vessel occlusions using microcatheter aspiration thrombectomy

医学 外科 血管内治疗 冲程(发动机) 放射科 动脉瘤 机械工程 工程类
作者
Dominik Grieb,Björn Greling,Katharina Schulz,Frederik Boxberg,Katharina Melber,Omar Abu-Fares,Heinrich Lanfermann,Martin Schlunz‐Hendann,Dan Meila
出处
期刊:Interventional Neuroradiology [SAGE]
卷期号:30 (2): 234-241 被引量:12
标识
DOI:10.1177/15910199221133470
摘要

Background and purpose Recent studies suggest that endovascular treatment (EVT) in distal medium vessel occlusion (DMVO) stroke is beneficial even beyond middle cerebral artery (MCA) - M2 segment. However, data about aspiration thrombectomy of DMVOs is scarce since common state-of-the-art aspiration catheters are usually too large for small distal intracranial arteries. We report our initial experiences using the microcatheter aspiration thrombectomy (MAT) technique as frontline therapy for acute DMVOs in the MCA territory. Methods We retrospectively analyzed all acute ischemic stroke (AIS) patients that underwent MAT of a primary or secondary DMVO in the M3 or M4 segment between January 2019 and October 2021. Recanalization rates, procedural safety and outcome data were recorded. Results MAT of acute M3 and M4 occlusions was performed in 19 patients with AIS. Six had isolated DMVO strokes, 13 had secondary DMVOs during EVT of a proximal large vessel occlusion. Successful revascularization to DMVO TICI ≥ 2b was achieved in 58% (11/19) with a single pass in all of them. The median National Institutes of Health Strokes Scale (NIHSS) score at admission and discharge was 12 and 3, respectively. 68% (13/19) of the patients had a good clinical outcome at discharge (modified Rankin Scale 0-2). No symptomatic complications related to MAT occurred. Conclusions MAT of DMVOs in the MCA territory is technically feasible and effective. Compared to stent retriever-based thrombectomy in DMVOs the hemorrhagic complication rate appears notably lower. Further studies are needed to validate the benefit of mechanical thrombectomy in the distal intracranial vasculature.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
wangxingyu发布了新的文献求助10
1秒前
苹果晓蕾完成签到,获得积分10
1秒前
不配.应助开心初雪采纳,获得10
3秒前
ncjdoi发布了新的文献求助10
3秒前
3秒前
李燕鑫发布了新的文献求助10
4秒前
方安发布了新的文献求助10
4秒前
4秒前
5秒前
酷小裤完成签到,获得积分10
5秒前
多喝水发布了新的文献求助10
6秒前
泥娃娃完成签到,获得积分10
7秒前
7秒前
neil发布了新的文献求助10
7秒前
8秒前
春夏秋冬发布了新的文献求助10
8秒前
CHAIZH发布了新的文献求助10
10秒前
搜集达人应助缥缈剑愁采纳,获得10
10秒前
NexusExplorer应助缥缈剑愁采纳,获得10
10秒前
orixero应助缥缈剑愁采纳,获得10
10秒前
科研通AI2S应助缥缈剑愁采纳,获得10
10秒前
SciGPT应助缥缈剑愁采纳,获得10
10秒前
科研通AI2S应助缥缈剑愁采纳,获得10
10秒前
xjcy应助缥缈剑愁采纳,获得10
10秒前
昂口3发布了新的文献求助10
11秒前
科研小白完成签到,获得积分10
11秒前
11秒前
12秒前
万能图书馆应助李燕鑫采纳,获得10
12秒前
所所应助李燕鑫采纳,获得10
12秒前
调研昵称发布了新的文献求助10
13秒前
sens完成签到,获得积分10
13秒前
Amy完成签到,获得积分10
13秒前
14秒前
诚心太君发布了新的文献求助10
14秒前
14秒前
14秒前
MIRROR完成签到,获得积分10
14秒前
15秒前
高分求助中
Sustainability in Tides Chemistry 2800
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
Rechtsphilosophie 1000
Bayesian Models of Cognition:Reverse Engineering the Mind 888
Le dégorgement réflexe des Acridiens 800
Defense against predation 800
Very-high-order BVD Schemes Using β-variable THINC Method 568
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3135273
求助须知:如何正确求助?哪些是违规求助? 2786262
关于积分的说明 7776475
捐赠科研通 2442202
什么是DOI,文献DOI怎么找? 1298495
科研通“疑难数据库(出版商)”最低求助积分说明 625112
版权声明 600847