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Utility of a Y-configured stentriever technique as a rescue method of thrombectomy for an intractable rooted thrombus located on the middle cerebral artery bifurcation: technical note

Authors
 Hideo Okada  ;  Yoshikazu Matsuda  ;  Joonho Chung  ;  R. Webster Crowley  ;  Demetrius K. Lopes 
Citation
 Neurosurgical Focus, Vol.42(4) : 17, 2017 
Journal Title
 Neurosurgical Focus 
Issue Date
2017
MeSH
Aged, 80 and over ; Atrial Fibrillation/complications ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/surgery* ; Endovascular Procedures/instrumentation ; Endovascular Procedures/methods ; Humans ; Hypertension/complications ; Male ; Middle Cerebral Artery/diagnostic imaging ; Middle Cerebral Artery/surgery* ; Stents* ; Thrombectomy/instrumentation* ; Thrombectomy/methods* ; Thrombosis/etiology ; Thrombosis/surgery*
Keywords
ICA = internal carotid artery ; MCA = middle cerebral artery ; MT = mechanical thrombectomy ; TICI = Thrombolysis in Cerebral Infarction ; emergency large-vessel occlusion ; mechanical thrombectomy ; penumbra ; rooted thrombus ; stentriever ; tPA = tissue plasminogen activator
Abstract
Mechanical thrombectomy with stentriever and/or aspiration is the new gold standard for the treatment of acute strokes with large-vessel occlusion. As many as 20% of cases remain refractory to current stentriever and/or aspiration devices. "Saddle clots" obstructing a bifurcation may be a particular challenge for recanalization with conventional techniques and devices. The authors describe an alternative technique to bifurcation occlusions resistant to the conventional mechanical thrombectomy approach in which they simultaneously deployed 2 stentrievers into both branches of an occluded bifurcation. This stentriever Y-configuration was very effective in managing a challenging intracranial bifurcation occlusion.
Full Text
http://thejns.org/doi/abs/10.3171/2017.1.FOCUS16511
DOI
10.3171/2017.1.FOCUS16511
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
정준호(Chung, Joon Ho)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154431
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