Why does mechanical thrombectomy in large vessel occlusion sometimes fail? A review of the literature

LLL Yeo, P Bhogal, A Gopinathan, Y Cunli, B Tan… - Clinical …, 2019 - Springer
Thrombectomy is a technique that has completely changed the management of acute stroke
and current devices have shown that they can achieve upwards of 90% successful …

Systematic review on endovascular access to intracranial arteries for mechanical thrombectomy in acute ischemic stroke

J Penide, M Mirza, R McCarthy, J Fiehler… - Clinical …, 2022 - Springer
Purpose In acute ischemic stroke for large vessel occlusions, delayed or failed access to
intracranial occlusions has a negative impact on procedural and clinical outcomes. The aim …

Reasons for reperfusion failures in stent-retriever-based thrombectomy: registry analysis and proposal of a classification system

J Kaesmacher, J Gralla, PJ Mosimann… - American Journal …, 2018 - Am Soc Neuroradiology
BACKGROUND AND PURPOSE: In 5%–10% of patients with acute ischemic stroke with an
intention to treat with mechanical thrombectomy, no reperfusion can be achieved …

Vessel diameter and catheter-to-vessel ratio affect the success rate of clot aspiration

AA Kyselyova, J Fiehler, H Leischner… - Journal of …, 2021 - jnis.bmj.com
Background A direct aspiration first pass technique (ADAPT) is an efficient, safe, cost-
effective, and fast thrombectomy technique. Objective To evaluate anatomical and clot …

Direct carotid puncture for endovascular thrombectomy in acute ischemic stroke

A Roche, E Griffin, S Looby, P Brennan… - Journal of …, 2019 - jnis.bmj.com
Background Mechanical thrombectomy is the standard of care for acute ischemic strokes
with proximal intracranial occlusion. Arterial access is commonly achieved with femoral …

Semi-automated measurement of vascular tortuosity and its implications for mechanical thrombectomy performance

M Mokin, M Waqas, F Chin, H Rai, J Senko, A Sparks… - Neuroradiology, 2021 - Springer
Purpose Few studies have examined the geometry of endovascular mechanical
thrombectomy pathways. Here we examine the tortuosity and angulations of catheter …

Direct puncture of the carotid artery as a bailout vascular access technique for mechanical thrombectomy in acute ischemic stroke—the revival of an old technique in a …

M Miszczuk, HC Bauknecht, JF Kleine, T Liebig… - Neuroradiology, 2021 - Springer
Purpose To describe our single-center experience of mechanical thrombectomy (MTE) via a
direct carotid puncture (DCP) with regard to indication, time metrics, procedural details, as …

Impact of aortic arch anatomy on technical performance and clinical outcomes in patients with acute ischemic stroke

JA Knox, MD Alexander, DB McCoy… - American Journal …, 2020 - Am Soc Neuroradiology
BACKGROUND AND PURPOSE: Arterial access is a technical consideration of mechanical
thrombectomy that may affect procedural time, but few studies exist detailing the relationship …

Complications and outcomes of carotid artery stenting in high-risk cases

S Ozaki, T Akimoto, Y Iida, S Miyake, R Suzuki… - Journal of Stroke and …, 2023 - Elsevier
Objectives Carotid artery stenting is sometimes adapted for some at-risk cases; however,
appropriate treatment timing with stroke onset is controversial. This study aims to identify …

Vascular cross‐section, rather than tortuosity, can classify first‐pass outcome of mechanical thrombectomy for ischemic stroke

SM Mousavi Janbeh Sarayi, BA Santo… - Stroke: Vascular and …, 2023 - Am Heart Assoc
Background Vascular geometry plays an important role in stroke thrombectomy outcomes,
but few studies have examined complex characteristics of vessel morphology. The authors …