Anchor technique: Use of stent retrievers as an anchor to advance thrombectomy catheters in internal carotid artery occlusions.
In three recent cases of acute complete internal artery occlusions, we used stent retriever deployed through the mechanical aspiration/distal access catheters to achieve recanalization. In all cases the stent retriever was used as an anchor and supplemented mechanical thrombectomy. This report describes the technical details of the procedure and presents an alternative plan of action in difficult cases when standard thrombectomy techniques do not work.
Departments of Radiology and Neurosurgery, Wake Forest University, Baptist Hospital, Winston Salem, NC, USA jsingh@wakehealth.edu.
Jasmeet
J
Singh
Departments of Radiology and Neurosurgery, Wake Forest University, Baptist Hospital, Winston Salem, NC, USA.
Stacey Q
SQ
Wolfe
Departments of Radiology and Neurosurgery, Wake Forest University, Baptist Hospital, Winston Salem, NC, USA.
Rashid M
RM
Janjua
Departments of Radiology and Neurosurgery, Wake Forest University, Baptist Hospital, Winston Salem, NC, USA.
Hirad
H
Hedayat
Departments of Radiology and Neurosurgery, Wake Forest University, Baptist Hospital, Winston Salem, NC, USA.
Christofer
C
Burnette
D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000601:surgery*; D057785:Catheters; D002533:Cerebral Angiography; D006801:Humans; D015607:Stents; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome
Brain infarction; endovascular procedures; mechanical thrombolysis; stroke thrombolytic therapy; thrombectomy