title: Utilization of a New Intracranial Support Catheter as an Intermediate Aspiration Catheter in the Treatment of Acute Ischemic Stroke: Technical Report on Initial Experience.
abstract: The endovascular management of acute ischemic stroke (AIS) due to emergency large vessel occlusion (ELVO) has become the standard of care after the recent publication of landmark randomized, controlled trials. Mechanical thrombectomy, in addition to intravenous thrombolysis (within 4.5 hours when eligible), is now part of the algorithm of the standard of care when treating AIS in patients with ELVO in the anterior circulation up to six hours after symptom onset. A newly introduced device, the Arc™ intracranial support catheter (Medtronic, Irvine, USA), is specifically designed for the introduction of neurointerventional devices into the cerebral vasculature and facilitates the delivery of microcatheters into smaller, more distal intracranial vessels. This technical report describes the use of the Arc™ intracranial support catheter in the setting of AIS.
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: J Diego
authors.initials: JD
authors.lastname: Lozano
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Francesco
authors.initials: F
authors.lastname: Massari
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Mary C
authors.initials: MC
authors.lastname: Howk
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Katyucia
authors.initials: K
authors.lastname: de Macedo Rodrigues
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Christopher
authors.initials: C
authors.lastname: Brooks
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Mary
authors.initials: M
authors.lastname: Perras
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: David E
authors.initials: DE
authors.lastname: Rex
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Ajay K
authors.initials: AK
authors.lastname: Wakhloo
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Anna Luisa
authors.initials: AL
authors.lastname: Kühn
authors.affiliation: Division of Neuroimaging and Intervention, Department of Radiology, University of Massachusetts.
authors.forename: Ajit S
authors.initials: AS
authors.lastname: Puri
keywords: acute ischemic stroke; catheter; device; endovascular treatment; intermediate catheter; intracranial support catheter; large vessel occlusion; mechanical thrombectomy; revascularization; triaxial technique