Read & React
Vladimir Kalousek – May 25, 2013
“Anti inflammatory drugs such as corticosteroids to reduce edema, if I see corectly on this images...”
Laurent SPELLE – May 25, 2013
“You are un 2005!... No flow diverter!...”
Eduardo Wajnberg – May 24, 2013
“My opinion is that it would be worth putting a flow diverter through the neck of the aneurysm. A...”
mohd shafie abdullah – April 26, 2013
“I'm thinking of deploying telescoping approach of 2 Leos and jailing technique with loose packing...”
Pakrit Jittapiromsak – April 16, 2013
“Thank you for your comment. Honestly, in my experience, if the stent(s) is(are) placed and oppose...”
- Manual Aspiration Thrombectomy: Adjunctive Endovascular Recanalization Technique in Acute Stroke...
Manual Aspiration Thrombectomy: Adjunctive Endovascular Recanalization Technique in Acute Stroke Interventions
- Authors: Brian Jankowitz, MD; Amin Aghaebrahim, MD; Alexandra Zirra; Oana Spataru, MD; Syed Zaidi, MD; Mouhammad Jumaa, MD; Gerardo Ruiz-Ares, MD; Michael Horowitz, MD; Tudor G. Jovin, M
- Reference: STROKEAHA.111.646117
- Published: 2012 March
- Link: Access the abstract here
Intracerebral artery revascularization has been shown to be one of the main predictors for good outcome after stroke. Although there is still lack of randomized double blind studies showing that intra arterial thrombolysis could add a benefit to intravenous rTPA therapy, lots of devices and IA techniques have demonstrated the utility of local revascularization.In this paper, the authors addressed a dual technique combining a clot retrieval device (Merci) and thrombus aspiration technique. Using a triaxial technique with distal access catheters and the Merci device in 191 patients, the authors achieved a TICI 2a/2b/3 in 91% of patients. Larger catheter allowed better recanalization rates and the parenchimal hemorrhage ratio did not exceeded usual values.
Contributions of this paper with the use of a combination between Merci and aspiration could be summarized in: 1) an aid for clot aspiration with less repeating use of the retrieval device compared with other trials (Merci and MultiMerci trials) and 2) better stability and distal navigation of the aspiration catheters, given by the Merci, allowing a more proximal to target position for suction.