Dr. Jildaz Caroff
“I failed, #Tici0...”
Recently, I was confronted with an LVO case, an M1 occlusion, in a patient of around 50 who was referred by a peripheral center. When the patient arrived, we were ready and confident...and yet, 2 hours later, we had failed to reopen the target vessel, and obviously, the outcome was going to be bad.
The recent advent of mechanical thrombectomy(MT) is somehow very similar to the revolution ushered in by antibiotics in the 1950’s. Most bacterial diseases are now curable, and stroke would soon become like this–an unfortunate, but treatable occurrence.
However, clinical studies still report a 10-20% MT failure rate, and the early days of MT–when each success was an astonishing achievement–are now almost ten years behind us. Good outcomes were to be followed by good outcomes, and an unsuccessful procedure, or even worse, a failure, can now have a deep and durable negative psychological impact on physicians.
Failure teaches us that success is never guaranteed.
The night following my case, I didn’t sleep well...
There are many potential causes of failure when using a strent-retriever, Dr. Pasquale Mordasini presents their relative prevalence and discuss possible solutions.
For the next edition of this tough clot special feature, we want to hear from you again! Answer a few questions about your MT strategy.