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Acta Neurochirurgica
Published in: Acta Neurochirurgica 4/2013

01-04-2013 | Clinical Article - Vascular

The combined use of mechanical thrombectomy devices is feasible for treating acute carotid terminus occlusion

Authors: Jin Soo Lee, Ji Man Hong, Seong-Joon Lee, In Soo Joo, Yong Cheol Lim, Sun Yong Kim

Published in: Acta Neurochirurgica | Issue 4/2013

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Abstract

Background

Mechanical thrombectomy devices have recently been developed and approved for recanalization of intracranial arterial occlusion. Here, we investigated the feasibility of combined stent-assisted and clot aspiration mechanical thrombectomy for effective recanalization of acute carotid terminus occlusion (CTO).

Methods

Ten consecutive patients with acute ischemic stroke secondary to CTO who underwent intra-arterial (IA) treatment with both stent retrieval and negative-pressured clot aspiration systems were enrolled. Periprocedural and radiologic findings and clinical outcomes were evaluated.

Results

The median age was 69 years (range, 47–86 years), and the median initial NIHSS score was 17.5 (range, 12–33). Mechanical thrombectomy was performed using a combination of the Solitaire stents and Penumbra system. Thrombolysis in cerebral ischemia [TICI] grade II–III was achieved in eight patients (80.0 %); complete recanalization of the CTO (TICI III) was achieved in three of those patients. Any type of intracranial hemorrhages occurred in four patients (40.0 %), but parenchymal hematoma type 2 was not observed. Four patients died within 3 months (40.0 %).

Conclusions

Combined mechanical thrombectomy treatment was effective for recanalization of acute CTO. The combination of Solitaire and Penumbra devices can be considered as a treatment option for CTO.
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Metadata
Title
The combined use of mechanical thrombectomy devices is feasible for treating acute carotid terminus occlusion
Authors
Jin Soo Lee
Ji Man Hong
Seong-Joon Lee
In Soo Joo
Yong Cheol Lim
Sun Yong Kim
Publication date
01-04-2013
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 4/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-013-1649-5

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