Keywords:
CNS, Interventional vascular, Neuroradiology brain, Catheter arteriography, CT-Angiography, Arterial access, Thrombolysis, Treatment effects, Acute, Haemodynamics / Flow dynamics, Ischaemia / Infarction
Authors:
A. Borja Consigliere, F. J. Borja Consigliere, A. Lüttich, J. A. Larrea, E. Pardo Zudaire, I. Etxegoien Juaristi, A. Gurruchaga Aguirrezabalaga, J. Arantzeta Lexarreta, J. Masso Romero; San Sebastián/ES
DOI:
10.1594/ecr2013/C-2029
Conclusion
In this series of 10 patients in which distal arterial endovascular thrombectomy was done with stent retrievers (Mindframe Capture® stent retrievers),
and adequate recanalization was achieved in 9 of them (TICI 2b and TICI 3),
which means a 90% of the series.
These results are similar to percentages obtained by using stent-retrievers in larger proximal arteries according to recent series
[1-2].
Concerning complications,
there were 3 cases of intracranial hemorrhage post procedure,
one of which was symptomatic -equivalent to 10% of the series-.
This percentage is similar to symptomatic intracerebral hemorrhage complications when compared to larger vessels series[1-2].
Unfortunately this intracerebral hemorrhage had a fatal outcome.
Out of the 10 cases,
8 presented and improvement in NIHSS,
which means that 80% presented a favorable evolution post procedure.
Recent thrombectomy series using stent retrievers in larger arteries show a favorable clinical evolution close to 42-54% [1-2]. Our results could be overvalued for being a small series of patients.
Up to now,
these results show a high rate of blood flow restoration in patients affected by thrombotic ischemic stroke of distal branches,
which shows quite a promising scenario for acute ischemic stroke treatments in these cases.
There is no doubt about the fact that larger series are needed in order to make the results much more significant.