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Technical video
Bailout endovascular techniques applied in a complicated basilar thrombectomy case
  1. Aryan Ali1,2,
  2. Maksim Shapiro1,2,
  3. Erez Nossek3,
  4. Rogelio Esparza3,
  5. Vinayak Narayan1,2,
  6. Vera Sharashidze1,2,
  7. Eytan Raz1,2
  1. 1 Radiology, Bellevue Hospital Center, New York, New York, USA
  2. 2 Radiology, New York University Langone Medical Center, New York, New York, USA
  3. 3 Neurosurgery, NYU School of Medicine, New York, New York, USA
  1. Correspondence to Dr Eytan Raz, Radiology, NYU, New York, New York, USA; eytan.raz{at}gmail.com

Abstract

Patients with stroke symptoms due to acute basilar artery occlusion can benefit from endovascular thrombectomy.1 2 Several papers have reported unwanted events during thrombectomy procedures such as breakage, fragmentation, or even intravascular migration of the devices or catheter pieces. These papers also presented methods or techniques to retrieve defective devices such as a snare, retrievable stents, or balloons.3–6

Video 1 presents a case of basilar thrombectomy that was complicated with fragmentation and then distal migration of a Marksman microcatheter tip into the left posterior cerebral artery. The video shows the bailout technique that was used to retrieve the migrated catheter tip using a gentle/simple and posterior circulation-friendly technique—a technique based on fundamental neurointerventional concepts.

Video 1  This video demonstrates the use of a bailout technique to retrieve a migrated microcatehter tip after basilar artery thrombectomy.
  • Catheter
  • Complication
  • Intervention
  • Stroke
  • Technique

https://doi.org/10.1136/jnis-2022-019687

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    Footnotes

    • Twitter @Enossek, @VinnyNarayan, @SharashidzeVera, @eytanraz

    • Contributors Planning: ER, AA, RE. Conception and design: AA, RE. Acquisition of data: AA, ER, VS. Interpretation of data: MS, EN, VN.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.