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Manual aspiration thrombectomy through balloon-tipped guide catheter for rapid clot burden reduction in endovascular therapy for ICA L/T occlusion

  • Interventional Neuroradiology
  • Published:
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Abstract

Introduction

Timely recanalization during endovascular procedures for acute ischemic stroke can be challenging in cases with large clot burden, such as those encountered in the terminal internal carotid T- or L-type occlusion.

Methods

A novel but simple technique to achieve fast reduction in clot burden in stroke patients with occlusion of the internal carotid artery termination is described where manual suction using a 60-ml syringe applied through an 8-F balloon guide catheter positioned in the cervical carotid vasculature with proximal flow arrest allows subsequent revascularization of the residual middle cerebral artery clot.

Results

The use of manual suction through a balloon-tipped guide catheter in internal carotid artery L- or T-type occlusion is illustrated. This resulted in a significant reduction of the clot burden and facilitated further interventions leading to full recanalization.

Conclusion

Manual suction using a 60-ml syringe through a ballon guide catheter is a useful and feasible technique that facilitates thrombectomy of large burden cerebral clots.

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Conflict of interest

Dr. Goyal has received honoraria from Penumbra Inc. for speaking engagements and from ev3/Covidien as a consultant for education and trial design. The rest of the authors have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, University of Calgary, Calgary, Alberta, Canada

    Muneer Eesa & Mayank Goyal

  2. Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada

    Mohammed A. Almekhlafi, Alim P. Mitha, John H. Wong & Mayank Goyal

  3. Department of Neurosurgery, University of Calgary, Calgary, Alberta, Canada

    Alim P. Mitha & John H. Wong

  4. Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

    Mohammed A. Almekhlafi

  5. Seaman Family MR Research Center, Foothills Medical Center, 1403 29th St NW, Calgary, AB, Canada, T2N 2T9

    Mayank Goyal

Authors
  1. Muneer Eesa
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  2. Mohammed A. Almekhlafi
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  3. Alim P. Mitha
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  4. John H. Wong
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  5. Mayank Goyal
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Corresponding author

Correspondence to Mayank Goyal.

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Eesa, M., Almekhlafi, M.A., Mitha, A.P. et al. Manual aspiration thrombectomy through balloon-tipped guide catheter for rapid clot burden reduction in endovascular therapy for ICA L/T occlusion. Neuroradiology 54, 1261–1265 (2012). https://doi.org/10.1007/s00234-012-1039-3

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  • DOI: https://doi.org/10.1007/s00234-012-1039-3

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