Neurointervention.  2017 Mar;12(1):45-49. 10.5469/neuroint.2017.12.1.45.

Forced Arterial Suction Thrombectomy Using Distal Access Catheter in Acute Ischemic Stroke

• Lee HC
• Kang DH
• Hwang YH
• Kim YS
• Kim YW

• KMID: 2371758
• DOI: http://doi.org/10.5469/neuroint.2017.12.1.45

Abstract

Historical innovations in mechanical thrombectomy devices and strategies for ischemic stroke have resulted in improved angiographic outcomes and better clinical outcomes. Various devices have been used, but the two most common approaches are aspiration thrombectomy and stent-retrieval thrombectomy. Aspiration thrombectomy has advanced from the traditional Penumbra system to forced arterial suction thrombectomy and a direct aspiration first-pass technique. Newer generation aspiration catheters with flexible distal tips and a larger bore have demonstrated faster and better recanalization relative to older devices. Recently, several species of distal access catheters have similar structural characteristics to the Penumbra reperfusion catheter. Therefore, we used the distal access catheter for forced arterial suction thrombectomy in three patients with acute ischemic stroke. In each case, we achieved fast and complete recanalization without significant complications. Forced arterial suction thrombectomy using a distal access catheter might provide another option for mechanical thrombectomy in patients with acute ischemic stroke.

Keyword

Acute ischemic stroke; Mechanical thrombectomy; Forced arterial suction thrombectomy; Aspiration thrombectomy; Distal access catheter

MeSH Terms

Catheters*
Humans
Reperfusion
Stroke*
Suction*
Thrombectomy*

Figure

• 

  Fig. 1 Summary of baseline and angiographic images. Baseline CTA (A-C) and pre-procedural cerebral angiography (D-F) of 3 cases show an occlusion on intracranial artery (red arrow). The procedural cerebral angiography (G-I) demonstrates target access of distal access catheter (white arrow). The post-procedural angiography (J-L) shows successful reperfusion after aspiration thrombectomy using distal access catheter.

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