The Tigertriever 13 for mechanical thrombectomy in distal and medium intracranial vessel occlusions

被引：25

作者：

Fischer, Sebastian ^{[1
]}

Will, Lena ^{[1
]}

Phung, Timo ^{[2
]}

Weber, Werner ^{[1
]}

Maus, Volker ^{[1
]}

Nordmeyer, Hannes ^{[2
,3
]}

机构：

[1] Inst Diagnost & Intervent Radiol, Neuroradiol & Nukl Med, Schornau 23-25, D-44892 Bochum, Germany

[2] Radpax St Lukas Hosp, Inst Intervent Radiol & Neuroradiol, Neurozentrum Solingen, Solingen, Germany

[3] Witten Herdecke Univ, Sch Med, Dept Hlth, Witten, Germany

来源：

NEURORADIOLOGY | 2022年 / 64卷 / 04期

关键词：

Mechanical thrombectomy; Stent retriever; Distal medium vessel occlusion; ACUTE ISCHEMIC-STROKE; ENDOVASCULAR TREATMENT; PREDICTORS; HEMORRHAGE; THERAPY; TRIAL; CARE;

D O I：

10.1007/s00234-021-02792-x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose To report our two-center initial experience using the Tigertriever 13 in the treatment of acute stroke of distal, medium vessel occlusions (DMVO). Methods We performed a retrospective analysis of all patients treated by mechanical thrombectomy using the Tigertriever 13 device (a manually expandable low profile stent retriever) due to an acute DMVO. Locations included the anterior, middle, and posterior cerebral artery in the A2 and A3, the M3 and M4, and the P2 or P3 segment and the superior cerebellar artery. Results Forty-three patients with 45 DMVOs underwent MTE using the Tigertriever 13 with the intention-to-treat approach between May 2019 and December 2020. After a median of two thrombectomy maneuvers, the successful recanalization rate (mTICI 2b-3) was 84.4% (38/45) with a first pass effect of 26.7% (12/45). The rate of symptomatic intracranial hemorrhages (sICH) and subarachnoid hemorrhages (SAH) was 7.0% (3/43) and 14.0% (6/43), respectively. At discharge, 53.5% (23/43) of the patients had a favorable clinical outcome (mRS 0-2). Conclusion Mechanical thrombectomy in DMVOs using the Tigertriever 13 leads to high recanalization rates. The incidence of mostly asymptomatic hemorrhagic events appears higher compared to MTE procedures in LVOs. Further studies will help to identify anatomic and clinical criteria to define a guideline for MTE in DMVOs.

引用

页码：775 / 783

页数：9

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