Retriever first embolectomy (ReFirE): An alternative approach for challenging cervical access

被引：3

作者：

Behme, Daniel ^{[1
]}

Knauth, Michael ^{[1
]}

Psychogios, Marios-Nikos ^{[1
]}

机构：

[1] Georg August Univ Gottingen, Univ Med Ctr Gottingen, Dept Diagnost & Intervent Neuroradiol, Robert Koch Str 40, D-37075 Gottingen, Germany

来源：

INTERVENTIONAL NEURORADIOLOGY | 2017年 / 23卷 / 04期

关键词：

Endovascular; stentretriever; stroke; ACUTE ISCHEMIC-STROKE; THROMBECTOMY; CATHETERS;

D O I：

10.1177/1591019917701114

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

After endovascular treatment became the standard of care procedure for acute ischaemic stroke with large artery occlusion in 2015 the number of performed interventions has increased dramatically. Especially because age is no exclusion criterion for endovascular treatment, a relevant number of patients with difficult to access carotid arteries has to be treated. In these patients a direct puncture of the carotid is a valuable tool but is associated with severe complications and an initial learning curve. We therefore developed the so called retriever first embolectomy (ReFirE) technique in which a stentretriever is deployed over a 5F diagnostic catheter and a microcatheter to establish a stable anchor prior to accessing the internal carotid artery/intracranial vasculature with an 8F guide catheter and a 5F/6F intermediate catheter. We hereby report the first case in which we performed a thrombectomy applying our novel technique.

引用

页码：412 / 415

页数：4

共 12 条

[1]

Behme D., 2017, INTERV NEURORADIOL

[2] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].

Berkhemer, O. A. ;

Fransen, P. S. S. ;

Beumer, D. ;

van den Berg, L. A. ;

Lingsma, H. F. ;

Yoo, A. J. ;

Schonewille, W. J. ;

Vos, J. A. ;

Nederkoorn, P. J. ;

Wermer, M. J. H. ;

van Walderveen, M. A. A. ;

Staals, J. ;

Hofmeijer, J. ;

van Oostayen, J. A. ;

Nijeholt, G. J. Lycklama A. ;

Boiten, J. ;

Brouwer, P. A. ;

Emmer, B. J. ;

de Bruijn, S. F. ;

van Dijk, L. C. ;

Kappelle, L. J. ;

Lo, R. H. ;

Van Dijk, E. J. ;

de Vries, J. ;

de Kort, P. L. M. ;

van Rooij, W. J. J. ;

van den Berg, J. S. P. ;

van Hasselt, B. A. A. M. ;

Aerden, L. A. M. ;

Dallinga, R. J. ;

Visser, M. C. ;

Bot, J. C. J. ;

Vroomen, P. C. ;

Eshghi, O. ;

Schreuder, T. H. C. M. L. ;

Heijboer, R. J. J. ;

Keizer, K. ;

Tielbeek, A. V. ;

den Hertog, H. M. ;

Gerrits, D. G. ;

van den Berg-Vos, R. M. ;

Karas, G. B. ;

Steyerberg, E. W. ;

Flach, H. Z. ;

Marquering, H. A. ;

Sprengers, M. E. S. ;

Jenniskens, S. F. M. ;

Beenen, L. F. M. ;

van den Berg, R. ;

Koudstaal, P. J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20

[3]

Dahm JB, 2011, VASA, V40, P468, DOI [10.1024/0301.1526/a000150, 10.1024/0301-1526/a000150]

[4] Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials [J].

Goyal, Mayank ;

Menon, Bijoy K. ;

van Zwam, Wim H. ;

Dippel, Diederik W. J. ;

Mitchell, Peter J. ;

Demchuk, Andrew M. ;

Davalos, Antoni ;

Majoie, Charles B. L. M. ;

van der Lugt, Aad ;

de Miquel, Maria A. ;

Donnan, Geoff Rey A. ;

Roos, Yvo B. W. E. M. ;

Bonafe, Alain ;

Jahan, Reza ;

Diener, Hans-Christoph ;

van den Berg, Lucie A. ;

Levy, Elad I. ;

Berkhemer, Olvert A. ;

Pereira, Vitor M. ;

Rempel, Jeremy ;

Millan, Monica ;

Davis, Stephen M. ;

Roy, Daniel ;

Thornton, John ;

San Roman, Luis ;

Ribo, Marc ;

Beumer, Debbie ;

Stouch, Bruce ;

Brown, Scott ;

Campbell, Bruce C. V. ;

van Oostenbrugge, Robert J. ;

Saver, Jeff Rey L. ;

Hill, Michael D. ;

Jovin, Tudor G. .

LANCET, 2016, 387 (10029) :1723-1731

[5] Merci Retrievers as Access Adjuncts for Reperfusion Catheters: The Grappling Hook Technique [J].

Hui, Ferdinand K. ;

Hussain, Muhammad S. ;

Spiotta, Alejandro ;

Bhalla, Tarun ;

Toth, Gabor ;

Moskowitz, Shaye I. ;

Elgabaly, Mohamed ;

Sivapatham, Thinesh ;

Rasmussen, Peter A. .

NEUROSURGERY, 2012, 70 (02) :456-460

[6] Maximizing First-Pass Complete Reperfusion with SAVE [J].

Maus, Volker ;

Behme, Daniel ;

Kabbasch, Christoph ;

Borggrefe, Jan ;

Tsogkas, Ioannis ;

Nikoubashman, Omid ;

Wiesmann, Martin ;

Knauth, Michael ;

Mpotsaris, Anastasios ;

Psychogios, Marios Nikos .

CLINICAL NEURORADIOLOGY, 2018, 28 (03) :327-338

[7] Endovascular Stroke Treatment of Nonagenarians [J].

Moehlenbruch, M. ;

Pfaff, J. ;

Schoenenberger, S. ;

Nagel, S. ;

Boesel, J. ;

Herweh, C. ;

Ringleb, P. ;

Bendszus, M. ;

Stampfl, S. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (02) :299-303

[8] Direct carotid artery puncture access for endovascular treatment of acute ischemic stroke: technical aspects, advantages, and limitations [J].

Mokin, Maxim ;

Snyder, Kenneth V. ;

Levy, Elad I. ;

Hopkins, L. Nelson ;

Siddiqui, Adnan H. .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2015, 7 (02) :108-113

[9] Difficult catheter access to the occluded vessel during endovascular treatment of acute ischemic stroke is associated with worse clinical outcome [J].

Ribo, Marc ;

Flores, Alan ;

Rubiera, Marta ;

Pagola, Jorge ;

Mendonca, Nuno ;

Rodriguez-Luna, David ;

Pineiro, Soco ;

Meler, Pilar ;

Alvarez-Sabin, Jose ;

Molina, Carlos A. .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2013, 5 :70-73

[10] Anchor technique: Use of stent retrievers as an anchor to advance thrombectomy catheters in internal carotid artery occlusions [J].

Singh, Jasmeet ;

Wolfe, Stacey Q. ;

Janjua, Rashid M. ;

Hedayat, Hirad ;

Burnette, Christofer .

INTERVENTIONAL NEURORADIOLOGY, 2015, 21 (06) :707-709

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