Refractory occlusion to stentriever thrombectomy: Etiological considerations and suggested solutions

Byung Moon Kim

doi:10.1007/978-981-10-0965-5_12

Refractory occlusion to stentriever thrombectomy: Etiological considerations and suggested solutions

Byung Moon Kim

Department of Radiology

Research output: Chapter in Book/Report/Conference proceeding › Chapter

3 Citations (Scopus)

Abstract

While a stentriever thrombectomy is 70-75% successful in achieving recanalization (modified thrombolysis in cerebral ischemia [mTICI] 2b-3) of an anterior circulation intracranial large artery occlusion (ILAO), 25-30% of ILAOs remain refractory to a stentriever thrombectomy [1, 2]. The etiology of an acute ILAO can play a key role in the response to a stentriever; plus certain complications, such as inadvertent detachment, the stentriever getting stuck, and repeated reocclusion, have also been reported in relation to stroke etiology [3-8]. Therefore, this chapter discusses the pathomechanism of refractoriness to a stentriever, along with suggested solutions.

Original language	English
Title of host publication	Acute Ischemic Stroke
Subtitle of host publication	Medical, Endovascular, and Surgical Techniques
Publisher	Springer Singapore
Pages	213-226
Number of pages	14
ISBN (Electronic)	9789811009655
ISBN (Print)	9789811009648
DOIs	https://doi.org/10.1007/978-981-10-0965-5_12
Publication status	Published - 2017 Jan 1

Bibliographical note

Publisher Copyright:
© Springer Science+Business Media Singapore 2017.

All Science Journal Classification (ASJC) codes

General Biochemistry,Genetics and Molecular Biology
General Medicine

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10.1007/978-981-10-0965-5_12

Cite this

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abstract = "While a stentriever thrombectomy is 70-75% successful in achieving recanalization (modified thrombolysis in cerebral ischemia [mTICI] 2b-3) of an anterior circulation intracranial large artery occlusion (ILAO), 25-30% of ILAOs remain refractory to a stentriever thrombectomy [1, 2]. The etiology of an acute ILAO can play a key role in the response to a stentriever; plus certain complications, such as inadvertent detachment, the stentriever getting stuck, and repeated reocclusion, have also been reported in relation to stroke etiology [3-8]. Therefore, this chapter discusses the pathomechanism of refractoriness to a stentriever, along with suggested solutions.",

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AB - While a stentriever thrombectomy is 70-75% successful in achieving recanalization (modified thrombolysis in cerebral ischemia [mTICI] 2b-3) of an anterior circulation intracranial large artery occlusion (ILAO), 25-30% of ILAOs remain refractory to a stentriever thrombectomy [1, 2]. The etiology of an acute ILAO can play a key role in the response to a stentriever; plus certain complications, such as inadvertent detachment, the stentriever getting stuck, and repeated reocclusion, have also been reported in relation to stroke etiology [3-8]. Therefore, this chapter discusses the pathomechanism of refractoriness to a stentriever, along with suggested solutions.

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Refractory occlusion to stentriever thrombectomy: Etiological considerations and suggested solutions

Abstract

Bibliographical note

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