Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Suction thrombectomy of distal medium vessel occlusion using microcatheter during mechanical thrombectomy for acute ischemic stroke: A case series

  • Eun-Oh Jeong (Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Hyon-Jo Kwon (Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Heewon Jeong (Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Han-Joo Lee (Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Kyung Hwan Kim (Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Hyeon-Song Koh (Department of Neurosurgery, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • Received : 2023.11.06
  • Accepted : 2023.12.21
  • Published : 2024.09.30
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Abstract

While mechanical thrombectomy is known to be effective for distal medium vessel occlusion (DMVO) as well as large vessel occlusion, tortuous DMVO are predisposed to vessel injury during stent retriever thrombectomy. Furthermore, getting access to the thrombus may be difficult during suction thrombectomy using a dedicated suction catheter. Most studies describe DMVO treatment using stent retrievers and dedicated suction catheters, but there are limited studies reporting DMVO treated with suction thrombectomy using a microcatheter. Herein, we describe three cases of DMVO treated with suction thrombectomy that was performed using a microcatheter and subsequently showed good results. Therefore, suction thrombectomy using a microcatheter is a viable alternative treatment for tortuous DMVO.

Keywords

Acknowledgement

This work was supported by research fund of Chungnam National University.

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