Utility of a Y-configured stentriever technique as a rescue method of thrombectomy for an intractable rooted thrombus located on the middle cerebral artery bifurcation: technical note

作者：Okada Hideo; Matsuda Yoshikazu; Chung Joonho; Crowley R Webster; Lopes Demetrius K^*

来源：Neurosurgical Focus, 2017, 42(4): E17.

DOI：10.3171/2017.1.FOCUS16511

• emergency large-vessel occlusion
• mechanical thrombectomy
• stentriever
• penumbra
• rooted thrombus

Mechanical thrombectomy with stentriever and/or aspiration is the new gold standard for the treatment of acute strokes with large-vessel occlusion. As many as 20% of cases remain refractory to current stentriever and/or aspiration devices. " Saddle clots" obstructing a bifurcation may be a particular challenge for recanalization with conventional techniques and devices. The authors describe an alternative technique to bifurcation occlusions resistant to the conventional mechanical thrombectomy approach in which they simultaneously deployed 2 stentrievers into both branches of an occluded bifurcation. This stentriever Y-configuration was very effective in managing a challenging intracranial bifurcation occlusion.

• 出版日期2017-4