Neuroradiology

, Volume 54, Issue 11, pp 1261–1265

Manual aspiration thrombectomy through balloon-tipped guide catheter for rapid clot burden reduction in endovascular therapy for ICA L/T occlusion

  • Muneer Eesa
  • Mohammed A. Almekhlafi
  • Alim P. Mitha
  • John H. Wong
  • Mayank Goyal
Interventional Neuroradiology

Abstract

Introduction

Timely recanalization during endovascular procedures for acute ischemic stroke can be challenging in cases with large clot burden, such as those encountered in the terminal internal carotid T- or L-type occlusion.

Methods

A novel but simple technique to achieve fast reduction in clot burden in stroke patients with occlusion of the internal carotid artery termination is described where manual suction using a 60-ml syringe applied through an 8-F balloon guide catheter positioned in the cervical carotid vasculature with proximal flow arrest allows subsequent revascularization of the residual middle cerebral artery clot.

Results

The use of manual suction through a balloon-tipped guide catheter in internal carotid artery L- or T-type occlusion is illustrated. This resulted in a significant reduction of the clot burden and facilitated further interventions leading to full recanalization.

Conclusion

Manual suction using a 60-ml syringe through a ballon guide catheter is a useful and feasible technique that facilitates thrombectomy of large burden cerebral clots.

Keywords

Aspiration Embolectomy Stroke 

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Muneer Eesa
    • 1
  • Mohammed A. Almekhlafi
    • 2
    • 4
  • Alim P. Mitha
    • 2
    • 3
  • John H. Wong
    • 2
    • 3
  • Mayank Goyal
    • 1
    • 2
    • 5
  1. 1.Department of RadiologyUniversity of CalgaryCalgaryCanada
  2. 2.Department of Clinical NeurosciencesUniversity of CalgaryCalgaryCanada
  3. 3.Department of NeurosurgeryUniversity of CalgaryCalgaryCanada
  4. 4.Faculty of MedicineKing Abdulaziz UniversityJeddahSaudi Arabia
  5. 5.Seaman Family MR Research CenterFoothills Medical CenterCalgaryCanada

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