2018
DOI: 10.1136/neurintsurg-2018-013793
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Anterior cerebral artery embolism during thrombectomy increases disability and mortality

Abstract: Procedural ACAE was not an uncommon condition, and was associated with increased mortality and disability rates, regardless of the success of reperfusion.

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Cited by 44 publications
(33 citation statements)
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“…[41] Clot debris may migrate downstream with antegrade blood flow and can cause distal embolization in previously affected or unaffected vascular territories, potentially blocking collateral flow to salvageable tissue. [42,43] If thrombus fragments occlude large arterial branches, then remedial strategies such as further thrombectomy attempts or intra-arterial thrombolysis can be employed. However, in vitro studies show that the majority of clot fragments generated during thrombectomy are very small (<10 μm), occluding microvessels.…”
Section: Distal Embolizationmentioning
confidence: 99%
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“…[41] Clot debris may migrate downstream with antegrade blood flow and can cause distal embolization in previously affected or unaffected vascular territories, potentially blocking collateral flow to salvageable tissue. [42,43] If thrombus fragments occlude large arterial branches, then remedial strategies such as further thrombectomy attempts or intra-arterial thrombolysis can be employed. However, in vitro studies show that the majority of clot fragments generated during thrombectomy are very small (<10 μm), occluding microvessels.…”
Section: Distal Embolizationmentioning
confidence: 99%
“…[44,45] Although not detectable on angiogram, these distal microemboli translate to enlargement of ischemic core and poor functional outcomes. [42,43,46]…”
Section: Distal Embolizationmentioning
confidence: 99%
“…Given rapid expansion of EVT for AIS and increasing interest in revascularizing patients with large baseline ischemic core, periprocedural management of these physiologic factors may be of particular importance for optimal clinical outcome. 1113…”
Section: Introductionmentioning
confidence: 99%
“…Another notable difference is that the BGC is used in the ARTS and PROTECTPLUS techniques, whereas the large guiding sheath is recommended for the CAPTIVE, CASPER and SAVE techniques. It should be addressed that limited use of BGC may be due to the size incompatibility between BGCs and the principal chosen technique 5) . Despite these variations, all techniques achieved successful recanalization (modified TICI ≥2b) in nearly 100% of the cases, according to the prior retrospective studies.…”
Section: Balloon Guide Catheter In Stent Re-triever Thrombectomymentioning
confidence: 99%