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- Title
Preliminary experience with recanalization of large vessel occlusion due to underlying long-segment dissection using a standby microwire technique.
- Authors
Xiaoxi Zhang; Hongye Xu; Zhengzhe Feng; Weilong Hua; Hongjian Shen; Lei Zhang; Yongxin Zhang; Pengfei Xing; Pengfei Yang; Xiaolong Xu; Zifu Li
- Abstract
Purpose: This study aimed at investigating a novel standby microwire technique to facilitate revascularization of large vessel occlusion due to underlying long-segment dissection. Methods: Patients with acute ischemic stroke with emergent large vessel occlusion (ELVO) due to underlying long-segment dissection were screened from the prospectively established database between January 2021 and May 2022. The clinical and radiological data of eligible patients who underwent endovascular treatment by using a standby microwire technique were investigated. Results: Of the 165 acute ischemic stroke patients who underwent mechanical thrombectomy, the standby microwire technique was used in five patients aged 33-55 years old with occlusion due to underlying long-segment dissection. Of them, three patients were diagnosed with tandem lesions and three were located at the anterior circulation. A 300cm exchange microwire was used as the standby microwire. Stent deployment was performed in all five patients.Groin puncture to reperfusion time ranged from10-68min. Technical success and favorable clinical outcomes were achieved in all five patients (100%). No technique-related complication was observed. Conclusion: Our preliminary experience showed that the standby microwire technique was a useful ancillary approach to facilitate the revascularization of large vessel occlusion due to underlying long-segment dissection.
- Subjects
STROKE patients; DISSECTION; ENDOVASCULAR surgery; HUMAN dissection
- Publication
Frontiers in Neurology, 2022, Vol 13, p1
- ISSN
1664-2295
- Publication type
Article
- DOI
10.3389/fneur.2022.1016734