While a stentriever thrombectomy is 70-75% successful in achieving recanalization (modified thrombolysis in cerebral ischemia [mTICI] 2b-3) of an anterior circulation intracranial large artery occlusion (ILAO), 25-30% of ILAOs remain refractory to a stentriever thrombectomy [1, 2]. The etiology of an acute ILAO can play a key role in the response to a stentriever; plus certain complications, such as inadvertent detachment, the stentriever getting stuck, and repeated reocclusion, have also been reported in relation to stroke etiology [3-8]. Therefore, this chapter discusses the pathomechanism of refractoriness to a stentriever, along with suggested solutions.
|Title of host publication||Acute Ischemic Stroke|
|Subtitle of host publication||Medical, Endovascular, and Surgical Techniques|
|Number of pages||14|
|Publication status||Published - 2017 Jan 1|
All Science Journal Classification (ASJC) codes
- Biochemistry, Genetics and Molecular Biology(all)