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Maus V, Hüsken S, Kalousek V, Karwacki GM, Nordmeyer H, Kleffner I, Weber W, Fischer S. Mechanical Thrombectomy in Acute Terminal Internal Carotid Artery Occlusions Using a Large Manually Expandable Stentretriever (Tiger XL Device): Multicenter Initial Experience. J Clin Med 2021; 10:jcm10173853. [PMID: 34501298 PMCID: PMC8432012 DOI: 10.3390/jcm10173853] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 07/27/2021] [Accepted: 08/24/2021] [Indexed: 12/16/2022] Open
Abstract
Background: The recently introduced Tigertriever XL Device for treatment of cerebral vessel occlusions combines manual adjustability and maximum length in one device. In this study, we report our initial experience with the Tigertriever XL in terminal ICA occlusions. Methods: Retrospective multicenter analysis of acute terminal ICA occlusions treated by mechanical thrombectomy using the Tigertriever XL Device. Results: 23 patients were treated using the Tigetriever XL due to an acute occlusion of the terminal ICA. The overall successful reperfusion rate after a median of two maneuvers using the Tigertriever XL Device was 78.3% (mTICI 2b-3). In 43.5% (10/23) additional smaller devices were applied to treat remaining occlusions in downstream territories, which resulted in a final successful reperfusion rate of 95.7%. Device related complications did not occur. Two symptomatic intracerebral hemorrhages (sICH) were observed. Conclusions: The Tigertriever XL Device might be a helpful tool in the treatment of ICA terminus occlusions with large clot burden resulting in high reperfusion rates. This is mainly related to the manual adjustability of the device combined with the maximum length.
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Affiliation(s)
- Volker Maus
- Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik, Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, In der Schornau 23-25, 44892 Bochum, Germany; (V.M.); (S.H.); (W.W.)
| | - Sabeth Hüsken
- Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik, Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, In der Schornau 23-25, 44892 Bochum, Germany; (V.M.); (S.H.); (W.W.)
| | - Vladimir Kalousek
- Subdivision of Interventional Neuroradiology, Department of Radiology, Clinical Hospital Center Sisters of Mercy, 10000 Zagreb, Croatia;
| | - Grzegorz Marek Karwacki
- Luzerner Kantonsspital, Diagnostische und Interventionelle Neuroradiologie, Radiologie und Nuklearmedizin Spitalstrasse, 6000 Luzern, Switzerland;
| | - Hannes Nordmeyer
- Institut für Interventionelle Radiologie und Neuroradiologie, Neurozentrum Solingen, Radprax St. Lukas Hospital, 42697 Solingen, Germany;
- School of Medicine, Department of Health, Witten/Herdecke University, 58455 Witten, Germany
| | - Ilka Kleffner
- Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik, Klinik für Neurologie, In der Schornau 23-25, 44829 Bochum, Germany;
| | - Werner Weber
- Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik, Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, In der Schornau 23-25, 44892 Bochum, Germany; (V.M.); (S.H.); (W.W.)
| | - Sebastian Fischer
- Knappschaftskrankenhaus Bochum-Langendreer-Universitätsklinik, Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie, Nuklearmedizin, In der Schornau 23-25, 44892 Bochum, Germany; (V.M.); (S.H.); (W.W.)
- Correspondence: ; Tel.: +49-234-2998-3803
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