REtrieving thrombi and Separated Coils/catheters Unexpectedly detached during Endovascular therapy: RESCUE - the use of thrombectomy devices for rescue therapy in interventional neuroradiology.

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY

Interventional Neuroradiology Pub Date : 2024-12-19 DOI:10.1177/15910199241299139

Darragh Herlihy, Sneha Singh, Patrick Nicholson, Emma Griffin, Alan O'Hare, Paul Brennan, John Thornton, Sarah Power

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引用次数: 0

Abstract

Purpose: Intraprocedural complications during intracranial embolisation include thromboembolic vessel occlusion, catheter tip detachment and coil migration. Stentrievers and aspiration catheters are valuable devices for the management of these complications. We present our experience with the use of these devices. We describe the devices and techniques used, case details and clinical outcomes. Currently there is no standardised approach for the management of the above intraprocedural complications.

Methods: We performed a retrospective review of our interventional neuroradiology database of patients who underwent endovascular treatment in our institution from January 2012 to January 2019 and identified embolisation procedures during which either stentrievers or aspiration catheters were utilised.

Results: We present a case series of 24 cases in which these devices were utilised as rescue devices over a period of 7 years. We provide three illustrative cases.

Conclusion: Stentrievers and aspiration catheters can be used safely and effectively as adjunctive or rescue devices during embolisation procedures.

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血管内治疗过程中意外脱落的血栓和分离的线圈/导管：抢救-介入神经放射学中血栓切除装置在抢救治疗中的应用。

目的：颅内栓塞术中并发症包括血栓栓塞性血管闭塞、导管尖端脱离和线圈移位。插管器和抽吸导管是治疗这些并发症的有价值的设备。我们将介绍我们使用这些设备的经验。我们描述了使用的设备和技术，病例细节和临床结果。目前对于上述术中并发症的处理尚无统一的方法。方法：我们对2012年1月至2019年1月期间在我院接受血管内治疗的患者的介入神经放射学数据库进行了回顾性分析，并确定了栓塞手术期间使用了插管器或抽吸导管。结果：我们提出了24例病例系列，其中这些装置被用作抢救装置超过7年。我们提供了三个说明性案例。结论：在栓塞术中，吸入器和抽吸导管可作为辅助或抢救装置安全有效地使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Interventional Neuroradiology CLINICAL NEUROLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

3.60

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...