Distal vessel aspiration (DIVA) with the RED 043 catheter in acute ischaemic stroke

IF 3.3 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Neuroradiology Pub Date : 2025-10-08 DOI:10.1016/j.neurad.2025.101390

Vinicius Carraro do Nascimento , Strahan Teoh , Permesh Singh Dhillon , Laetitia de Villiers , Hal Rice

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引用次数: 0

Abstract

Acute ischaemic stroke (AIS) due to medium vessel occlusion (MeVO) is increasingly recognised as the next frontier for endovascular mechanical thrombectomy (EMT).¹^,²

A recognized method of recanalisation of MeVOs is the blind exchange/mini-pinning (BEMP), employing a stent retriever and a low profile aspiration catheter, such as the Penumbra 3MAX Reperfusion Catheter.³

One potential disadvantage of this technique is the necesssity of stent retriever (SR), which may increase procedural risks, considering the smaller calibre and tortuous arteries.⁴^,⁵ In addition, this may carry increased costs.

This technical video highlights the "DIVA" technique: RED 043 aspiration catheter navigate to the target occlusion over he Aristotle 24 200 cm microwave, without the use of a microcatheter or SR, as far as A4, M4 and P4 segments.

查看原文本刊更多论文

RED 043导管在急性缺血性卒中中的远端血管抽吸（DIVA）。

由于中血管闭塞（MeVO）引起的急性缺血性卒中（AIS）越来越被认为是血管内机械取栓（EMT）的下一个前沿领域1,2一种公认的MeVOs再通方法是盲交换/迷你钉钉（BEMP），使用支架回收器和低尺寸的抽吸导管，如半阴影3MAX再灌注导管。该技术的一个潜在缺点是支架回收器（SR）的必要性，考虑到更小的动脉和弯曲的动脉，这可能增加手术风险此外，这可能会增加成本。本技术视频重点介绍了“DIVA”技术：RED 043抽吸导管通过亚里士多德24 200厘米微波导航到目标闭塞处，无需使用微导管或SR，直至A4， M4和P4段。

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

Journal of Neuroradiology 医学-核医学

CiteScore

6.10

自引率

5.70%

发文量

142

审稿时长

6-12 weeks

期刊介绍： The Journal of Neuroradiology is a peer-reviewed journal, publishing worldwide clinical and basic research in the field of diagnostic and Interventional neuroradiology, translational and molecular neuroimaging, and artificial intelligence in neuroradiology. The Journal of Neuroradiology considers for publication articles, reviews, technical notes and letters to the editors (correspondence section), provided that the methodology and scientific content are of high quality, and that the results will have substantial clinical impact and/or physiological importance.