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3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations
We describe three cases with acute middle cerebral artery (MCA) occlusion. From the pre-operative MRI, including three-dimensional turbo spin-echo sequences using T1WI and T2WI, we assessed both thrombus configuration and arterial anatomy at the MCA bifurcations. For efficient endovascular thrombect...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japan Neurosurgical Society
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8918366/ https://www.ncbi.nlm.nih.gov/pubmed/34880196 http://dx.doi.org/10.2176/nmc.tn.2021-0179 |
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author | OHARA, Jiro FUJIMOTO, Motoaki TANI, Shoichi OGATA, Hideki SHIMIZU, Kampei TAGUCHI, Tomoaki ITANI, Masahiko AKIYAMA, Yoshinori |
author_facet | OHARA, Jiro FUJIMOTO, Motoaki TANI, Shoichi OGATA, Hideki SHIMIZU, Kampei TAGUCHI, Tomoaki ITANI, Masahiko AKIYAMA, Yoshinori |
author_sort | OHARA, Jiro |
collection | PubMed |
description | We describe three cases with acute middle cerebral artery (MCA) occlusion. From the pre-operative MRI, including three-dimensional turbo spin-echo sequences using T1WI and T2WI, we assessed both thrombus configuration and arterial anatomy at the MCA bifurcations. For efficient endovascular thrombectomy, we identified the applied MCA segment 2 (M2) branch, in which the main thrombus was buried. Sufficient recanalization after a single pass was achieved and the patients made a marked recovery. Although mechanical thrombectomy for M2 occlusion has not been of proven benefit, the endovascular procedure based on three-dimensional turbo spin-echo imaging is useful for more complete thrombus removal at MCA bifurcations. |
format | Online Article Text |
id | pubmed-8918366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Japan Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-89183662022-03-28 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations OHARA, Jiro FUJIMOTO, Motoaki TANI, Shoichi OGATA, Hideki SHIMIZU, Kampei TAGUCHI, Tomoaki ITANI, Masahiko AKIYAMA, Yoshinori Neurol Med Chir (Tokyo) Technical Note We describe three cases with acute middle cerebral artery (MCA) occlusion. From the pre-operative MRI, including three-dimensional turbo spin-echo sequences using T1WI and T2WI, we assessed both thrombus configuration and arterial anatomy at the MCA bifurcations. For efficient endovascular thrombectomy, we identified the applied MCA segment 2 (M2) branch, in which the main thrombus was buried. Sufficient recanalization after a single pass was achieved and the patients made a marked recovery. Although mechanical thrombectomy for M2 occlusion has not been of proven benefit, the endovascular procedure based on three-dimensional turbo spin-echo imaging is useful for more complete thrombus removal at MCA bifurcations. The Japan Neurosurgical Society 2022-01 2021-12-08 /pmc/articles/PMC8918366/ /pubmed/34880196 http://dx.doi.org/10.2176/nmc.tn.2021-0179 Text en © 2022 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Technical Note OHARA, Jiro FUJIMOTO, Motoaki TANI, Shoichi OGATA, Hideki SHIMIZU, Kampei TAGUCHI, Tomoaki ITANI, Masahiko AKIYAMA, Yoshinori 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations |
title | 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations |
title_full | 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations |
title_fullStr | 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations |
title_full_unstemmed | 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations |
title_short | 3D Turbo Spin-echo MRI-based Mechanical Thrombectomy at Middle Cerebral Artery Bifurcations |
title_sort | 3d turbo spin-echo mri-based mechanical thrombectomy at middle cerebral artery bifurcations |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8918366/ https://www.ncbi.nlm.nih.gov/pubmed/34880196 http://dx.doi.org/10.2176/nmc.tn.2021-0179 |
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