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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...

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Autores principales: OHARA, Jiro, FUJIMOTO, Motoaki, TANI, Shoichi, OGATA, Hideki, SHIMIZU, Kampei, TAGUCHI, Tomoaki, ITANI, Masahiko, AKIYAMA, Yoshinori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2022
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.
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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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