Cargando…
Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies
Thrombotic strokes are caused by occlusion of flow in a blood vessel by a clot or thrombus, resulting in disruption of oxygen and nutrients to the brain that can result in neurological deficits. There are many devices now available for safe and effective removal of thrombi from large blood vessels....
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871883/ https://www.ncbi.nlm.nih.gov/pubmed/36703630 http://dx.doi.org/10.3389/fneur.2022.1035959 |
_version_ | 1784877281575960576 |
---|---|
author | Bhattacharyya, Meghna Badger, Clint A. Jankowitz, Brian T. Shaikh, Hamza A. |
author_facet | Bhattacharyya, Meghna Badger, Clint A. Jankowitz, Brian T. Shaikh, Hamza A. |
author_sort | Bhattacharyya, Meghna |
collection | PubMed |
description | Thrombotic strokes are caused by occlusion of flow in a blood vessel by a clot or thrombus, resulting in disruption of oxygen and nutrients to the brain that can result in neurological deficits. There are many devices now available for safe and effective removal of thrombi from large blood vessels. This report focuses on the Zoom 0.088” large-bore catheter, which has the potential to be navigated into a large vessel for thrombus removal via aspiration, and weigh the risks and benefits of its utilization in thrombectomy patients. In this case, we discuss the use of this device for thrombectomy of a left M1 middle cerebral artery occlusion that resulted in a distal left MCA dissection and eventual loss of access to the site of the thrombus. Ultimately, the patient died from a large stroke in the left MCA territory. In light of this occurrence, we seek to explore the utility and feasibility of large-bore catheters and their risks in thrombectomy candidates. |
format | Online Article Text |
id | pubmed-9871883 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98718832023-01-25 Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies Bhattacharyya, Meghna Badger, Clint A. Jankowitz, Brian T. Shaikh, Hamza A. Front Neurol Neurology Thrombotic strokes are caused by occlusion of flow in a blood vessel by a clot or thrombus, resulting in disruption of oxygen and nutrients to the brain that can result in neurological deficits. There are many devices now available for safe and effective removal of thrombi from large blood vessels. This report focuses on the Zoom 0.088” large-bore catheter, which has the potential to be navigated into a large vessel for thrombus removal via aspiration, and weigh the risks and benefits of its utilization in thrombectomy patients. In this case, we discuss the use of this device for thrombectomy of a left M1 middle cerebral artery occlusion that resulted in a distal left MCA dissection and eventual loss of access to the site of the thrombus. Ultimately, the patient died from a large stroke in the left MCA territory. In light of this occurrence, we seek to explore the utility and feasibility of large-bore catheters and their risks in thrombectomy candidates. Frontiers Media S.A. 2023-01-10 /pmc/articles/PMC9871883/ /pubmed/36703630 http://dx.doi.org/10.3389/fneur.2022.1035959 Text en Copyright © 2023 Bhattacharyya, Badger, Jankowitz and Shaikh. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Bhattacharyya, Meghna Badger, Clint A. Jankowitz, Brian T. Shaikh, Hamza A. Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies |
title | Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies |
title_full | Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies |
title_fullStr | Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies |
title_full_unstemmed | Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies |
title_short | Case report: Utilization and efficacy of large-bore catheters in mechanical thrombectomies |
title_sort | case report: utilization and efficacy of large-bore catheters in mechanical thrombectomies |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871883/ https://www.ncbi.nlm.nih.gov/pubmed/36703630 http://dx.doi.org/10.3389/fneur.2022.1035959 |
work_keys_str_mv | AT bhattacharyyameghna casereportutilizationandefficacyoflargeborecathetersinmechanicalthrombectomies AT badgerclinta casereportutilizationandefficacyoflargeborecathetersinmechanicalthrombectomies AT jankowitzbriant casereportutilizationandefficacyoflargeborecathetersinmechanicalthrombectomies AT shaikhhamzaa casereportutilizationandefficacyoflargeborecathetersinmechanicalthrombectomies |