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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....

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Autores principales: Bhattacharyya, Meghna, Badger, Clint A., Jankowitz, Brian T., Shaikh, Hamza A.
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
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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.
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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
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