ISSN: 2329-9495
Department of Neurosurgery, Kangdong National University Hospital, Kangdong National University College of Medicine, 156, Baengnyeong-ro, Chuncheon-si, Gangwon-do 200-722, Republic of Korea
 Research Article   
								
																Resolving Distal Vessel Occlusions Caused by Migrated Emboli: Outcomes of Modified Stent Retrieval Technique 
																Author(s): Hong Suk Ahn, Jung Hyun Park, Jun Hyong Ahn, Hong Jun Jeon* and Byung Moon Cho             
								
																
						 This study evaluated the safety and effectiveness of a modified stent retrieval technique controlling the micro
  catheter’s unsheathing level to resolve distal vessel occlusions from migrated emboli. From January 2016 to February
  2022, this technique was used on 24 of 445 patients with acute large vessel occlusion strokes in the anterior
  circulation, with secondary embolus migration into M2, M3, A2, or A3 branches. The procedure used radiopaque
  stent retrieval systems like Trevo XP 4 ×20 mm and Solitaire Platinum 4 × 20 mm, adjusting coverage through
  partial re-sheathing of the microcatheter. After recanalizing the primary occlusion, secondary occlusion occurred
  in 12/6/4/2 patients in the M2/M3/A2/A3 branches, respectively (time from puncture to primary recanalization:
  45.5 ± 17 min). Modified TICI scores were 2a and 2b in 8 and 16 patient.. View More»
						  
																DOI:
								10.35841/2329-9495.24.12.480