Incidence and clinical outcomes of perforations during mechanical thrombectomy for medium vessel occlusion in acute ischemic stroke: A retrospective, multicenter, and multinational study.
Adam A DmytriwBasel MusmarHamza Adel SalimSherief GhozyJames E SieglerKobeissi HassanHamza ShaikhJane KhalifeMohamad AbdalkaderPiers KleinThanh N NguyenJeremy J HeitRobert William RegenhardtNicole M CancelliereJoshua D BernstockKareem El NaamaniAbdelaziz AmllayLukas MeyerAnne DusartFlavio BellanteGéraud ForestierAymeric RouchaudSuzana SalemeCharbel MounayerJens FiehlerAnna Luisa KühnAjit S PuriChristian DyzmannPeter T KanMarco ColasurdoGaultier MarnatJérôme BergeXavier BarreauIgor SibonSimona NedelcuNils HenningerThomas R MarottaChristopher J StapletonJames D RabinovTakahiro OtaShogo DofukuLeonard Leong-Litt YeoBenjamin Yq TanAnil GopinathanJuan Carlos Martinez-GutierrezSergio Salazar-MarioniSunil ShethLeonardo RenieriCarolina CapirossiAshkan MowlaLina ChervakAchala VagalNimer AdeebHugo H Cuellar-SaenzStavropoula I TjoumakarisPascal M JabbourPriyank KhandelwalArundhati BiswasFrédéric ClarençonMahmoud ElhoranyKevin PrematIacopo ValenteAlessandro PedicelliJoão Pedro FilipeRicardo VarelaMiguel Quintero-ConsuegraNestor R GonzalezMarkus Alfred MöhlenbruchJessica JesserVincent CostalatAdrien Ter SchiphorstVivek YedavalliPablo HarkerYasmin Ninette AzizBenjamin GoryChristian Paul StrackeConstantin HeckerRamanathan KadirvelMonika Killer-OberpfalzerChristoph J GriessenauerAjith J ThomasCheng-Yang HsiehDavid S LiebeskindRăzvan Alexandru RaduAndrea M AlexandreIllario TancrediTobias Djamsched FaizyRobert FahedCharlotte WeylandBoris LubiczAman B PatelVitor Mendes PereiraAdrien Guenegonull nullPublished in: European stroke journal (2024)
This study reveals that while the occurrence of vessel perforation in MT for AIS due to MeVO is relatively rare, it is associated with poor functional outcomes and higher mortality. The findings highlight the need for increased caution and specialized training in performing MT for MeVO. Further prospective research is required for risk mitigation strategies.