Incidence and outcome of perforations during medium vessel occlusion compared with large vessel occlusion thrombectomy.
Victor Schulze-ZachauBrehm AlexNikolaos NtouliasNadja KrugIoannis TsogkasKristine Ann BlackhamMarkus A MöhlenbruchJessica JesserAmedeo CervoKornelia KreiserKatharina AlthausErrikos MasliasPatrik MichelGuillaume SaliouChristoph RieglerChristian H NolteIlko L MaierAla JamousRiitta RautioPauli YlikotilaKyle M FargenStacey Quintero WolfeDavide CastellanoAndrea BoghiDaniel P O KaiserAni CuberiJan Stefan KirschkeJulian SchwartingNicola LimbucciLeonardo RenieriSami Al KasabAlejandro M SpiottaIsabel R FragataTania Rodriquez-AresChristoph Johannes MaurerAnsgar BerlisManuel MoreuAlfonso López-FríasCarlos Pérez-GarcíaChristian CommodaroMarco PileggiJustin MascitelliFlavio GiordanoWalter CasagrandeCynthia P PurvesMaxim BesterFabian Alexander FlottmannPeter T KanGautam EdhayanJeremy HofmeisterPaolo MachiMarius Georg KaschnerDaniel WeissMira KatanUrs FischerMarios-Nikos PsychogiosPublished in: Journal of neurointerventional surgery (2023)
In our cohort, perforation was approximately twice as frequent in MeVO than in LVO thrombectomy. Efforts to optimize the procedure may focus on navigation beyond the occlusion site and retraction of stent retriever/aspiration catheter. Further research is necessary in order to identify thrombectomy candidates at high risk of intraprocedural perforation and to provide data on the effectiveness of endovascular countermeasures.