Exactly! In cases of ICA occlusion where the top of the ICA is not blocked, it is challenging to retrieve the thrombus without causing distal embolization. As seen in this example, aspiration alone can lead to distal emboli. Even if you block with a BGC and use a large-bore aspiration cath, thrombus fragments may remain, increasing the risk of distal emboli. Since stent retrievers have improved, retrieving the thrombus as one unit with the stent reduces the likelihood of distal emboli. Arigatou, and feel free to comment again!
Thankyou Sensei. For your response . So in such situations stent retriever are more helpful with continued aspiration through the aspiration and balloon catheter🙏🏻
Possibly.
Dear Sensei 🙏🏼, would a stent retriever have been better in this situation what do you feel
thank you
Exactly! In cases of ICA occlusion where the top of the ICA is not blocked, it is challenging to retrieve the thrombus without causing distal embolization. As seen in this example, aspiration alone can lead to distal emboli. Even if you block with a BGC and use a large-bore aspiration cath, thrombus fragments may remain, increasing the risk of distal emboli. Since stent retrievers have improved, retrieving the thrombus as one unit with the stent reduces the likelihood of distal emboli.
Arigatou, and feel free to comment again!
その通りです! 内頚動脈（ICA）閉塞でICA先端部が開通している場合、遠位塞栓させない血栓回収は難しいです。
吸引法では、この例のように遠位塞栓が起こります。たとえバルンガイドカテーテルで遮断し大口径の吸引カテ吸引しながら回収しても、血栓を取り残すかもしれません。
ステントリトリーバーが改良しているため、ステントで一体に回収する方が遠位塞栓を起こしにくいでしょう。
またコメントください！
Thankyou Sensei. For your response .
So in such situations stent retriever are more helpful with continued aspiration through the aspiration and balloon catheter🙏🏻
SENDit push the thrombus?
That's right.
MCAの方はどのデバイスで回収ですか？Tiger?
Vecta46