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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention
Open Access

Risks of Undersizing Stent Retriever Length Relative to Thrombus Length in Patients with Acute Ischemic Stroke

N.F. Belachew, T. Dobrocky, T.R. Meinel, A. Hakim, J. Vynckier, M. Arnold, D.J. Seiffge, R. Wiest, E.I. Piechowiak, U. Fischer, J. Gralla, P. Mordasini and J. Kaesmacher
American Journal of Neuroradiology December 2021, 42 (12) 2181-2187; DOI: https://doi.org/10.3174/ajnr.A7313
N.F. Belachew
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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T. Dobrocky
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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T.R. Meinel
bDepartment of Neurology (T.R.M., J.V., M.A., D.J.S., U.F.)
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  • ORCID record for T.R. Meinel
A. Hakim
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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J. Vynckier
bDepartment of Neurology (T.R.M., J.V., M.A., D.J.S., U.F.)
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M. Arnold
bDepartment of Neurology (T.R.M., J.V., M.A., D.J.S., U.F.)
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D.J. Seiffge
bDepartment of Neurology (T.R.M., J.V., M.A., D.J.S., U.F.)
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R. Wiest
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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E.I. Piechowiak
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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U. Fischer
bDepartment of Neurology (T.R.M., J.V., M.A., D.J.S., U.F.)
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J. Gralla
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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P. Mordasini
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
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J. Kaesmacher
aFrom the Departments of Diagnostic and Interventional Neuroradiology (N.F.B., T.D., A.H., R.W., E.I.P., J.G., P.M., J.K.)
cDiagnostic, Interventional and Pediatric Radiology (J.K.), Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland
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References

  1. 1.↵
    1. Riedel CH,
    2. Zimmermann P,
    3. Jensen-Kondering U, et al
    . The importance of size: successful recanalization by intravenous thrombolysis in acute anterior stroke depends on thrombus length. Stroke 2011;42:1775–77 doi:10.1161/STROKEAHA.110.609693 pmid:21474810
    Abstract/FREE Full Text
  2. 2.↵
    1. Weisstanner C,
    2. Gratz PP,
    3. Schroth G, et al
    . Thrombus imaging in acute stroke: correlation of thrombus length on susceptibility-weighted imaging with endovascular reperfusion success. Eur Radiol 2014;24:1735–41 doi:10.1007/s00330-014-3200-3 pmid:24832928
    CrossRefPubMed
  3. 3.↵
    1. Seker F,
    2. Pfaff J,
    3. Wolf M, et al
    . Impact of thrombus length on recanalization and clinical outcome following mechanical thrombectomy in acute ischemic stroke. J Neurointerv Surg 2017;9:937–39 doi:10.1136/neurintsurg-2016-012591 pmid:27634955
    Abstract/FREE Full Text
  4. 4.↵
    1. Kang DW,
    2. Jeong HG,
    3. Kim DY, et al
    . Prediction of stroke subtype and recanalization using susceptibility vessel sign on susceptibility-weighted magnetic resonance imaging. Stroke 2017;48:1554–59 doi:10.1161/STROKEAHA.116.016217 pmid:28432264
    Abstract/FREE Full Text
  5. 5.↵
    1. Soize S,
    2. Batista AL,
    3. Rodriguez Regent C, et al
    . Susceptibility vessel sign on T2* magnetic resonance imaging and recanalization results of mechanical thrombectomy with stent retrievers: a multicentre cohort study. Eur J Neurol 2015;22:967–72 doi:10.1111/ene.12693 pmid:25786977
    CrossRefPubMed
  6. 6.↵
    1. Baek JH,
    2. Yoo J,
    3. Song D, et al
    . Predictive value of thrombus volume for recanalization in stent retriever thrombectomy. Sci Rep 2017;7:15938 doi:10.1038/s41598-017-16274-9 pmid:29162921
    CrossRefPubMed
  7. 7.↵
    1. Derraz I,
    2. Bourcier R,
    3. Soudant M
    , et al. THRACE Investigators. Does clot burden score on baseline T2*-MRI impact clinical outcome in acute ischemic stroke treated with mechanical thrombectomy? J Stroke 2019;21:91–100 doi:10.5853/jos.2018.01921 pmid:30732444
    CrossRefPubMed
  8. 8.↵
    1. Gralla J,
    2. Burkhardt M,
    3. Schroth G, et al
    . Occlusion length is a crucial determinant of efficiency and complication rate in thrombectomy for acute ischemic stroke. AJNR Am J Neuroradiol 2008;29:247–52 doi:10.3174/ajnr.A0790 pmid:17974616
    CrossRefPubMed
  9. 9.↵
    1. Haussen DC,
    2. Al-Bayati AR,
    3. Grossberg JA, et al
    . Longer stent retrievers enhance thrombectomy performance in acute stroke. J Neurointerv Surg 2019;11:6–8 doi:10.1136/neurintsurg-2018-013918 pmid:29858398
    Abstract/FREE Full Text
  10. 10.↵
    1. Zaidat OO,
    2. Haussen DC,
    3. Hassan AE, et al
    . Impact of stent retriever size on clinical and angiographic outcomes in the STRATIS stroke thrombectomy registry. Stroke 2019;50:441–47 doi:10.1161/STROKEAHA.118.022987 pmid:30626287
    CrossRefPubMed
  11. 11.↵
    1. Yang D,
    2. Hao Y,
    3. Zi W, et al
    . Effect of retrievable stent size on endovascular treatment of acute ischemic stroke: a multicenter study. AJNR Am J Neuroradiol 2017;38:1586–93 doi:10.3174/ajnr.A5232 pmid:28596196
    Abstract/FREE Full Text
  12. 12.↵
    1. Naggara O,
    2. Raymond J,
    3. Domingo Ayllon M, et al
    . T2* “susceptibility vessel sign” demonstrates clot location and length in acute ischemic stroke. PLoS One 2013;8:e76727 doi:10.1371/journal.pone.0076727
    CrossRefPubMed
  13. 13.↵
    1. Allibert R,
    2. Billon Grand C,
    3. Vuillier F, et al
    . Advantages of susceptibility-weighted magnetic resonance sequences in the visualization of intravascular thrombi in acute ischemic stroke. Int J Stroke 2014;9:980–84 doi:10.1111/ijs.12373 pmid:25319168
    CrossRefPubMed
  14. 14.↵
    1. Liebeskind DS,
    2. Bracard S,
    3. Guillemin F, et al
    ; HERMES Collaborators. ETICI reperfusion: defining success in endovascular stroke therapy. J Neurointerv Surg 2019;11:433–38 doi:10.1136/neurintsurg-2018-014127 pmid:30194109
    Abstract/FREE Full Text
  15. 15.↵
    1. Hacke W,
    2. Kaste M,
    3. Fieschi C, et al
    . Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Lancet 1998;352:1245–51 doi:10.1016/s0140-6736(98)08020-9 pmid:9788453
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Velasco A,
    2. Buerke B,
    3. Stracke CP, et al
    . Comparison of a balloon guide catheter and a non-balloon guide catheter for mechanical thrombectomy. Radiology 2016;280:169–76 doi:10.1148/radiol.2015150575 pmid:26789499
    CrossRefPubMed
  17. 17.↵
    1. Texakalidis P,
    2. Giannopoulos S,
    3. Karasavvidis T, et al
    . Mechanical thrombectomy in acute ischemic stroke: a meta-analysis of stent retrievers vs direct aspiration vs a combined approach. Neurosurgery 2020;86:464–77 doi:10.1093/neuros/nyz258 pmid:31313819
    CrossRefPubMed
  18. 18.↵
    1. Demchuk AM,
    2. Goyal M,
    3. Yeatts SD
    , et al. For the IMS III Investigators. Recanalization and clinical outcome of occlusion sites at baseline CT angiography in the Interventional Management of Stroke II trial. Radiology 2014;273:202–10 doi:10.1148/radiol.14132649 pmid:24895878
    CrossRefPubMedWeb of Science
  19. 19.↵
    1. Chueh JY,
    2. Kühn AL,
    3. Puri AS, et al
    . Reduction in distal emboli with proximal flow control during mechanical thrombectomy: a quantitative in vitro study. Stroke 2013;44:1396–401 doi:10.1161/STROKEAHA.111.670463 pmid:23493730
    Abstract/FREE Full Text
  20. 20.↵
    1. Haussen DC,
    2. Lima A,
    3. Nogueira RG
    . The Trevo XP 320 mm retriever (‘Trevo’) for the treatment of distal intracranial occlusions. J Neurointerv Surg 2016;8:295–99 doi:10.1136/neurintsurg-2014-011613 pmid:25948592
    Abstract/FREE Full Text
  21. 21.↵
    1. Girdhar G,
    2. Epstein E,
    3. Nguyen K, et al
    . Longer 6-mm diameter stent retrievers are effective for achieving higher first pass success with fibrin-rich clots. Interv Neurol 2019;8:187–95 doi:10.1159/000499974 pmid:32508901
    CrossRefPubMed
  22. 22.↵
    1. Kurre W,
    2. Aguilar-Pérez M,
    3. Martinez-Moreno R, et al
    . Stent retriever thrombectomy of small caliber intracranial vessels using pREset LITE: safety and efficacy. Clin Neuroradiol 2017;27:351–60 doi:10.1007/s00062-016-0497-0 pmid:26795038
    CrossRefPubMed
  23. 23.↵
    1. Meinel TR,
    2. Kaesmacher J,
    3. Mosimann PJ, et al
    . Association of initial imaging modality and futile recanalization after thrombectomy. Neurology 2020;95:e2331–42 doi:10.1212/WNL.0000000000010614 pmid:32847948
    Abstract/FREE Full Text
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N.F. Belachew, T. Dobrocky, T.R. Meinel, A. Hakim, J. Vynckier, M. Arnold, D.J. Seiffge, R. Wiest, E.I. Piechowiak, U. Fischer, J. Gralla, P. Mordasini, J. Kaesmacher
Risks of Undersizing Stent Retriever Length Relative to Thrombus Length in Patients with Acute Ischemic Stroke
American Journal of Neuroradiology Dec 2021, 42 (12) 2181-2187; DOI: 10.3174/ajnr.A7313

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Risks of Undersizing Stent Retriever Length Relative to Thrombus Length in Patients with Acute Ischemic Stroke
N.F. Belachew, T. Dobrocky, T.R. Meinel, A. Hakim, J. Vynckier, M. Arnold, D.J. Seiffge, R. Wiest, E.I. Piechowiak, U. Fischer, J. Gralla, P. Mordasini, J. Kaesmacher
American Journal of Neuroradiology Dec 2021, 42 (12) 2181-2187; DOI: 10.3174/ajnr.A7313
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