Direct carotid puncture for mechanical thrombectomy in acute ischemic stroke patients with prohibitive vascular access.

ABSTRACT:

Objective

While the benefit of mechanical thrombectomy (MT) for patients with anterior circulation acute ischemic stroke with large-vessel occlusion (AIS-LVO) has been clearly established, difficult vascular access may make the intervention impossible or unduly prolonged. In this study, the authors evaluated safety as well as radiographic and functional outcomes in stroke patients treated with MT via direct carotid puncture (DCP) for prohibitive vascular access.

Methods

The authors retrospectively studied patients from their prospective AIS-LVO database who underwent attempted MT between 2015 and 2018. Patients with prohibitive vascular access were divided into two groups: 1) aborted MT (abMT) after failed transfemoral access and 2) attempted MT via DCP. Functional outcome w

SUBMITTER: Cord BJ 

PROVIDER: S-EPMC9491727 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature