Usefulness of "pull-back method" using the Penumbra System: technical note
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- TAKEUCHI Masataka
- Department of Neurosurgery, Seishou Hospital
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- KONISHI Yoshifumi
- Department of Neurosurgery, Seishou Hospital
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- GOTO Tadateru
- Department of Neurosurgery, Seishou Hospital
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- YOSHIYAMA Michitsura
- Department of Neurosurgery, Seishou Hospital
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- TOMINAGA Jiro
- Department of Neurosurgery, Seishou Hospital
Bibliographic Information
- Other Title
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- Penumbra Systemにおける“pull-back method”の有用性
- Penumbra System ニ オケル"pull-back method"ノ ユウヨウセイ
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Abstract
Objective: The Penumbra System (PS) is an endovascular thrombectomy device used to achieve mechanical revascularization. However, revascularization is not always possible even with the application of this device. Herein we report a case of revascularization using the "pull-back method", by which the thrombus is aspirated while the PS is withdrawn from the occluded area to a more distal location.<br>Case: A 74-year-old male presented with sudden-onset left hemiparesis. Magnetic resonance imaging revealed early ischemic changes in the right corona radiata, and a carotid angiogram revealed complete occlusion of the right middle cerebral artery. After intravenous recombinant tissue plasminogen activator (rt-PA) therapy, his National Institute of Health Stroke Scale (NIHSS) score deteriorated, and endovascular therapy was performed. An attempt at thrombus recovery from a proximal area using the PS failed to achieve revascularization. Therefore, the PS was placed in a location distal to the thrombus, and "the pull-back method" was employed during aspiration, which aided in achieving rapid revascularization.<br>Conclusion: The "pull-back method" can be effective in cases where thrombus recovery from a proximal area is difficult.
Journal
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- Journal of Neuroendovascular Therapy
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Journal of Neuroendovascular Therapy 7 (4), 294-299, 2013
The Japanese Society for Neuroendovascular Therapy
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Details 詳細情報について
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- CRID
- 1390001205300026112
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- NII Article ID
- 130003396846
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- NII Book ID
- AA1229439X
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- ISSN
- 21862494
- 18824072
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- NDL BIB ID
- 025180964
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed