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Refractory Occlusion to Stentriever Thrombectomy: Etiological Considerations and Suggested Solutions

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Acute Ischemic Stroke

Abstract

While a stentriever thrombectomy is 70–75% successful in achieving recanalization (modified thrombolysis in cerebral ischemia [mTICI] 2b-3) of an anterior circulation intracranial large artery occlusion (ILAO), 25–30% of ILAOs remain refractory to a stentriever thrombectomy [1, 2]. The etiology of an acute ILAO can play a key role in the response to a stentriever; plus certain complications, such as inadvertent detachment, the stentriever getting stuck, and repeated reocclusion, have also been reported in relation to stroke etiology [3–8]. Therefore, this chapter discusses the pathomechanism of refractoriness to a stentriever, along with suggested solutions.

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Correspondence to Byung Moon Kim MD, PhD .

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Kim, B.M. (2017). Refractory Occlusion to Stentriever Thrombectomy: Etiological Considerations and Suggested Solutions. In: Park, J. (eds) Acute Ischemic Stroke. Springer, Singapore. https://doi.org/10.1007/978-981-10-0965-5_12

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  • DOI: https://doi.org/10.1007/978-981-10-0965-5_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-0964-8

  • Online ISBN: 978-981-10-0965-5

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