Multimodal 3 tesla MRI confirms intact arterial wall in acute stroke patients after stent-retriever thrombectomy

Hsieh, Kety Wha-Vei; Verma, Rajeev Kumar; Schroth, Gerhard; Gratz, Pascal P.; Kellner-Weldon, Frauke; Gralla, Jan; Zubler, Christoph; Mordasini, Pasquale; Jung, Simon; Mattle, Heinrich P.; El-Koussy, Marwan (2014). Multimodal 3 tesla MRI confirms intact arterial wall in acute stroke patients after stent-retriever thrombectomy. Stroke, 45(11), pp. 3430-3432. Lippincott Williams & Wilkins 10.1161/STROKEAHA.114.006665

[img] Text
Stroke-2014-Hsieh-3430-2.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (858kB)

BACKGROUND AND PURPOSE

The aim of this prospective study was to assess vascular integrity after stent-retriever thrombectomy.

METHODS

Dissection, contrast medium extravasation, and vasospasm were evaluated in 23 patients after thrombectomy with biplane or 3D-digital subtraction angiography and 3-Tesla vessel wall MRI.

RESULTS

Vasospasm was detected angiographically in 10 patients, necessitating intra-arterial nimodipine in 2 of them. Contrast extravasation, intramural hemorrhage, or iatrogenic dissection were not detected on multimodal MRI in any patient even after Y-double stent-retriever technique.

CONCLUSIONS

Our findings suggest that clinically relevant vessel wall injuries occur rarely after stent-retriever thrombectomy.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Hsieh, Kety Wha-Vei, Verma, Rajeev Kumar, Schroth, Gerhard, Kellner-Weldon, Frauke, Gralla, Jan, Zubler, Christoph, Mordasini, Pasquale Ranato, Jung, Simon, Mattle, Heinrich, El-Koussy, Marwan

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0039-2499

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Valentina Rossetti

Date Deposited:

07 Nov 2014 08:09

Last Modified:

02 Mar 2023 23:25

Publisher DOI:

10.1161/STROKEAHA.114.006665

PubMed ID:

25293657

Uncontrolled Keywords:

magnetic resonance imaging, stroke, thrombectomy

BORIS DOI:

10.7892/boris.59826

URI:

https://boris.unibe.ch/id/eprint/59826

Actions (login required)

Edit item Edit item
Provide Feedback