Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy

Randomized clinical trials have established the clinical efficacy of mechanical revascularization compared to drug therapy. Successful reperfusion in mechanical thrombectomy is achieved in 53% to 83% of cases, often requiring multiple thrombectomies, which can prolong procedure times and potentially...

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Main Authors: Grzegorz Marek Karwacki, Guillaume Marie, Alexander von Hessling
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2025-07-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/neuroint-2025-00199.pdf
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author Grzegorz Marek Karwacki
Guillaume Marie
Alexander von Hessling
author_facet Grzegorz Marek Karwacki
Guillaume Marie
Alexander von Hessling
author_sort Grzegorz Marek Karwacki
collection DOAJ
description Randomized clinical trials have established the clinical efficacy of mechanical revascularization compared to drug therapy. Successful reperfusion in mechanical thrombectomy is achieved in 53% to 83% of cases, often requiring multiple thrombectomies, which can prolong procedure times and potentially lead to worse outcomes and higher complication risks. The current body of literature suggests that the first pass effect (FPE) is of paramount importance. To achieve a higher FPE, a double stent retriever (DSR) technique is becoming more popular. This publication shares our experience, challenges, and learning journey in implementing DSR in our department.
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institution Kabale University
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publisher Korean Society of Interventional Neuroradiology
record_format Article
series Neurointervention
spelling doaj-art-a5af18aa9e4b4daba123e443edd4ab752025-08-20T03:30:38ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732025-07-01202828810.5469/neuroint.2025.00199461Technical Aspects and Tips and Tricks for Double Stent Retriever ThrombectomyGrzegorz Marek KarwackiGuillaume Marie0Alexander von Hessling1 Department of Radiology and Nuclear Medicine, Lucerne Cantonal Hospital, Luzern, Switzerland Department of Radiology and Nuclear Medicine, Lucerne Cantonal Hospital, Luzern, SwitzerlandRandomized clinical trials have established the clinical efficacy of mechanical revascularization compared to drug therapy. Successful reperfusion in mechanical thrombectomy is achieved in 53% to 83% of cases, often requiring multiple thrombectomies, which can prolong procedure times and potentially lead to worse outcomes and higher complication risks. The current body of literature suggests that the first pass effect (FPE) is of paramount importance. To achieve a higher FPE, a double stent retriever (DSR) technique is becoming more popular. This publication shares our experience, challenges, and learning journey in implementing DSR in our department.http://neurointervention.org/upload/pdf/neuroint-2025-00199.pdfstrokethrombectomy
spellingShingle Grzegorz Marek Karwacki
Guillaume Marie
Alexander von Hessling
Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy
Neurointervention
stroke
thrombectomy
title Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy
title_full Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy
title_fullStr Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy
title_full_unstemmed Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy
title_short Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy
title_sort technical aspects and tips and tricks for double stent retriever thrombectomy
topic stroke
thrombectomy
url http://neurointervention.org/upload/pdf/neuroint-2025-00199.pdf
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AT guillaumemarie technicalaspectsandtipsandtricksfordoublestentretrieverthrombectomy
AT alexandervonhessling technicalaspectsandtipsandtricksfordoublestentretrieverthrombectomy