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Case Report
INTERVENTIONAL

Intraarterial Suction Thrombectomy in Acute Stroke

Helmi L. Lutsepa, Wayne M. Clarkb, Gary M. Nesbitb, Todd A. Kuetherb and Stan L. Barnwellb

a the Oregon Stroke Center, Oregon Health Sciences University, Portland
b the Dotter Interventional Institute, Oregon Health Sciences University, Portland

Address reprint requests to Helmi L. Lutsep, MD, Oregon Stroke Center, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, CR 131, Portland, OR 97201

Summary: Three patients with internal carotid artery thrombus and thrombolysis in myocardial infarction (TIMI) 0–1 flow were treated by using intraarterial (IA) suction thrombectomy a mean of 4.2 hours after stroke onset. After catheterization with a 7F guide-catheter, thrombus was aspirated by using a 60-mL syringe. TIMI flow improved to 3 in all patients. The median National Institutes of Health Stroke Scale score decreased from 22 (range, 12–23) to 4 (range, 2–22) at 3 months. IA suction thrombectomy may be safe and feasible in patients with acute stroke.




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