American Journal of Neuroradiology 23:783-786, May 2002
© 2002 American Society of Neuroradiology
Case Report
INTERVENTIONAL
Intraarterial Suction Thrombectomy in Acute Stroke
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) 01 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, 1223) to 4 (range, 222) at 3 months. IA suction thrombectomy may be safe and feasible in patients with acute stroke.
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