RT Journal Article
SR Electronic
T1 Bailout endovascular techniques applied in a complicated basilar thrombectomy case
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 217
OP 217
DO 10.1136/jnis-2022-019687
VO 16
IS 2
A1 Ali, Aryan
A1 Shapiro, Maksim
A1 Nossek, Erez
A1 Esparza, Rogelio
A1 Narayan, Vinayak
A1 Sharashidze, Vera
A1 Raz, Eytan
YR 2024
UL http://jnis.bmj.com/content/16/2/217.abstract
AB Patients with stroke symptoms due to acute basilar artery occlusion can benefit from endovascular thrombectomy.1 2 Several papers have reported unwanted events during thrombectomy procedures such as breakage, fragmentation, or even intravascular migration of the devices or catheter pieces. These papers also presented methods or techniques to retrieve defective devices such as a snare, retrievable stents, or balloons.3–6 Video 1 presents a case of basilar thrombectomy that was complicated with fragmentation and then distal migration of a Marksman microcatheter tip into the left posterior cerebral artery. The video shows the bailout technique that was used to retrieve the migrated catheter tip using a gentle/simple and posterior circulation-friendly technique—a technique based on fundamental neurointerventional concepts. Video 1  This video demonstrates the use of a bailout technique to retrieve a migrated microcatehter tip after basilar artery thrombectomy.