[en] Mechanical thrombectomy is now the standard of care for acute ischemic stroke patients with large vessel occlusions, and can be performed with several devices and techniques. One of these techniques, direct aspiration (DA), consists of navigating a large-bore catheter up to the face of the clot and initiating forceful suction. This comprehensive review has three objectives: (1) to describe the direct aspiration technique; (2) to present the available evidence regarding predictive factors of DA success and performance compared with other techniques; and (3) to discuss the forthcoming improvements in distal aspiration.
Disciplines :
Neurology
Author, co-author :
Boisseau, William; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Escalard, Simon; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Fahed, Robert ; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France ; Department of Medicine - Division of Neurology, Ottawa Hospital, Ottawa, Ontario, Canada
Lapergue, Bertrand; Neurology Department, Hôpital Foch, Suresnes, Île-de-France, France
Smajda, Stanislas ; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Maier, Benjamin; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France ; Université de Paris, Paris, Île-de-France, France
Desilles, Jean Philippe; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France ; Université de Paris, Paris, Île-de-France, France
Delvoye, François ; Université de Liège - ULiège > Département des sciences cliniques ; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Ciccio, Gabriele; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Redjem, Hocine; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Hebert, Solène; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Ben Maacha, Malek; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France
Walker, Gregory; Department of Medicine - Division of Neurology, Ottawa Hospital, Ottawa, Ontario, Canada ; Department of Medicine - Division of Neurology, Royal Columbian Hospital, New Westminster, British Columbia, Canada
Gory, Benjamin ; Diagnostic and Interventional Neuroradiology, Centre Hospitalier Universitaire de Nancy, Nancy, France
Richard, Sébastien; Neurology Stroke Unit, University Hospital Centre Nancy, Nancy, France
Mazighi, Mikael; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France ; Université de Paris, Paris, Île-de-France, France
Piotin, Michel ; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France ; Université de Paris, Paris, Île-de-France, France
Blanc, Raphaël ; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France rblanc@for.paris ; Université de Paris, Paris, Île-de-France, France
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