Yao QY, Fu ML, Zhao Q, Zheng XM, Tang K, Cao LM. Image-based visualization of stents in mechanical thrombectomy for acute ischemic stroke: Preliminary findings from a series of cases. World J Clin Cases 2023; 11(21): 5047-5055 [PMID: 37583850 DOI: 10.12998/wjcc.v11.i21.5047]
Corresponding Author of This Article
Li-Ming Cao, MD, PhD, Adjunct Associate Professor, Hunan Provincial Key Laboratory of The Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, No. 1501 Leifeng Avenue, Wangcheng District, Changsha 410219, China. caolm-2007@163.com
Research Domain of This Article
Neurosciences
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2023; 11(21): 5047-5055 Published online Jul 26, 2023. doi: 10.12998/wjcc.v11.i21.5047
Image-based visualization of stents in mechanical thrombectomy for acute ischemic stroke: Preliminary findings from a series of cases
Qing-Yang Yao, Mao-Lin Fu, Qing Zhao, Xiao-Ming Zheng, Kai Tang, Li-Ming Cao
Qing-Yang Yao, Department of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou 362000, Fujian Province, China
Mao-Lin Fu, Qing Zhao, Xiao-Ming Zheng, Kai Tang, Department of Neurology, The 910th Hospital of the Joint Logistics Support Force of the Chinese PLA, Quanzhou 362000, Fujian Province, China
Li-Ming Cao, Department of Neurology, The First Affiliated Hospital of Shenzhen University, Shenzhen 518000, Guangdong Province, China
Li-Ming Cao, Hunan Provincial Key Laboratory of The Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, Changsha 410219, Hunan Province, China
Author contributions: Cao LM drafted the manuscript and conceived the study; Yao QY and Fu ML provided resources and constructive discussion; Zhao Q, Zheng XM, and Tang K analyzed the imaging and provided constructive discussion; Yao QY and Fu ML contributed equally to this work; all authors have read and approved the final manuscript.
Supported byThe Clinical Research Project of The First Affiliated Hospital of Shenzhen University, No. 20223357030 and No. 20223357021, and the “Double-First Class” Application Characteristic Discipline of Hunan Province (Pharmaceutical Science).
Institutional review board statement: The study design was approved by the ethics review board of the 910th Hospital of the Joint Logistics Support Force of the Chinese PLA (No. 2021-29).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Not applicable.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Ming Cao, MD, PhD, Adjunct Associate Professor, Hunan Provincial Key Laboratory of The Research and Development of Novel Pharmaceutical Preparations, Changsha Medical University, No. 1501 Leifeng Avenue, Wangcheng District, Changsha 410219, China. caolm-2007@163.com
Received: April 10, 2023 Peer-review started: April 10, 2023 First decision: May 8, 2023 Revised: May 17, 2023 Accepted: July 4, 2023 Article in press: July 4, 2023 Published online: July 26, 2023 Processing time: 107 Days and 9.8 Hours
ARTICLE HIGHLIGHTS
Research background
Mechanical thrombectomy is the most effective treatment for great cerebral artery embolization within a set time window. Typically, an arteriogram does not show the localization of the stent after release and whether a thrombus is captured or not.
Research motivation
Improving the visualization of a stent will be helpful for clinicians to perform stent-based mechanical thrombectomy.
Research objectives
This study aimed to analyze stent imaging findings to enhance clinicians’ understanding that improved the success rate of stent-based mechanical thrombectomy.
Research methods
This was a retrospective study with acute ischemic stroke (AIS) patients who underwent stent-based mechanical thrombectomy.
Research results
Four patients with acute cerebral large-vessel occlusion presented the localization of the stent after release, where a thrombus was captured in mechanical thrombosis.
Research conclusions
To our knowledge, this is the first report of stent imaging in patients with AIS. We demonstrated the usefulness and substantial potential of stent imaging in stent-based mechanical thrombectomy.
Research perspectives
Additional studies are required to confirm our findings and elucidate the underlying mechanism involved.
