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Updated: Jan 29, 2026

Fabrication of Small Caliber Stent-grafts Using Electrospinning and Balloon Expandable Bare Metal Stents
Published on: October 26, 2016
Thrombus perviousness is not associated with first-pass revascularization using stent retrievers.
Jun-Soo Byun1, Patrick Nicholson1, Christopher A Hilditch1
1Joint Department of Medical Imaging, Toronto Western Hospital, Toronto, Canada.
Thrombus imaging on CT angiography does not predict successful first-pass recanalization in stroke patients treated with stent retrievers. Longer clot length, however, increases the risk of distal embolic complications during mechanical thrombectomy.
Area of Science:
- Neurology
- Radiology
- Interventional Cardiology
Background:
- Thrombus imaging characteristics on computed tomography (CT) are increasingly studied for predicting recanalization success.
- Hounsfield unit (HU) and perviousness on noncontrast CT (NCCT) and CT angiography (CTA) may indicate treatment outcomes.
- Predicting successful recanalization is crucial for optimizing mechanical thrombectomy in acute ischemic stroke.
Purpose of the Study:
- To assess if thrombus imaging characteristics on multiphase CT angiography (CTA) can predict successful first-pass recanalization.
- To determine the association between thrombus imaging features and successful revascularization.
- To investigate the relationship between clot characteristics and distal embolic complications.
Main Methods:
- Retrospective review of 52 patients undergoing mechanical thrombectomy with stent retrievers on first pass.
- Analysis of multiphase CTA for thrombus attenuation, enhancement (arterial and delayed phases), and percentage washout.
- Correlation of imaging characteristics with first-pass recanalization, overall successful revascularization, and distal embolic events.
Main Results:
- First-pass recanalization was achieved in 59.6% of patients; complete revascularization in 84.6%.
- No significant correlation was found between thrombus density (NCCT), enhancement (CTA), or length and first-pass recanalization.
- Clot length was significantly greater in patients experiencing distal embolic complications (18.5 mm vs. 11.4 mm).
Conclusions:
- Multiphase CTA thrombus imaging characteristics do not reliably predict first-pass recanalization in acute ischemic stroke patients treated with stent retrievers.
- Thrombus length is a significant predictor of distal embolic complications.
- Further research may be needed to identify reliable imaging biomarkers for predicting thrombectomy outcomes.
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