Technical Aspects and Tips and Tricks for Double Stent Retriever Thrombectomy.

Area of Science:

• Neurology
• Interventional Neuroradiology
• Cardiovascular Medicine

Background:

• Mechanical revascularization is clinically effective for stroke compared to drug therapy.
• Successful reperfusion rates in mechanical thrombectomy range from 53% to 83%.
• Multiple thrombectomies increase procedure time, complication risks, and may worsen outcomes.

Purpose of the Study:

• To evaluate the implementation of the double stent retriever (DSR) technique.
• To share experiences and challenges in adopting DSR for mechanical thrombectomy.
• To improve the first pass effect (FPE) in stroke interventions.

Main Methods:

• Retrospective review of clinical cases involving the double stent retriever (DSR) technique.
• Analysis of procedural outcomes, including reperfusion rates and FPE.
• Documentation of challenges and learning experiences during DSR implementation.

Main Results:

• The double stent retriever (DSR) technique is increasingly utilized to enhance the first pass effect (FPE).
• Successful reperfusion is critical, and FPE is a key determinant of patient outcomes.
• Implementation of DSR involves specific challenges and a learning curve for the department.

Conclusions:

• Achieving a high first pass effect (FPE) is crucial in mechanical thrombectomy.
• The double stent retriever (DSR) technique offers a promising approach to increase FPE.
• Sharing implementation experiences is vital for the broader adoption and optimization of DSR.