Abstract
Endovascular treatment strategies for acute ischemic stroke are evolving. The stent retriever-mediated aspiration thrombectomy (SMAT) technique utilizes a stent retriever device, a large-bore aspiration catheter, and manual syringe suction aspiration. It is a highly effective thrombectomy strategy for acute large vessel occlusions of the proximal intracranial arteries in patients with suspected salvageable brain. Herein we describe the SMAT technique in detail and discuss special considerations and tips, pearls, and lessons learned.
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Gross BA, Jadhav AP, Jovin TG, Jankowitz BT. Dump the pump: manual aspiration thrombectomy (MAT) with a syringe is technically effective, expeditious, and cost-efficient. J Neurointerv Surg. 2018;10:354–7.
Lapergue B, et al. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER randomized clinical trial. JAMA. 2017;318:443–52.
Hesse AC, et al. Comparing different thrombectomy techniques in five large-volume centers: a ‘real world’ observational study. J. Neurointerv Surg. neurintsurg-2017-013394. 2017; https://doi.org/10.1136/neurintsurg-2017-013394.
Saber H, Rajah GB, Kherallah RY, Jadhav AP, Narayanan S. Comparison of the efficacy and safety of thrombectomy devices in acute stroke : a network meta-analysis of randomized trials. J Neurointerv Surg. neurintsurg-2017-013544. 2017; https://doi.org/10.1136/neurintsurg-2017-013544.
Jadhav AP, et al. Stent retriever-mediated manual aspiration thrombectomy for acute ischemic stroke. Interv Neurol. 2017;6:16–24.
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Zussman, B., Jadhav, A., Jovin, T.G. (2021). The Stentriever-Mediated Aspiration Thrombectomy (SMAT) Technique. In: Hui, F.K., Spiotta, A.M., Alexander, M.J., Hanel, R.A., Baxter, B.W. (eds) 12 Strokes. Springer, Cham. https://doi.org/10.1007/978-3-030-56857-3_9
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DOI: https://doi.org/10.1007/978-3-030-56857-3_9
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