Direct aspiration stroke thrombectomy: a comprehensive review
William Boisseau, Simon Escalard, Robert Fahed, Bertrand Lapergue, Stanislas Smajda, Benjamin Maïer, Jean‐Philippe Désilles, François Delvoye, Gabriele Cicciò, Hocine Redjem, Solène Hébert, Malek Ben Maacha, Gregory Walker, Benjamin Gory, Sébastien Richard, Mikaël Mazighi, Michel Piotin, Raphaël Blanc
Abstract
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.