Optimizing Tigertriever adjustable stentriever technique: Operators’ experience

Author:

Jankowitz Brian1ORCID,Abergel Eitan2,Agid Ronit3,Al-Schameri Abdul Rahman4,Bartosz Krzysztof5,Brook Allan6,Diepers Michael7,Farkas Jeffrey8,Fifi Johanna9,Fischer Sebastian10ORCID,Gandhi Chirag11,Gooch Reid12ORCID,Grandhi Ramesh13ORCID,Pero Guglielmo14,Raphaeli Guy15,Roychowdhury Sudipta16,Shahram 9,Stracke Christian Paul17,Sourour Nader18,Tanweer Omar19,Tateshima Satoshi20,Taussky Phil21ORCID,Wiesmann Martin22,Yoo Albert23,Zumofen Daniel W24,Singer Justin25

Affiliation:

1. Department of Neurosurgery, JFK University Hospital, Edison, NJ, USA

2. Department of Neuroradiology, Rambam Health Care Campus, Haifa, Israel

3. Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada

4. Department of Neurosurgery, Paracelsus Medical University Salzburg, Salzburg, Austria

5. Department of Neurosurgery, Centrum Medyczne Kształcenia Podyplomowego, Grodzisk Mazowiecki, Poland

6. Radiology, Montefiore Medical Center, Bronx, NY, USA

7. Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland

8. Neurology, New York University, New York, NY, USA

9. Department of Neurosurgery, Mount Sinai Health System, New York, NY, USA

10. Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Knappschaftskrankenhaus Bochum Langendeer, Bochum, Germany

11. Neurosurgery, Westchester Medical Center, Valhalla, NY, USA

12. Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

13. Department of Neurosurgery, University of Utah Health, Salt Lake City, UT, USA

14. Department of Neuroradiology, Ospedale Niguarda Ca Granda, Milano, Italy

15. Neurology, Rabin Medical Center, Petah Tikva, Israel

16. Radiology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

17. Department of Interventional Neuroradiology, University Hospital Muenster, Munster, Germany

18. Interventional Neuroradiology, Hospital Pitie, Paris, France

19. Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA

20. Interventional Neuroradiology, UCLA Medical Center, Los Angeles, CA, USA

21. Department of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, MA, USA

22. Neuroradiology, Universitatsklinikum Aachen, Aachen, Germany

23. Neurointervention, Texas Stroke Institute, Plano, TX, USA

24. Department of Neurological Surgery, Maimonides Medical Center, Brooklyn, NY, USA

25. Department of Neurological Surgery, Spectrum Health Medical Group, Grand Rapids, MI, USA

Abstract

The Tigertriever is a novel, radially adjustable stentriever that addresses limitations in traditional mechanical thrombectomy devices by providing enhanced user control over clot integration. This provides the ability to adapt to patient-specific factors such as varying vessel sizes and clot compositions and may be particularly crucial for ensuring efficacy and safety in distal locations. This consensus paper synthesizes the clinical techniques from a consortium of experienced international operators. It outlines the current data on the Tigertriever, discusses the new operator-controlled capabilities, and provides a recommended approach for both proximal and distal mechanical thrombectomy, emphasizing the “FLEX” approach (Fast Controlled Expansion with Relaxation) for optimal integration and reduced clot disruption.

Publisher

SAGE Publications

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