Optimal strategy for mechanical thrombectomy based on the preoperative imaging features of the thrombus

Clinical Neurology and Neurosurgery 2026 Open access

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Authors: Hiroyuki Sakata, Masayuki Ezura, Ryosuke Tashiro, Shunsuke Omodaka, Kenichi Sato, Kuniyasu Niizuma, Hidenori Endo
DOI: 10.1016/j.clineuro.2026.109322
Cited by: 1
References: 10

Abstract

OBJECTIVE: Successful recanalization is not achieved in approximately 20 % of stroke patients who underwent mechanical thrombectomy, possibly due to the characteristics of the underlying thrombus. This study aimed to identify the most appropriate thrombectomy strategy based on the preoperative imaging features of the thrombus. METHODS: We retrospectively evaluated the data of 70 patients who underwent mechanical thrombectomy. Thrombus density was assessed using non-contrast computed tomography (ΔCT values) and CT angiography (thrombus permeability). Difficult-to-retrieve thrombi were categorized based on the cutoff values (ΔCT

Fields of Study & Subjects

Venous Thromboembolism Diagnosis and Management Trauma Hemostasis Coagulopathy Resuscitation Blood Coagulation and Thrombosis Mechanisms

Publication details

Journal / source
Clinical Neurology and Neurosurgery
Publisher
Elsevier BV
Volume
263
Pages
109322–109322
Publication date
18 January 2026
Language
EN