Several treatment options exist for acute intra-abdominal arterial thromboembolic events, including systemic thrombolytics, endovascular therapy, and less commonly surgery. A novel alternative treatment intervention for acute intra-abdominal arterial thrombus is the use of stent retriever (SR) devices, tools traditionally applied for treatment of acute vascular thrombosis in stroke patients. This brief report presents two cases of acute intra-abdominal arterial thrombosis successfully managed by deployment of SRs. Furthermore, it details the history, device mechanism, and design of SRs and describes cases in literature involving effective extracranial SR application.
SilvaMASeeAPShahSK, et al. Endovascular renal artery stent retriever embolectomy in a young patient with cardiac myxoma: Case report and review of the literature. Vasc Endovasc Surg. 2018;52(1):70-74.
KangD-HHwangY-H. Frontline contact aspiration treatment for emergent large vessel occlusion: A review focused on practical techniques. Journal of Stroke. 2019;21(1):10-22.
9.
WengerKNaglFWagnerMBerkefeldJ. Improvement of stent retriever design and efficacy of mechanical thrombectomy in a flow model. Cardiovasc Intervent Radiol. 2013;36(1):192-197.
10.
KatzJMHakounAMDehdashtiARCheblABJanardhanVJanardhanV. Understanding the radial force of stroke thrombectomy devices to minimize vessel wall injury: Mechanical bench testing of the radial force generated by a novel braided thrombectomy assist device compared to laser-cut stent retrievers in simulated mca vessel diameters. Intervent Neurol. 2019;8(2-6):206-214.
11.
MachiPJourdanFAmbardD, et al. Experimental evaluation of stent retrievers’ mechanical properties and effectiveness. J Neurointerventional Surg. 2017;9(3):257-263.
12.
AraiDIshiiAChiharaHIkedaHMiyamotoS. Histological examination of vascular damage caused by stent retriever thrombectomy devices. J Neurointerventional Surg. 2016;8(10):992-995.
13.
YiHJLeeDHKimSU. Effectiveness of trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent. Medicine. 2018;97(20) e10747.
KanekoNKomuroYYokotaHTateshimaS. Stent retrievers with segmented design improve the efficacy of thrombectomy in tortuous vessels. J Neurointerventional Surg. 2019;11(2):119-122.
16.
ShiYGuJChenL, et al. Mechanical thrombectomy using the solitaire ab device for acute embolic mesenteric ischemia. J Vasc Intervent Radiol. 2019;30(1):43-48.
17.
FitzpatrickNMotyerRGibneyB, et al. Expanding the role of stent-retriever endovascular thrombectomy: A case series of free-floating thrombus. J Neurointerventional Surg. 2018;10(12):1164-1167.
18.
UribeCEZuñigaMMadridC. Mechanical thrombectomy using the solitaire stent in a left main coronary artery: A novel approach to coronary thrombus retrieval. Cathet Cardiovasc Interv. 2017;89(1):71-77.
19.
van de HoefTPWoudstraPSprengersMES, et al. First-in-man intracoronary use of the Trevo Pro 4 mechanical thrombectomy device for the retrieval of large intracoronary thrombus in patients with acute coronary syndromes. EuroIntervention. 2013;9(4):505-509.
20.
BhoopalanKRajendranRAlagarsamySKesavamoorthyN. Successful extraction of refractory thrombus from an ectatic coronary artery using stent retriever during primary angioplasty for acute myocardial infarction: A case report. Eur Heart J Case Rep. 2019;3(1):yty161.
21.
HanserASieverdingLHauserTKWiegandGHofbeckM. Stent-retriever thrombectomy in the treatment of infants with acute thrombosis of the superior vena cava and innominate vein. Cathet Cardiovasc Interv. 2019;93(6):E357-E361.
22.
MeekJCMcDougalJSBorja-CachoDMeekME. Use of a mechanical thrombectomy device to treat early hepatic artery thrombosis after orthotopic liver transplant. Radiology Case Rep. 2018;13(2):522-526.
23.
WickMCKlockerJJaschkeWChemelliA. Endovascular popliteal thrombectomy using the self-expanding, retrievable Solitaire recanalization device. J Endovasc Ther. 2012;19(1):34-36.
24.
PratesiGBarbanteMWatchouang NguesseuSB, et al. Endovascular thrombectomy of a renal artery chimney stent-graft using the Solitaire recanalization device. J Endovasc Ther. 2013;20(2):249-251.
