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Optimizing Tigertriever adjustable stentriever technique: Operators’ experience

Interventional Neuroradiology, vol. 32, pp. 2772–2779

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.

Authors 26

  1. John F. Kennedy Medical Center

    Affiliation as printed

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

  2. Rambam Health Care Campus

    Affiliation as printed

    Department of Neuroradiology, Rambam Health Care Campus

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

  3. Toronto Western Hospital

    Affiliation as printed

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

  4. Abdul Rahman Al-Schameri corresponding

    Paracelsus Medical University

    Affiliation as printed

    Department of Neurosurgery, Paracelsus Medical University Salzburg

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

  5. Centrum Medyczne Kształcenia Podyplomowego

    Affiliation as printed

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

  6. Montefiore Medical Center

    Affiliation as printed

    Radiology, Montefiore Medical Center, Bronx, NY, USA

  7. Kantonsspital Aarau

    Affiliation as printed

    Kantonsspital Aarau

    Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland

  8. New York University

    Affiliation as printed

    Neurology, New York University, New York, NY, USA

  9. Mount Sinai Health System · Mount Sinai Hospital

    Affiliation as printed

    Department of Neurosurgery, Mount Sinai Health System

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

  10. Universitätsklinikum Knappschaftskrankenhaus Bochum

    Affiliation as printed

    Knappschaftskrankenhaus Bochum Langendeer

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

  11. Westchester Medical Center

    Affiliation as printed

    Westchester Medical Center

    Neurosurgery, Westchester Medical Center, Valhalla, NY, USA

  12. Thomas Jefferson University

    Affiliation as printed

    Thomas Jefferson University

    Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

  13. University of Utah · University of Utah Health Care

    Affiliation as printed

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

  14. Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Affiliation as printed

    Department of Neuroradiology, Ospedale Niguarda Ca Granda

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

  15. Rabin Medical Center

    Affiliation as printed

    Rabin Medical Center

    Neurology, Rabin Medical Center, Petah Tikva, Israel

  16. Rutgers, The State University of New Jersey

    Affiliation as printed

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

  17. Mount Sinai Health System · Mount Sinai Hospital

    Affiliation as printed

    Department of Neurosurgery, Mount Sinai Health System

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

  18. University Hospital Münster

    Affiliation as printed

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

  19. Pitié-Salpêtrière Hospital

    Affiliation as printed

    Interventional Neuroradiology, Hospital Pitie, Paris, France

  20. Baylor College of Medicine

    Affiliation as printed

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

  21. University of California, Los Angeles · Ronald Reagan UCLA Medical Center · UCLA Medical Center

    Affiliation as printed

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

  22. Beth Israel Deaconess Medical Center

    Affiliation as printed

    Beth Israel Deaconess Medical Center

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

  23. Universitätsklinikum Aachen

    Affiliation as printed

    Universitatsklinikum Aachen

    Neuroradiology, Universitatsklinikum Aachen, Aachen, Germany

  24. Affiliation as printed

    Neurointervention, Texas Stroke Institute, Plano, TX, USA

  25. Maimonides Medical Center

    Affiliation as printed

    Department of Neurological Surgery, Maimonides Medical Center

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

  26. Spectrum Health · Corewell Health Blodgett Hospital

    Affiliation as printed

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

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References 19

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