Controverse: Thrombus composition affects possibility for successful mechanical thrombectomy

5 october 2016 – 8:30

Intracranial thrombus ongoing research

Raul G. Nogueira (Neuroendovascular Service and Neurocritical Care Service – Marcus Stroke & Neuroscience Center – Atlanta, USA)

Join Raul Nogueira (Atlanta, GA, USA) as he speaks about the nature of thrombus itself: burden, composition, effect of time of occlusion and device interactions. A review of what we know today, along with Dr Nogueira’s own experience, this lecture touches on many critical points of use to the clinician. Learn about research linking thrombus burden, clot length and its impact on resolution or time to reperfusion after IV tPA. Focusing on clot composition, Dr Nogueira considers the difference between fresh clots, which may be more prone to distal embolization than older, fibrin-rich clots. What is the effect of the density of a clot or the dynamic nature of an occlusion with the consideration of hydromechanical forces and time? Importantly, can these observations help us define the clots we face – which ones will be more difficult to diffuse? Can a better understanding of clots help us choose the best device or can clot composition change the technique we use even with the same device? These and other points are discussed, followed by an engaging question and answer period, all making this lecture an interesting addition to more fully understanding your stroke treatment strategy. Watch now…


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