Optimizing Tigertriever adjustable stentriever technique: Operators’ experience
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
- Sudipta Roychowdhury (ORCID: https://orcid.org/0000-0002-1272-0107)
- Nader Sourour (ORCID: https://orcid.org/0000-0002-5935-5100)
- Chirag D. Gandhi (ORCID: https://orcid.org/0000-0002-8423-0414)
- Martin Wiesmann
- Michael Diepers (ORCID: https://orcid.org/0000-0002-1363-5289)
- Albert J. Yoo (ORCID: https://orcid.org/0000-0002-7657-142X)
- Guglielmo Pero (ORCID: https://orcid.org/0000-0002-8932-6909)
- Abdul Rahman Al-Schameri (ORCID: https://orcid.org/0000-0003-0555-8428)
- Johanna T Fifi (ORCID: https://orcid.org/0000-0001-7786-5668)
- Sebastian Fischer (ORCID: https://orcid.org/0000-0003-3267-917X)
- Ramesh Grandhi (ORCID: https://orcid.org/0000-0001-9000-6083)
- Eitan Abergel (ORCID: https://orcid.org/0000-0002-2954-623X)
- Ronit Agid (ORCID: https://orcid.org/0000-0003-4686-1685)
- Satoshi Tateshima (ORCID: https://orcid.org/0000-0003-0060-0930)
- Shahram Majidi (ORCID: https://orcid.org/0000-0003-2971-6216)
- Daniel Zumofen (ORCID: https://orcid.org/0000-0002-7265-8501)
- Allan Brook (ORCID: https://orcid.org/0000-0001-6010-1047)
- Michael Reid Gooch (ORCID: https://orcid.org/0000-0002-7797-1935)
- Jeffrey Farkas (ORCID: https://orcid.org/0000-0002-8055-1501)
- Philipp Taussky (ORCID: https://orcid.org/0000-0001-9247-0146)
- Justin Singer
- Christian Paul Stracke (ORCID: https://orcid.org/0000-0003-1242-4372)
- Brian T. Jankowitz (ORCID: https://orcid.org/0000-0001-9306-0763)
- Omar Tanweer (ORCID: https://orcid.org/0000-0002-6544-5591)
- Guy Raphaeli
- Krzysztof Bartosz Kądziołka
Institutions
- Rutgers, The State University of New Jersey (US)
- Beth Israel Deaconess Medical Center (US)
- Mount Sinai Health System (US)
- Westchester Medical Center (US)
- Maimonides Medical Center (US)
- Montefiore Medical Center (US)
- Spectrum Health (US)
- Thomas Jefferson University (US)
- Baylor College of Medicine (US)
- University of Utah (US)
- Paracelsus Medical University (AT)
- Toronto Western Hospital (CA)
- Rabin Medical Center (IL)
- Rambam Health Care Campus (IL)
- UCLA Medical Center (US)
- Johnson University (US)
- Sorbonne Université (FR)
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- University Hospital Münster (DE)
- Centrum Medyczne Kształcenia Podyplomowego (PL)
- Universitätsklinikum Knappschaftskrankenhaus Bochum (DE)
- Universitätsklinikum Aachen (DE)
- Pitié-Salpêtrière Hospital (FR)
- Texas Back Institute (US)
- Neurological Surgery (US)
- Kantonsspital Aarau (CH)
- John F. Kennedy Medical Center (US)
- New York University (US)
Publication Details
- Journal
- Interventional Neuroradiology
- Published
- 2024-09-02
- DOI
- https://doi.org/10.1177/15910199241272743
- Citations
- 6
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 2.32