Making the invisible visible: integrated visualization and automated quantification of thrombus deformation during mechanical thrombectomy

Our new imaging and analysis framework allows for objective, reproducible measurements of thrombus-stent interaction over time. Our findings support the high efficacy of both stent retrievers. While the Embotrap III exerted stronger mechanical deformation effects on the clots, initial distal thrombus migration occurred more often with the NeVa device. This approach may support more informed device selection and optimization of thrombectomy strategies to enhance reperfusion success and reduce distal embolization in acute ischemic stroke.