Mechanical thrombectomy failure in anterior circulation large vessel occlusion: an overview from the ROSSETTI registry

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Publicated to:Journal Of Neurointerventional Surgery. - 2025-04-25 (), DOI: 10.1136/jnis-2025-023078

Authors: Morales-Caba, Lluis; Puig, Josep; Sanchis, Juan Manuel; Vazquez, Victor; Werner, Mariano; Dolz, Guillem; Comas-Cufi, Marc; Daunis-i-Estadella, Pepus; Vega, Pedro; Murias, Eduardo; Gonzalez, Eva; Manso, Xabier; Delgado, Fernando; Martinez, Carlos; Perez-Garcia, Carlos; Rosati, Santiago; Remollo, Sebastian; Castano, Carlos; Vielba-Gomez, Isabel; Aja, Lucia; Martinez-Fernandez, Javier; Aguilar Tejedor, Yeray; Rayon-Aledo, Jose Carlos; Parrilla, Guillermo; Cuba, Victor; Vargas, Luis Hernan; Doncel-Moriano Cubero, Antonio; San Roman, Luis; Blasco, Jordi; Aparici-Robles, Fernando

Affiliations

Alicante Gen Univ Hosp, Intervent Neuroradiol, Alicante, Valenciana, Spain - Author

Bellvitge Univ Hosp, Radiol, Barcelona, Spain - Author

Clin San Carlos Hosp, Dept Radiol, Sect Intervent Neuroradiol, Madrid, Spain - Author

Hosp Clin Barcelona, Dept Radiol, Barcelona, Spain - Author

Hosp Clin Barcelona, IDIBAPS, Barcelona, Spain - Author

Hosp Clin Barcelona, Neurointervent Dept CDI, Barcelona, Spain - Author

Hosp Clin Barcelona, Radiol Dept CDI, Barcelona, Spain - Author

Hosp Clin Barcelona, Stroke Unit, Neurol, Barcelona, Spain - Author

Hosp Clin Univ San Carlos, Intervent Neuroradiol, Madrid, Spain - Author

Hosp Politecn & La Univ Fe, Secc Neurorradiol, Area Clin, Imagen Med, Valencia, Spain - Author

Hosp Ramon & Cajal, Intervent Neuroradiol Unit, Radiol, Madrid, Spain - Author

Hosp Reina Sofia, Diagnost & Therapeut Neuroradiol Unit, Cordoba 14004, Spain - Author

Hosp Univ & Politecn La Fe, Neuroradiol Unit, Valencia, Spain - Author

Hosp Univ Bellvitge, Neuroradiol, Barcelona, Spain - Author

Hosp Univ Cent Asturias, Radiol, Oviedo, Spain - Author

Hosp Univ Cruces, Intervent Neuroradiol, Bilbao, Spain - Author

Hosp Univ Germans Trias i Pujol, Dept Neurosci, Badalona, Spain - Author

Hosp Univ Germans Trias i Pujol, Dept Neurosci, Intervent Neuroradiol Unit, Badalona, Spain - Author

Hosp Univ Germans Trias i Pujol, Intervent Neuroradiol Unit, Barcelona, Spain - Author

Hosp Univ Girona Doctor Josep Trueta, Dept Neurol, Stroke Unit, Girona, Spain - Author

Hosp Univ Insular Gran Canaria, Radiol Dept, Las Palmas Gran Canaria, Spain - Author

Hosp Univ Reina Sofia, Neurorradiol, Cordoba, Spain - Author

Hosp Univ Salamanca, Dept Intervent Neuroradiol, Salamanca, Spain - Author

Hosp Univ Tarragona Joan XXIII, Tarragona, Spain - Author

Hosp Univ Virgen Arrixaca, Murcia, Spain - Author

La Fe Univ & Polytech Hosp, Intervent Neurorradiol, Valencia, Spain - Author

La Fe Univ & Polytech Hosp, Valencia, Spain - Author

Univ Girona, Dept Comp Sci Appl Math & Stat, Girona, Spain - Author

Univ Hosp Santiago de Compostela, Dept Radiol, Santiago De Compostela, Spain - Author

Abstract

Background: Although mechanical thrombectomy (MT) is an effective treatment for large vessel occlusion (LVO) with a high successful recanalization rate, MT failure (MTF) occurs in 10-15% of cases and is associated with unfavorable outcomes. However, little is known about the clinical, technical, and radiological reasons for MTF. We investigated the technical factors associated with MTF. Methods: We conducted a retrospective analysis of consecutive patients with anterior LVO prospectively included in the ongoing observational multicenter ROSSETTI registry. Patients were categorized according to the success (>= mTICI 2b) or failure (

Keywords

Acute ischemic-strokBrainDeviceInterventionStent-retriever thrombectomyStrokeTechniquTechnique

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Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Neurointerventional Surgery due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position 2/15, thus managing to position itself as a Q1 (Primer Cuartil), in the category Neuroimaging. Notably, the journal is positioned above the 90th percentile.

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the author responsible for correspondence tasks has been Puig, Josep.

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