This novel technique offers a simple, safe, and effective method for direct thrombus visualization in M2 occlusions. By utilizing the intermediate catheter for controlled, low-pressure contrast injection, it may reduce the risk of distal embolization and simplifies the procedural workflow, potentially enhancing the rate of 1st-pass recanalization success. This technical note introduces the concept and provides preliminary evidence supporting further investigation and validation in larger patient cohorts.
Amamoto et al. (Thu,) studied this question.