• David J Altschul, Tarini Vats, Santiago R Unda, Irene Osborn, Janet McHenry, and Richard Zampolin.
• Department of Neurological Surgery, Montefiore Medical Center, Bronx, New York, USA.
• World Neurosurg. 2020 Aug 1; 140: 109-113.

BackgroundAcute stroke resolution via endovascular thrombectomy requires transcarotid access when transfemoral access is not possible. Although postoperative complications such as cervical hematoma and airway compression have been reported, an appropriate postprocedural management is largely unknown yet. We aim to provide new insights and learning points from our experience using the Jaw Elevation Device (JED) as a tool to facilitate recovery post surgery.Case DescriptionA 79-year-old female underwent endovascular thrombectomy via transcervical, transcarotid access for a left internal carotid artery occlusion. No intraprocedural complications were reported. After successful thrombectomy, manual compression was applied in the carotid artery, and to achieve neck immobilization a JED was used for 4 hours after the procedure. No complications occurred.ConclusionsJED appears to be a reasonable option to facilitate patient recovery due to its capacity to maintain the airway, provide mild compression for hemostasis, and prevent cervical hematoma through a comfortable neck immobilization.Published by Elsevier Inc.

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