Jaw elevation device: tool for neck immobilization to facilitate recovery in endovascular thrombectomy via trans cervical access.

Background Acute stroke resolution via endovascular thrombectomy (EVT) requires transcarotid access (TCA) when transfemoral access is not possible. Although, it has been reported postoperative complications such as cervical hematoma and airway compression, an appropriate post-procedural management is largely unknown yet. We aim to provide new insights and learning point from our experience using the Jaw Elevation Device (JED) as a tool to facilitate recovery post-surgery. Case description A 79-year-old female underwent EVT via transcervical, TCA for a left ICA occlusion. No intra-procedure complications were reported. After successful thrombectomy, manual compression was applied in the carotid artery and to achieve neck immobilization a Jaw Elevation Device (JED) was used for 4 hours after procedure. No complications Conclusion JED 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.