Abstract TP15: A Multicenter Study Comparing Solumbra to Standard Aspiration and Stent Retriever Thrombectomy
| Autor: | Dallas Sheinberg, Evan Luther, Marios Psychogios, Stephanie H Chen, Travis M. Dumont, Almallouhi Eyad, Adam S Arthur, Ansaar T Rai, David J McCarthy, Reade De Leacy, Joon-Tae Kim, Alejandro M Spiotta, Kyle M Fargen, Salah G. Keyrouz, Vasu Saini, Peter Kan, Ilko Maier, Ali Alawieh, Robert M. Starke |
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| Rok vydání: | 2020 |
| Předmět: |
Advanced and Specialized Nursing
medicine.medical_specialty business.industry medicine.medical_treatment Stent Aspiration Thrombectomy medicine.disease Surgery Mechanical thrombectomy Multicenter study Medicine Neurology (clinical) Cardiology and Cardiovascular Medicine business Stroke Stent retriever |
| Zdroj: | Stroke. 51 |
| ISSN: | 1524-4628 0039-2499 2015-2019 |
| Popis: | Background: Standard mechanical thrombectomy (MT) techniques utilized include aspiration thrombectomy (ADAPT), stent retriever (SR), and a combination of both (Solumbra). Many studies compare outcomes between ADAPT and SR; however, there has yet to be a large multicenter investigation comparing ADAPT and SR to Solumbra. Methods: All patients from the participating STAR collaboration who underwent MT from 2015-2019 were included. Patients were analyzed by first MT technique utilized (ADAPT, SR, or Solumbra). Univariable and multivariable linear regression was utilized to analyze the MT technique association to number of thrombectomy attempts and procedure time. Univariable and multivariable logistic regression was utilized to determine the association between MT technique and the following outcomes: recanalization, symptomatic hemorrhage, 90-day functional independence, or 90-day mortality. P value less than 0.5 was considered significant. Results: A total of 2515 MT for stroke were identified: 1155 (46%) ADAPT, 735 (29%) SR, 625 (25%) Solumbra. Patients who received Solumbra MT were older (p Conclusion: Compared to standard ADAPT and SR thrombectomy, the Solumbra technique for MT is a longer procedure that results in an increased likelihood of hemorrhage and 90-day mortality. |
| Databáze: | OpenAIRE |
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