Comparison of Solitaire thrombectomy and Penumbra suction thrombectomy in patients with acute ischemic stroke caused by basilar artery occlusion
| Autor: | Ki-Jong Park, Jiho Hong, Heeyoung Kang, Soo-Kyoung Kim, Nack-Cheon Choi, Seungnam Son, Min Kyun Oh, Dae Seob Choi, Byeong Hoon Lim, Oh-Young Kwon |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Suction (medicine) medicine.medical_specialty Solitaire Cryptographic Algorithm medicine.medical_treatment Arterial Occlusive Diseases Brain Ischemia 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Modified Rankin Scale medicine Humans Stroke Aged Thrombectomy Aged 80 and over Cerebral infarction business.industry Penumbra General Medicine Thrombolysis Middle Aged medicine.disease Surgery Catheter Outcome and Process Assessment Health Care Basilar Artery Female Stents Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Journal of NeuroInterventional Surgery. 8:13-18 |
| ISSN: | 1759-8486 1759-8478 |
| DOI: | 10.1136/neurintsurg-2014-011472 |
| Popis: | Background and purposeAcute ischemic stroke (AIS) caused by basilar artery occlusion (BAO) is a very severe neurological disease with a high mortality rate and poor clinical outcomes. In this study, we compared our experience of mechanical thrombectomy using the Solitaire stent (Solitaire thrombectomy) and manual aspiration thrombectomy using the Penumbra reperfusion catheter (Penumbra suction thrombectomy) in patients with AIS caused by BAO.Materials and methodsBetween March 2011 and December 2011, 13 patients received Solitaire thrombectomy. In January 2012, the Korean Food and Drug Administration banned the use of the Solitaire stent as a thrombectomy device, and a further 18 patients received Penumbra suction thrombectomy until December 2013. We compared parameters between patients treated with each device.ResultsSuccessful recanalization rates (Thrombolysis in Cerebral Infarction (TICI) score ≥2b: 84.6% vs 100%, p=0.168) and clinical outcomes (judged by the modified Rankin Scale scores recorded at 3 months: 3.6±2.6 vs 3.2±2.6, p=0.726) were not significantly different between the two groups. However, complete recanalization rates (TICI score of 3: 23.1% vs 72.2%, p=0.015) and total procedure times (101.9±41.4 vs 62.3±34.8 min, p=0.044) were significantly higher, and shorter, respectively, in patients treated by Penumbra suction thrombectomy.ConclusionsThe two thrombectomy devices were associated with similar recanalization rates and clinical outcomes in patients with AIS caused by BAO. However, Penumbra suction thrombectomy seemed to allow more rapid and complete recanalization than Solitaire thrombectomy. |
| Databáze: | OpenAIRE |
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