Efficacy of Mechanical Thrombectomy using Penumbra ACE
| Autor: | František Charvát, Dalibor Sila, Mustafa Elgharbawy, Stefan Rath, Mária Vojtková, Markus Lenski |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Solitaire Cryptographic Algorithm Radiography medicine.medical_treatment Neurosciences. Biological psychiatry. Neuropsychiatry Article procedure efficacy 03 medical and health sciences 0302 clinical medicine medicine Fluoroscopy 030212 general & internal medicine solitaire Stroke medicine.diagnostic_test business.industry General Neuroscience Penumbra Stent penumbra medicine.disease stroke stent retriever Catheter thrombectomy Angiography Radiology business 030217 neurology & neurosurgery aspiration catheter RC321-571 |
| Zdroj: | Brain Sciences Volume 11 Issue 4 Brain Sciences, Vol 11, Iss 504, p 504 (2021) |
| ISSN: | 2076-3425 |
| Popis: | Background: Mechanical thrombectomy is the standard therapy in patients with acute ischemic stroke (AIS). The primary aim of our study was to compare the procedural efficacy of the direct aspiration technique, using Penumbra ACETM aspiration catheter, and the stent retriever technique, with a SolitaireTM FR stent. Secondarily, we investigated treatment-dependent and treatment-independent factors that predict a good clinical outcome. Methods: We analyzed our series of mechanical thrombectomies using a SolitaireTM FR stent and a Penumbra ACETM catheter. The clinical and radiographic data of 76 patients were retrospectively reviewed. Using binary logistic regression, we looked for the predictors of a good clinical outcome. Results: In the Penumbra ACETM group we achieved significantly higher rates of complete vessel recanalization with lower device passage counts, shorter recanalization times, shorter procedure times and shorter fluoroscopy times (p < 0.001) compared to the SolitaireTM FR group. We observed no significant difference in good clinical outcomes (52.4% vs. 56.4%, p = 0.756). Predictors of a good clinical outcome were lower initial NIHSS scores, pial arterial collateralization on admission head CT angiography scan, shorter recanalization times and device passage counts. Conclusions: The aspiration technique using Penumbra ACETM catheter is comparable to the stent retriever technique with SolitaireTM FR regarding clinical outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|