-
Something wrong with this record ?
Efficacy of Mechanical Thrombectomy using Penumbra ACETM Aspiration Catheter Compared to Stent Retriever SolitaireTM FR in Patients with Acute Ischemic Stroke
D. Sila, M. Lenski, M. Vojtková, M. Elgharbawy, F. Charvát, S. Rath
Language English Country Switzerland
Document type Journal Article
NLK
Directory of Open Access Journals
from 2011
PubMed Central
from 2011
Europe PubMed Central
from 2011
ProQuest Central
from 2011-01-01
Open Access Digital Library
from 2011-01-01
Open Access Digital Library
from 2011-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2011
- Publication type
- Journal Article MeSH
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.
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc21017944
- 003
- CZ-PrNML
- 005
- 20210729104058.0
- 007
- ta
- 008
- 210726s2021 sz f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.3390/brainsci11040504 $2 doi
- 035 __
- $a (PubMed)33923489
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a sz
- 100 1_
- $a Sila, Dalibor $u Department of Neurosurgery and Interventional Neuroradiology, Donau-Isar Klinikum, Perlasberger Str. 41, 94469 Deggendorf, Germany
- 245 10
- $a Efficacy of Mechanical Thrombectomy using Penumbra ACETM Aspiration Catheter Compared to Stent Retriever SolitaireTM FR in Patients with Acute Ischemic Stroke / $c D. Sila, M. Lenski, M. Vojtková, M. Elgharbawy, F. Charvát, S. Rath
- 520 9_
- $a 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.
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Lenski, Markus $u Neurosurgical Clinic, Campus Grosshadern, Clinic of the University of Munich (LMU), Marchioninistrasse 15, 81377 Munich, Germany
- 700 1_
- $a Vojtková, Maria $u Department of Statistics, Faculty of Economic Informatics, University of Economics in Bratislava, Dolnozemska cesta 1/b, 85235 Bratislava, Slovakia
- 700 1_
- $a Elgharbawy, Mustafa $u Department of Radiology and Interventional Radiology, Donau-Isar Klinikum, Perlasberger Str. 41, 94469 Deggendorf, Germany
- 700 1_
- $a Charvát, František $u Radiodiagnostic Departement, Military University Hospital Prague, U Vojenské nemocnice 1200, 16902 Praha, Czech Republic
- 700 1_
- $a Rath, Stefan $u Department of Neurosurgery and Interventional Neuroradiology, Donau-Isar Klinikum, Perlasberger Str. 41, 94469 Deggendorf, Germany
- 773 0_
- $w MED00198694 $t Brain sciences $x 2076-3425 $g Roč. 11, č. 4 (2021)
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/33923489 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y - $z 0
- 990 __
- $a 20210726 $b ABA008
- 991 __
- $a 20210729104057 $b ABA008
- 999 __
- $a ind $b bmc $g 1676475 $s 1138386
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2021 $b 11 $c 4 $e 20210416 $i 2076-3425 $m Brain sciences $n Brain Sci $x MED00198694
- LZP __
- $a Pubmed-20210726
