Thrombectomy with embed aspiration in acute ischaemic stroke.
Aspiration technique
Ictus
Stroke
Thrombectomy
Trombectomía
Técnica de aspiración
Journal
Neurologia
ISSN: 2173-5808
Titre abrégé: Neurologia (Engl Ed)
Pays: Spain
ID NLM: 101778590
Informations de publication
Date de publication:
26 Apr 2023
26 Apr 2023
Historique:
received:
16
05
2021
accepted:
24
09
2021
pubmed:
29
4
2023
medline:
29
4
2023
entrez:
28
4
2023
Statut:
aheadofprint
Résumé
In addition to stent retrievers, direct aspiration has become a reasonable thrombectomy strategy. We carried out the thrombectomy by guiding the aspiration catheter fully over the clot and performing immediate manual aspiration; we call this procedure "embed aspiration". In this prospective, non-randomised, single-centre study, we included all patients treated at a high volume-of-care stroke centre between 2017 and 2018 for the TRIANA (Thrombectomy in Andalusia using Aspiration) registry. Thrombectomy was carried out by embed aspiration. Patients were classified according to the success (eTICI 2b67-2c-3) or failure (eTICI 0-1-2a-2b50) of the procedure. Baseline clinical data and outcomes were compared, and multivariate analysis was performed. The embed aspiration technique was used in 370 patients. Treatment was successful in 90.3% of patients. Mean puncture-to-recanalisation time was 25 minutes. The overall rate of good outcomes (mRS 0-2) at 3 months was 64%. This study supports real-life evidence that standardised embed aspiration may be an alternative to stent retrievers for thrombectomy.
Sections du résumé
BACKGROUND
BACKGROUND
In addition to stent retrievers, direct aspiration has become a reasonable thrombectomy strategy.
OBJECTIVES
OBJECTIVE
We carried out the thrombectomy by guiding the aspiration catheter fully over the clot and performing immediate manual aspiration; we call this procedure "embed aspiration".
METHODS
METHODS
In this prospective, non-randomised, single-centre study, we included all patients treated at a high volume-of-care stroke centre between 2017 and 2018 for the TRIANA (Thrombectomy in Andalusia using Aspiration) registry. Thrombectomy was carried out by embed aspiration. Patients were classified according to the success (eTICI 2b67-2c-3) or failure (eTICI 0-1-2a-2b50) of the procedure. Baseline clinical data and outcomes were compared, and multivariate analysis was performed.
RESULTS
RESULTS
The embed aspiration technique was used in 370 patients. Treatment was successful in 90.3% of patients. Mean puncture-to-recanalisation time was 25 minutes. The overall rate of good outcomes (mRS 0-2) at 3 months was 64%.
CONCLUSIONS
CONCLUSIONS
This study supports real-life evidence that standardised embed aspiration may be an alternative to stent retrievers for thrombectomy.
Identifiants
pubmed: 37116689
pii: S2173-5808(23)00030-5
doi: 10.1016/j.nrleng.2021.09.013
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2021 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.