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Published on: January 18, 2018
Thrombectomy in patients with large cerebral artery occlusion: a single-center experience with a new stent retriever
Erasmia Broussalis1, Eugen Trinka, Anna Wallner
11Department of Neuroradiology, Paracelsus Medical University, Christian Doppler Clinic, Research Institute for Neurointervention, Salzburg, Austria.
Introduction:
The Trevo device, a new stent retriever, may be utilized in patients with large cerebral artery occlusion.
Methods:
Fifty patients with large cerebral artery occlusion and treated with the Trevo device were analyzed. Patients may have received intravenous thrombolysis as a bridging concept in addition to thrombectomy. Outcome and recanalization parameters were documented using the National Institutes of Health Scale, the modified Ranking Scale (mRS) and Thrombolysis in Cerebral Infarction (TICI) score.
Results:
In all, 82% (95% confidence interval [CI]: 69%-91%) were documented with TICI 2b and 3. Good clinical outcome after 90 days (mRS ≤ 2) was assessed in 61% (95% CI: 46%-75%). Symptomatic intracerebral hemorrhage occurred in 6 patients (12%, 95% CI: 1%-17%). The overall mortality rate was 14% (95% CI: 6%-27%).
Conclusion:
Thrombectomy with the new stent retriever device is feasible and effective and has an acceptable risk of intra-cerebral hemorrhage even in combination with pharmacological revascularization techniques.
