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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Catch Plus thrombectomy device in acute stroke: initial evaluation.

Ahmet Peker1, Ethem Murat Arsava2, Mehmet Akif Topçuoğlu2

  • 1Faculty of Medicine, Department of Radiology, Hacettepe University, Ankara, Turkey.

Journal of Neurointerventional Surgery
|December 16, 2016
PubMed
Summary

The Catch Plus thrombectomy device (CPD) effectively recanalized major intracranial arteries in acute ischemic stroke (AIS) patients, improving 90-day outcomes. This initial experience shows promise for mechanical thrombectomy in AIS treatment.

Keywords:
AngiographyStrokeThrombectomy

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Area of Science:

  • Neurology
  • Interventional Neuroradiology
  • Vascular Neurology

Background:

  • Acute ischemic stroke (AIS) is a leading cause of long-term disability.
  • Mechanical thrombectomy has emerged as a crucial treatment for AIS, particularly for large vessel occlusions.
  • The development of novel thrombectomy devices is essential for improving patient outcomes.

Purpose of the Study:

  • To evaluate the initial clinical experience with the Catch Plus thrombectomy device (CPD) for acute ischemic stroke (AIS).
  • To assess the safety and efficacy of CPD in achieving recanalization and improving functional outcomes in AIS patients.

Main Methods:

  • Retrospective evaluation of 38 patients with anterior circulation large vessel occlusion treated with CPD.
  • Analysis of procedural variables, including time from symptom onset to procedure.
  • Assessment of clinical and angiographic outcomes: Thrombolysis in Cerebral Infarction (TICI) scores, bleeding complications, and 90-day modified Rankin Scale (mRS) scores.

Main Results:

  • Successful recanalization (TICI 2b-3) was achieved in 71.1% of patients.
  • The 90-day acceptable functional outcome (mRS ≤2) rate was 43.2%.
  • Symptomatic and asymptomatic intracerebral hemorrhage rates were 7.9% and 13.2%, respectively.

Conclusions:

  • Mechanical thrombectomy with the Catch Plus thrombectomy device (CPD) facilitates effective recanalization in AIS.
  • Initial experience suggests CPD can improve 90-day functional outcomes for AIS patients.
  • CPD demonstrated safety and efficacy in treating acute ischemic stroke.