Thrombectomy with embed aspiration in acute ischaemic stroke

Area of Science:

• Neurology
• Interventional Cardiology
• Vascular Surgery

Background:

• Direct aspiration is an emerging strategy for mechanical thrombectomy.
• Stent retrievers are a common method for clot removal in stroke.

Purpose of the Study:

• To evaluate the efficacy and outcomes of a novel thrombectomy technique called "embed aspiration".

Main Methods:

• A prospective, non-randomized study of 370 patients undergoing thrombectomy using embed aspiration.
• Patients were classified based on procedural success (eTICI 2b-3) or failure (eTICI 0-2a).
• Clinical data and outcomes were analyzed, including multivariate analysis.

Main Results:

• The embed aspiration technique achieved a 90.3% success rate.
• Mean puncture-to-recanalisation time was 25 minutes.
• Sixty-four percent of patients had good outcomes (mRS 0-2) at 3 months.

Conclusions:

• Standardized embed aspiration is a viable alternative to stent retrievers for mechanical thrombectomy.
• This technique shows promising real-world effectiveness in stroke treatment.