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Area of Science:

  • Neurology
  • Interventional Neuroradiology
  • Medical Devices

Background:

  • Mechanical thrombectomy is the standard for acute ischemic stroke due to large-vessel occlusion.
  • Traditional methods involve microcatheters and microwires for aspiration catheter delivery.
  • A novel macrowire offers a potential alternative for aspiration catheter delivery.

Purpose of the Study:

  • To compare the novel macrowire technique with traditional microcatheter/microwire methods for intracranial thrombectomy.
  • To evaluate the safety and efficacy of macrowire-assisted aspiration catheter delivery.
  • To assess workflow improvements and cost-effectiveness of the macrowire technique.

Main Methods:

  • The MINT (Macrowire for Intracranial Thrombectomy) is a multicenter, observational registry study.
  • Patients with large-vessel occlusion undergoing mechanical thrombectomy are enrolled.
  • Data collected include clinical, demographic, radiographic, procedural, and post-procedure outcomes.

Main Results:

  • The study will collect data on the successful delivery of reperfusion catheters.
  • Procedure times, from groin access to first pass, will be recorded.
  • Bailout strategies for unsuccessful thrombectomy attempts will be documented.

Conclusions:

  • The MINT registry will enhance understanding of the macrowire's safety and efficacy in intracranial thrombectomy.
  • This study aims to identify workflow efficiencies and potential cost savings.
  • Findings will contribute to optimizing mechanical thrombectomy procedures for acute ischemic stroke.