RT Journal Article
SR Electronic
T1 Mechanical thrombectomy of acute ischemic stroke with a new intermediate aspiration catheter: preliminary results
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 975
OP 977
DO 10.1136/neurintsurg-2017-013679
VO 10
IS 10
A1 Sallustio, Fabrizio
A1 Pampana, Enrico
A1 Davoli, Alessandro
A1 Merolla, Stefano
A1 Koch, Giacomo
A1 Alemseged, Fana
A1 Panella, Marta
A1 D’Agostino, Vittoria Carla
A1 Mori, Francesco
A1 Morosetti, Daniele
A1 Konda, Daniel
A1 Fabiano, Sebastiano
A1 Diomedi, Marina
A1 Gandini, Roberto
YR 2018
UL http://jnis.bmj.com/content/10/10/975.abstract
AB Background and purpose To report clinical and procedural outcomes of acute ischemic stroke patients after endovascular treatment with the new thromboaspiration catheter AXS Catalyst 6.Methods Patients with anterior and posterior circulation stroke were selected. Successful reperfusion defined as a Thrombolysis in Cerebral Infarction (TICI) score ≥2 b and 3-month functional independence defined as a modified Rankin Scale (mRS) ≤2 were the main efficacy outcomes. Symptomatic intracranial hemorrhage and mortality were the main safety outcomes.Results 107 patients were suitable for analysis. Mean age was 73.18±12.62 year and median baseline NIHSS was 17 (range: 3–32). The most frequent site of occlusion was the middle cerebral artery (MCA) (60.7%). 76.6% of patients were treated with AXS Catalyst 6 alone without the need for rescue devices or thromboaspiration catheters. Successful reperfusion was achieved in 84.1%, functional independence in 47.6%, symptomatic intracranial hemorrhage occurred in 3.7%, and mortality in 21.4%.Conclusions Endovascular treatment with AXS Catalyst 6 proved to be safe, technically feasible, and effective. Comparison analyses with other devices for mechanical thrombectomy are needed.