Patient NIHSS, time from onset (h), IV tPA (+/−) | Site of occlusion | Guide catheter | Devices used to cross proximal occlusion | Balloon/stent | Embolic protection device | Thrombectomy devices | Time to TICI 2b or III flow for distal occlusion (min) | Complications | NIHSS at discharge | mRS at 90 days |
---|---|---|---|---|---|---|---|---|---|---|
61, 8, 9.9, (−) | RICA, right M1 | 6 F Neuron MAX 088 sheath | Transend EX 0.014 inch, Velocity 025 microcatheter | 5×20 mm Sterling Monorail/8×40 mm Precise | 5 mm SpiderFX | 5MAX ACE | 60 | Small amount of SAH | 0 | 1* |
55, 18, 3.8, (+) | RICA, right M1 | 6 F Neuron MAX 088 sheath | Transend EX 0.014 inch, Precise stent delivery catheter | 4×20 mm Apex/7×40 mm Precise | – | 5MAX, 3MAX, 4×20 mm Solitaire | 85 | Large ICH/IVH; WOC 4 days after intervention | NA | 6 |
63, 15, 8.4, (+) | RICA, right M1 | 6 F Neuron MAX 088 sheath | Transend EX 0.014 inch, 4×20 mm Sterling balloon catheter | 4×20 mm Sterling Monorail/9×40 mm Precise | – | 5MAX ACE, 4MAX | 35 | None | 4 | 3 |
86, 19, Wake up stroke—unknown last normal time, (−) | LICA, left M1 | 6 F Neuron MAX 088 sheath | Fathom 0.016 inch, PX Slim 025 microcatheter | 4×20 mm Sterling Monorail/5×40 mm Precise, 6×40 mm Precise, 7×40 mm Precise | – | 5MAX, Trevo stent retriever | 90 | None | NR | 3* |
85, 12, 9.3, (−) | RICA, fight M1 | 6 F Neuron MAX 088 sheath | Transend EX 0.014 inch, Velocity 025 microcatheter | 4×20 mm Apex/10×40 mm Precise | – | 5MAX ACE | 35 | None | 1 | 1* |
59, 11, 24.8, (−) | LICA, left M2, left A2 | 6 F Neuron MAX 088 sheath | Transend EX 0.014 inch, Velocity 025 microcatheter | 6×20 mm Sterling Monorail/7×40 mm Precise | – | 5MAX ACE, 3MAX | 86 | Petrous segment ICA dissection requiring 4.5×37 mm Enterprise stent; 3 mm left basal ganglia hemorrhage | 3 | 2* |
67, 9, 12.5, (−) | RICA, right M1 | 6 F Shuttle sheath | Traxcess, SL-10 microcatheter | 3×15 mm Apex/7×40 mm Precise | 4 mm SpiderFX | 041 Penumbra reperfusion catheter and separator | 71 | Small amount of SAH | 0 | 1 |
90, 15, 4.3, (+) | Left CCA, left M1, left A2 | 6 F Neuron MAX 088 sheath | Traxcess, Echelon-14 017 microcatheter | 4×20 mm Apex/8×40 mm Precise | 4 mm SpiderFX | 041 Penumbra reperfusion catheter and separator, 026 Penumbra reperfusion catheter and separator | 152 | Small amount of SAH | 15 | 4 |
70, 14, 7.7, (+) | RICA, right M1 | 6 F Neuron MAX 088 sheath | Transend EX 0.014 inch, SL-10 0165 microcatheter | 4×20 mm Sterling Monorail/5×40 mm Precise, 7×40 mm Precise | 4 mm SpiderFX | 041 Penumbra reperfusion catheter and separator | 95 | None | 11 | 1 |
54, 6, 12.7, (−) | LICA, left supraclinoid ICA, left M2 | 6 F Neuron MAX 088 sheath | Fathom 0.016 inch, 026 Penumbra reperfusion catheter and separator | 4×20 mm Sterling Monorail/8×40 mm Precise | – | 032 Penumbra reperfusion catheter and separator, 026 Penumbra reperfusion catheter and separator | 145 | Perforation of left M2 anterior division branch; small petechial hemorrhage | 14 | 3 |
73, 14, 3.7, (+) | RICA, right supraclinoid ICA | 6 F Shuttle sheath | Transend EX 0.014 inch, SL-10 0165 microcatheter | 5×20 mm Apex/10×40 mm Precise | – | 054 Penumbra reperfusion catheter and separator | 77 | None | 14 | 3 |
68, 11, 7.5, (−) | RICA, right M1 | 6 F Envoy XB guide catheter | Traxcess, Headway 021 microcatheter | 3×8 mm Apex/5×40 mm Precise, 6×30 mm Precise | – | None required, recanalized distally after proximal lesion addressed | 71 | Small petechial hemorrhage | 11 | 1 |
48, 17, 10.2, (+) | RICA, right M2 | 6 F Shuttle sheath | Synchro, SL-10 0165 microcatheter | 5×40 mm Precise, 6×20 mm Precise, 5×30 mm Precise | – | 032 Penumbra reperfusion catheter and separator | 173 | None | 0 | 1 |
55, 7, 23.3, (−) | RICA, right M1 | 6 F Shuttle sheath | Traxcess, Prowler-14 0165 microcatheter | 4×20 mm Sterling Monorail/7×40 mm Precise | 4 mm SpiderFX | 032 Penumbra reperfusion catheter and separator | 87 | Asymptomatic 3 cm×2 cm right parietal ICH | 8 | 1 |
82, 16, 4.6, (+) | RICA, right supraclinoid ICA, right M1 | 6 F Shuttle sheath | Transend EX 0.014 inch, SL-10 0165 microcatheter | 2.5×15 mm Apex/4.5×28 mm Enterprise | – | 054 Penumbra reperfusion catheter and separator, 026 Penumbra reperfusion catheter and separator | 77 | WOC 4 days after intervention | NA | 6 |
69, 17, 6.3, (+) | RICA, right M1 | 6 F Neuron MAX 088 sheath | Fathom 0.016 inch, Velocity 025 microcatheter | 6×20 mm Sterling Monorail/7×40 mm Precise | – | 5MAX, 4MAX | 38 | WOC 3 days after intervention | NA | 6 |
*mRS at the time of discharge (data acquired prior to 90 day post-intervention follow-up).
A2, anterior cerebral artery A2 segment; CCA, common carotid artery; ICA, internal carotid artery; ICH, intracerebral hemorrhage; IVH, intraventricular hemorrhage; LICA, left cervical ICA; M1, middle cerebral artery M1 segment; M2, middle cerebral artery M2 segment; mRS, modified Rankin Scale; NA, not applicable; NIHSS, National Institutes of Health Stroke Scale; NR, not recorded; RICA, right cervical ICA; SAH, subarachnoid hemorrhage; TICI, Thrombolysis in Cerebral Infarction; tPA, tissue plasminogen activator; WOC, withdraw of care.