Trevo 6 x 25mm vs. 4 x 30mm in Mechanical Thrombectomy of M1 LVO

被引:4
作者
Oliver, Marion John [1 ]
Brereton, Emily [2 ]
Khan, Muhib A. [3 ]
Davis, Alan [3 ]
Singer, Justin [3 ]
机构
[1] Univ Toledo, Dept Neurol, 2801 W Bancroft St, Toledo, OH 43606 USA
[2] Michigan State Univ, Coll Human Med, E Lansing, MI 48824 USA
[3] Spectrum Hlth, Grand Rapids, MI USA
来源
FRONTIERS IN NEUROLOGY | 2021年 / 12卷
关键词
stent retreiver; large vessel occlusion; neurointervention; mechanical thrombectomy; stroke; LARGE VESSEL OCCLUSIONS; STENT-RETRIEVER; ISCHEMIC-STROKE; THERAPY;
D O I
10.3389/fneur.2021.677630
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: Our primary objective was to determine the successful rate of recanalization of M1 large vessel occlusion using either the Trevo 4 x 30 mm or 6 x 25 mm stent during mechanical thrombectomy. Our secondary objectives were to determine differences between the use of these two stent retrievers regarding first-pass effect, periprocedural complications, and mortality in the first 90 days. Methods: This is a retrospective cohort study. Data regarding the stent used, recanalization, number of passes, periprocedural complications, and mortality were determined via our mechanical thrombectomy database along with chart review. Conclusion: When comparing Trevo 4 x 30 mm to 6 x 25 mm stent retrievers used in mechanical thrombectomy for middle cerebral artery large-vessel occlusion causing stroke, there is no statistically significant difference in successful recanalization rates, first-pass effect, perioperative complications, or mortality at 90 days. Studies like this will hopefully lead to further prospective, randomized controlled trials that will help show experts in the field an additional way to perform this procedure effectively and safely.
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