Beschreibung:
In dieser multizentrischen retrospektiven Studie wurden insgesamt 200 PatientInnen erfasst, bei denen zwischen November 2015 und Januar 2018 aufgrund eines akuten ischämischen Schlaganfalls mit Okklusion eines großen hirnversorgenden Gefäßes eine kombinierte mechanische Thrombektomie mittels “Stentretriever Assisted Vacuum-locked Extraction” (SAVE) – Technik durchgeführt wurde. Primäre Outcome-Parameter waren das Erreichen einer erfolgreichen und das Erreichen einer kompletten Reperfusion nach first-pass sowie postinterventionell. Sekundäre Outcome-Parameter waren die Schnelligkeit des Verf...
In this multicenter retrospective study, a total of 200 patients were included who underwent an embolectomy using the “Stentretriever Assisted Vacuum-locked Extraction” (SAVE) technique between November 2015 and January 2018 due to an acute ischemic stroke with occlusion of a large brain vessel. Primary endpoints were first-pass and overall successful reperfusion and complete reperfusion after intervention. Secondary endpoints were time from groin puncture to reperfusion and the safety of the procedure as measured by the rate of sICH and ENT. The results were collected using a core lab. In ...
In this multicenter retrospective study, a total of 200 patients were included who underwent an embolectomy using the “Stentretriever Assisted Vacuum-locked Extraction” (SAVE) technique between November 2015 and January 2018 due to an acute ischemic stroke with occlusion of a large brain vessel.Primary endpoints were first-pass and overall successful reperfusion and complete reperfusion after intervention. Secondary endpoints were time from groin puncture to reperfusion and the safety of the procedure as measured by the rate of sICH and ENT. The results were collected using a core lab.In the core lab evaluation, the SAVE technique showed successful reperfusion (eTICI ≥ 3) in 74% of the patients and complete reperfusion in 45% of the patients (eTICI 6) after the first pass. Post-interventionally, the core lab determined successful reperfusion (eTICI ≥ 3) in 95% of cases. 56% of the patients had a complete reperfusion (eTICI 6). The median time from groin puncture to vessel reperfusion was 34 minutes (IQR 25-52). ENT was observed in three patients (1.5%) and sICH in four patients (2.6%).The results show that the SAVE technique gives good results in terms of reperfusion and appears to be better positioned in terms of safety than other methods.$yLinzenz