Thrombectomy with embed aspiration in acute ischaemic stroke

Neurologia Pub Date : 2024-09-01 DOI:10.1016/j.nrleng.2021.09.013

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引用次数: 0

Abstract

Background

In addition to stent retrievers, direct aspiration has become a reasonable thrombectomy strategy.

Objectives

We carried out the thrombectomy by guiding the aspiration catheter fully over the clot and performing immediate manual aspiration; we call this procedure “embed aspiration”.

Methods

In this prospective, non-randomised, single-centre study, we included all patients treated at a high volume-of-care stroke centre between 2017 and 2018 for the TRIANA (Thrombectomy in Andalusia using Aspiration) registry. Thrombectomy was carried out by embed aspiration. Patients were classified according to the success (eTICI 2b67-2c-3) or failure (eTICI 0-1-2a-2b50) of the procedure. Baseline clinical data and outcomes were compared, and multivariate analysis was performed.

Results

The embed aspiration technique was used in 370 patients. Treatment was successful in 90.3% of patients. Mean puncture-to-recanalisation time was 25 minutes. The overall rate of good outcomes (mRS 0–2) at 3 months was 64%.

Conclusions

This study supports real-life evidence that standardised embed aspiration may be an alternative to stent retrievers for thrombectomy.

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在急性缺血性脑卒中中使用嵌入抽吸术进行血栓清除术

背景除了支架取栓器，直接抽吸已成为一种合理的血栓切除策略。目标我们通过引导抽吸导管完全覆盖血栓并立即进行手动抽吸来实施血栓切除术；我们称这种手术为 "嵌入式抽吸"。方法在这项前瞻性、非随机、单中心研究中，我们纳入了2017年至2018年期间在一家高容量护理卒中中心接受治疗的所有患者，并进行了TRIANA（安达卢西亚血栓切除术使用抽吸法）登记。血栓切除术是通过嵌入式抽吸法进行的。根据手术成功（eTICI 2b67-2c-3）或失败（eTICI 0-1-2a-2b50）对患者进行分类。比较了基线临床数据和结果，并进行了多变量分析。90.3%的患者治疗成功。从穿刺到复位的平均时间为 25 分钟。3个月后的总体良好率（mRS 0-2）为64%。结论这项研究为现实生活中的证据提供了支持，即标准化的嵌入抽吸可替代支架取栓术进行血栓切除。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurologia

自引率

0.00%

发文量

审稿时长

53 weeks