Title
Efficacy of beveled tip aspiration catheter in mechanical thrombectomy for acute ischemic stroke
UMMS Affiliation
Department of Radiology, New England Center for Stroke Research
Publication Date
2020-10-06
Document Type
Article
Disciplines
Analytical, Diagnostic and Therapeutic Techniques and Equipment | Cardiovascular Diseases | Nervous System Diseases | Neurology | Neurosurgery | Radiology
Abstract
BACKGROUND: Direct aspiration thrombectomy techniques use large bore aspiration catheters for mechanical thrombectomy. Several aspiration catheters are now available. We report a bench top exploration of a novel beveled tip catheter and our experience in treating large vessel occlusions (LVOs) using next-generation aspiration catheters.
METHODS: A retrospective analysis from a prospectively maintained database comparing the bevel shaped tip aspiration catheter versus non-beveled tip catheters was performed. Patient demographics, periprocedural metrics, and discharge and 90-day modified Rankin Scale (mRS) scores were collected. Patients were divided into two groups based on which aspiration catheter was used.
RESULTS: Our data showed no significant difference in age, gender, IV tissue plasminogen activator administration, admission NIH Stroke Scale score, baseline mRS, or LVO location between the beveled tip and flat tip groups. With the beveled tip, Thrombolysis in Cerebral Infarction (TICI) 2C or better recanalization was more frequent overall (93.2% vs 74.2%, p=0.017), stent retriever usage was lower (9.1% vs 29%, p=0.024), and patients had lower mRS on discharge (median 3 vs 4, p < 0.001) and at 90 days (median 2 vs 4, p=0.008).
CONCLUSION: Patients who underwent mechanical thrombectomy with the beveled tip catheter had a higher proportion of TICI 2C or better and had a significantly lower mRS score on discharge and at 90 days.
Keywords
device, intervention, stroke, thrombectomy
Rights and Permissions
© Author(s) (or their employer(s)) 2020. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
DOI of Published Version
10.1136/neurintsurg-2020-016695
Source
Vargas J, Blalock J, Venkatraman A, Anagnostakou V, King RM, Ewing JA, Gounis MJ, Turner RD, Chaudry I, Turk A. Efficacy of beveled tip aspiration catheter in mechanical thrombectomy for acute ischemic stroke. J Neurointerv Surg. 2020 Oct 6:neurintsurg-2020-016695. doi: 10.1136/neurintsurg-2020-016695. Epub ahead of print. PMID: 33024028. Link to article on publisher's site
Journal/Book/Conference Title
Journal of neurointerventional surgery
Related Resources
PubMed ID
33024028
Repository Citation
Vargas J, Blalock J, Venkatraman A, Anagnostakou V, King RM, Ewing JA, Gounis MJ, Turner RD, Chaudry I, Turk A. (2020). Efficacy of beveled tip aspiration catheter in mechanical thrombectomy for acute ischemic stroke. Radiology Publications. https://doi.org/10.1136/neurintsurg-2020-016695. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/579
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Included in
Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Cardiovascular Diseases Commons, Nervous System Diseases Commons, Neurology Commons, Neurosurgery Commons, Radiology Commons