Document Detail


Trevo System: Single-Center Experience with a Novel Mechanical Thrombectomy Device.
MedLine Citation:
PMID:  22211809     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Recent reports have indicated that mechanical thrombectomy may have the potential to treat acute ischemic stroke. This study aims to describe the safety and effectiveness of Trevo Retriever, using Stentriever technology, in revascularization of patients with acute ischemic stroke. METHODS: Prospective study evaluating the clinical, radiological, and functional outcome of 13 patients with an angiographically verified occlusion of the anterior cerebral circulation. All patients underwent thrombectomy with TR as monotherapy or in combination with intra-arterial thrombolysis, within the first 8 hours from the onset of symptoms. Successful revascularization was defined as thrombolysis in cerebral ischemia grade 2a to 3. Good outcome was defined as modified Rankin Scale score ≤ 2. RESULTS: Median baseline National Institutes of Health Stroke Scale score was 19(16-22). The occlusion site was middle cerebral artery in 8 patients and internal carotid artery in 5 patients. Revascularization was achieved in 10 of 13 patients (77%). The mean time from groin puncture to recanalization was 95 ± 31 minutes. No significant intra-procedural complications occurred. Four patients (30%) died during the 90-day follow-up period and 4 patients (30%) achieved functional independence. CONCLUSION: Early clinical experience suggests that the TR can allow safe and effective revascularization in certain subjects with acute ischemic stroke. J Neuroimaging 2011;XX:1-5.
Authors:
Nuno Mendonça; Alan Flores; Jorge Pagola; Marta Rubiera; David Rodríguez-Luna; M Angels De Miquel; Pere Cardona; Helena Quesada; Paloma Mora; José Alvarez-Sabín; Carlos Molina; Marc Ribó
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-30
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  -     ISSN:  1552-6569     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 by the American Society of Neuroimaging.
Affiliation:
From the Department of Neurology, University Hospital of Coimbra, Coimbra, Portugal (NM); Stroke Unit, Department of Neurosciences, Hospital Universitari Vall d'Hebron, Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain (AF, JP, MR, DRL, JAS, CM, MR); Neuroradiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain (MADM, PM); Servicio de Neurología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain (PC, HQ).
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