Mechanical thrombectomy with the ERIC retrieval device: initial experience.

Détails

ID Serval
serval:BIB_37AC6320ECA3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Mechanical thrombectomy with the ERIC retrieval device: initial experience.
Périodique
Journal of neurointerventional surgery
Auteur⸱e⸱s
Raoult H., Redjem H., Bourcier R., Gaultier-Lintia A., Daumas-Duport B., Ferré J.C., Eugène F., Fahed R., Bartolini B., Piotin M., Desal H., Gauvrit J.Y., Blanc R.
ISSN
1759-8486 (Electronic)
ISSN-L
1759-8478
Statut éditorial
Publié
Date de publication
06/2017
Peer-reviewed
Oui
Volume
9
Numéro
6
Pages
574-577
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To report our experience with the Embolus Retriever with Interlinked Cage (ERIC) stentriever for use in mechanical endovascular thrombectomy (MET).
Thirty-four consecutive patients with acute stroke (21 men and 13 women; median age 66 years) determined appropriate for MET were treated with ERIC and prospectively included over a 6-month period at three different centers. The ERIC device differs from typical stentrievers in that it is designed with a series of interlinked adjustable nitinol cages that allow for fast thrombus capture, integration, and withdrawal. The evaluated endpoints were successful revascularization (Thrombolysis in Cerebral Infarction (TICI) 2b-3) and good clinical outcomes at 3 months (modified Rankin Scale (mRS) 0-2).
Locations of the occlusions included the middle cerebral artery (13 patients), terminal carotid artery (11 patients), basilar artery (1 patient), and tandem occlusions (9 patients). IV thrombolysis was performed in 20/34 (58.8%) patients. Median times from symptom onset to recanalization and from puncture to recanalization were 325.5 min (180-557) and 78.5 min (14-183), respectively. Used as the first-line device, ERIC achieved a successful recanalization in 20/24 (83.3%) patients. Successful recanalization was associated with lower National Institutes of Health Stroke Scale scores at 24 h (8±6.5 vs 21.5±2.1; p=0.008) and lower mRS at 3 months (2.7±2.1 vs 5.3±1.1; p=0.04). Three procedural complications and four asymptomatic hemorrhages were recorded. Good clinical outcomes at 3 months were seen in 15/31 (48.4%) patients.
The ERIC device is an innovative stentriever allowing fast, effective, and safe MET.

Mots-clé
Device, Stroke, Thrombectomy
Pubmed
Création de la notice
03/05/2017 11:44
Dernière modification de la notice
20/08/2019 13:26
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