Use of the pRESET LITE thrombectomy device in combined approach for medium vessel occlusions: A multicenter evaluation

Maud Wang; Hans Henkes; Sherief Ghozy; James E Siegler; Hamza Shaikh; Jane Khalife; Mohamad Abdalkader; Piers Klein; Thanh N Nguyen; Jeremy J Heit; Ahmad Sweid; Kareem El Naamani; Robert W Regenhardt; Jose Danilo Bengzon Diestro; Nicole M Cancelliere; Abdelaziz Amllay; Lukas Meyer; Anne Dusart; Flavio Bellante; Géraud Forestier; Aymeric Rouchaud; Suzana Saleme; Charbel Mounayer; Jens Fiehler; Anna Luisa Kühn; Ajit S Puri; Christian Dyzmann; Peter T Kan; Marco Colasurdo; Gaultier Marnat; Jérôme Berge; Xavier Barreau; Igor Sibon; Simona Nedelcu; Nils Henninger; Charlotte Weyland; Thomas R Marotta; Christopher J Stapleton; James D Rabinov; Takahiro Ota; Shogo Dofuku; Leonard Ll Yeo; Benjamin Y Q Tan; Juan Carlos Martinez-Gutierrez; Sergio Salazar-Marioni; Sunil Sheth; Leonardo Renieri; Carolina Capirossi; Ashkan Mowla; Stavropoula I Tjoumakaris; Pascal Jabbour; Priyank Khandelwal; Arundhati Biswas; Frédéric Clarençon; Mahmoud Elhorany; Kevin Premat; Iacopo Valente; Alessandro Pedicelli; João Pedro Filipe; Ricardo Varela; Miguel Quintero-Consuegra; Nestor R Gonzalez; Markus A Möhlenbruch; Jessica Jesser; Vincent Costalat; Adrien Ter Schiphorst; Vivek Yedavalli; Pablo Harker; Lina M Chervak; Yasmin Aziz; Benjamin Gory; Christian Paul Stracke; Constantin Hecker; Monika Killer-Oberpfalzer; Christoph J Griessenauer; Ajith J Thomas; Cheng-Yang Hsieh; David S Liebeskind; Răzvan Alexandru Radu; Andrea M Alexandre; Illario Tancredi; Tobias D Faizy; Aman B Patel; Vitor Mendes Pereira; Robert Fahed; Boris Lubicz; Adam A Dmytriw; Adrien Guenego; M.A.D.-M.T. Consortium

doi:10.1007/s00234-024-03302-5

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Use of the pRESET LITE thrombectomy device in combined approach for medium vessel occlusions: A multicenter evaluation

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Use of the pRESET LITE thrombectomy device in combined approach for medium vessel occlusions: A multicenter evaluation

Maud Wang, Hans Henkes, Sherief Ghozy, James E Siegler, Hamza Shaikh, Jane Khalife, Mohamad Abdalkader, Piers Klein, Thanh N Nguyen, Jeremy J Heit, …

Neuroradiology, Vol.66(4), pp.631-641

01/04/2024

DOI: https://doi.org/10.1007/s00234-024-03302-5

PMID: 38381145

Résumé

Aged

Aged, 80 and over

Brain Ischemia - complications

Endovascular Procedures

Female

Humans

Ischemic Stroke - etiology

Male

Retrospective Studies

Stents

Stroke - etiology

Thrombectomy

Treatment Outcome

Our purpose was to assess the efficacy and safety of the pRESET LITE stent retriever (Phenox, Bochum, Germany), designed for medium vessel occlusion (MeVO) in acute ischemic stroke (AIS) patients with a primary MeVO. We performed a retrospective analysis of the MAD MT Consortium, an integration of prospectively maintained databases at 37 academic institutions in Europe, North America, and Asia, of AIS patients who underwent mechanical thrombectomy with the pRESET LITE stent retriever for a primary MeVO. We subcategorized occlusions into proximal MeVOs (segments A1, M2, and P1) vs. distal MeVOs/DMVO (segments A2, M3-M4, and P2). We reviewed patient and procedural characteristics, as well as angiographic and clinical outcomes. Between September 2016 and December 2021, 227 patients were included (50% female, median age 78 [65-84] years), of whom 161 (71%) suffered proximal MeVO and 66 (29%) distal MeVO. Using a combined approach in 96% of cases, successful reperfusion of the target vessel (mTICI 2b/2c/3) was attained in 85% of proximal MeVO and 97% of DMVO, with a median of 2 passes (IQR: 1-3) overall. Periprocedural complications rate was 7%. Control CT at day 1 post-MT revealed a hemorrhagic transformation in 63 (39%) patients with proximal MeVO and 24 (36%) patients with DMVO, with ECASS-PH type hemorrhagic transformations occurring in 3 (1%) patients. After 3 months, 58% of all MeVO and 63% of DMVO patients demonstrated a favorable outcome (mRS 0-2). Mechanical thrombectomy using the pRESET LITE in a combined approach with an aspiration catheter appears effective for primary medium vessel occlusions across several centers and physicians.

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Titre: Use of the pRESET LITE thrombectomy device in combined approach for medium vessel occlusions: A multicenter evaluation
Créateurs - sans rôle: Maud Wang - Department of Radiology, Leuven University Hospitals, Leuven, Belgium. wang.maud@gmail.com
Hans Henkes - Klinikum Stuttgart
Sherief Ghozy - Mayo Clinic
James E Siegler - Cooper University Hospital
Hamza Shaikh - Cooper University Hospital
Jane Khalife - Cooper University Hospital
Mohamad Abdalkader - Boston Medical Center
Piers Klein - Boston Medical Center
Thanh N Nguyen - Departments of Radiology & Neurology, Boston Medical Center, Boston, MA, USA
Jeremy J Heit - Department of Interventional Neuroradiology, Stanford Medical Center, Palo Alto, CA, USA
Ahmad Sweid - Departments of Neurologic Surgery & Radiology, Mayo Clinic, Rochester, MN, USA
Kareem El Naamani - Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA
Robert W Regenhardt - Harvard University
Jose Danilo Bengzon Diestro - Neurovascular Centre, Departments of Medical Imaging and Neurosurgery, St. Michael's Hospital, Toronto, ON, Canada
Nicole M Cancelliere - Neurovascular Centre, Departments of Medical Imaging and Neurosurgery, St. Michael's Hospital, Toronto, ON, Canada
Abdelaziz Amllay - Thomas Jefferson University
Lukas Meyer - University Medical Center Hamburg-Eppendorf
Anne Dusart - Hôpital Civil de Charleroi
Flavio Bellante - Hôpital Civil de Charleroi
Géraud Forestier - Department of Neuroradiology, CHU Limoges Dupuytren, Université de Limoges, Limoges, France
Aymeric Rouchaud - Université de Limoges
Suzana Saleme - Université de Limoges
Charbel Mounayer - Department of Neuroradiology, CHU Limoges Dupuytren, Université de Limoges, Limoges, France
Jens Fiehler - University Medical Center Hamburg-Eppendorf
Anna Luisa Kühn - Department of Radiology, University of Massachusetts Memorial Hospital, Worcester, MA, USA
Ajit S Puri - Department of Radiology, University of Massachusetts Memorial Hospital, Worcester, MA, USA
Christian Dyzmann - Department of Neuroradiology, Sana Kliniken, Lübeck GmbH, Lübeck, Germany
Peter T Kan - Department of Neurosurgery, University of Texas Medical Branch, Galveston, TX, USA
Marco Colasurdo - Department of Neurosurgery, University of Texas Medical Branch, Galveston, TX, USA
Gaultier Marnat - Department of Interventional Neuroradiology, CHU Bordeaux, Bordeaux, France
Jérôme Berge - Department of Interventional Neuroradiology, CHU Bordeaux, Bordeaux, France
Xavier Barreau - Department of Interventional Neuroradiology, CHU Bordeaux, Bordeaux, France
Igor Sibon - Department of Neurology, CHU Bordeaux, Bordeaux, France
Simona Nedelcu - University of Massachusetts Chan Medical School
Nils Henninger - University of Massachusetts Chan Medical School
Charlotte Weyland - Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany
Thomas R Marotta - Neurovascular Centre, Departments of Medical Imaging and Neurosurgery, St. Michael's Hospital, Toronto, ON, Canada
Christopher J Stapleton - Harvard University
James D Rabinov - Harvard University
Takahiro Ota - Tokyo Metropolitan Tama Medical Center
Shogo Dofuku - Tokyo Metropolitan Tama Medical Center
Leonard Ll Yeo - Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
Benjamin Y Q Tan - Division of Neurology, Department of Medicine, National University Hospital, Singapore, Singapore
Juan Carlos Martinez-Gutierrez - The University of Texas Health Science Center at Houston
Sergio Salazar-Marioni - The University of Texas Health Science Center at Houston
Sunil Sheth - The University of Texas Health Science Center at Houston
Leonardo Renieri - Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy
Carolina Capirossi - Interventistica Neurovascolare, Ospedale Careggi Di Firenze, Florence, Italy
Ashkan Mowla - Division of Stroke and Endovascular Neurosurgery, Department of Neurological Surgery, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA
Stavropoula I Tjoumakaris - Thomas Jefferson University
Pascal Jabbour - Thomas Jefferson University
Priyank Khandelwal - Department of Endovascular Neurosurgery and Neuroradiology NJMS, Newark, NJ, USA
Arundhati Biswas - Westchester Medical Center
Frédéric Clarençon - Department of Neuroradiology, Pitié-Salpêtrière University Hospitals, Sorbonne University- Paris VI, Paris, France
Mahmoud Elhorany - Department of Neurology, Faculty of Medicine, Tanta University, Tanta, Egypt
Kevin Premat - Department of Neuroradiology, Pitié-Salpêtrière University Hospitals, Sorbonne University- Paris VI, Paris, France
Iacopo Valente - UOSA Neuroradiologia Interventistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
Alessandro Pedicelli - UOSA Neuroradiologia Interventistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
João Pedro Filipe - Department of Diagnostic and Interventional Neuroradiology, Centro Hospitalar Universitário Do Porto, Porto, Portugal
Ricardo Varela - Department of Neurology, Centro Hospitalar Universitário Do Porto, Porto, Portugal
Miguel Quintero-Consuegra - Cedars-Sinai Medical Center
Nestor R Gonzalez - Cedars-Sinai Medical Center
Markus A Möhlenbruch - Sektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany
Jessica Jesser - Sektion Vaskuläre Und Interventionelle Neuroradiologie, Universitätsklinikum Heidelberg, Heidelberg, Germany
Vincent Costalat - Department of Neuroradiology, Gui de Chauliac Hospital, CHU Montpellier, Montpellier, France
Adrien Ter Schiphorst - Department of Neurology, Gui de Chauliac Hospital, CHU Montpellier, Montpellier, France
Vivek Yedavalli - Department of Radiology, Division of Neuroradiology, Johns Hopkins Medical Center, Baltimore, MD, USA
Pablo Harker - University of Cincinnati Medical Center
Lina M Chervak - University of Cincinnati Medical Center
Yasmin Aziz - University of Cincinnati Medical Center
Benjamin Gory - Department of Interventional Neuroradiology, CHU Nancy, Nancy, France
Christian Paul Stracke - Department of Radiology, Interventional Neuroradiology Section, University Medical Center Münster, Münster, Germany
Constantin Hecker - Paracelsus Medical University
Monika Killer-Oberpfalzer - Paracelsus Medical University
Christoph J Griessenauer - Paracelsus Medical University
Ajith J Thomas - Cooper University Hospital
Cheng-Yang Hsieh - Neurology Department, Sin-Lau Hospital, Tainan, Taiwan
David S Liebeskind - Department of Neurology Department, UCLA Stroke Center, UCLA, Los Angeles, CA, USA
Răzvan Alexandru Radu - Department of Neuroradiology, Gui de Chauliac Hospital, CHU Montpellier, Montpellier, France
Andrea M Alexandre - UOSA Neuroradiologia Interventistica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
Illario Tancredi - Department of Radiology, Hôpital Civil Marie Curie, Charleroi, Belgium
Tobias D Faizy - University Medical Center Hamburg-Eppendorf
Aman B Patel - Harvard University
Vitor Mendes Pereira - Neurovascular Centre, Departments of Medical Imaging and Neurosurgery, St. Michael's Hospital, Toronto, ON, Canada
Robert Fahed - Department of Medicine, Division of Neurology, The Ottawa Hospital, Ottawa Hospital Research Institute and University of Ottawa, Ottawa, ON, Canada
Boris Lubicz - Universitair Ziekenhuis Brussel
Adam A Dmytriw - Neurovascular Centre, Departments of Medical Imaging and Neurosurgery, St. Michael's Hospital, Toronto, ON, Canada
Adrien Guenego - Universitair Ziekenhuis Brussel
M.A.D.-M.T. Consortium
Détails de publication: Neuroradiology, Vol.66(4), pp.631-641
Identifiants: 99163094109311
Unité académique: Institut de Génomique Fonctionnelle - IGF
Langue: English
Type de ressource: Journal article