Three years’ interventional neurology experience in Turkey with the Thrombite thrombectomy device in large vessel occlusion in the anterior circulation: safety, efficacy, and clinical outcome

• DOI: 10.3389/fneur.2024.1320510
• Publication Date: 2024-05-03T15:47:24Z
• Authors: Çetin Kürşad Akpınar; Erdem Gurkas; Atilla Ozcan Ozdemir; Hasan Doğan; Ayşenur Önalan; Serhan Yıldırım; Zülfikar Memiş; Emrah Aytaç; Bilgehan Atılgan ...; Muhammed Nur Öğün; Özlem Aykaç; Zehra Uysal Kocabaş; Türkan Acar; Halil Alper Eryılmaz; Berkhan Topaktaş
• Keywords: Interquartile range; Stroke; Neuroradiology; Groin; Neurovascular bundle; Interventional radiology

Introduction While the Thrombite device differs from Solitare stent with its Helical open-side structure feature, it shows great similarity other features. We assessed device’s effectiveness and safety in this study. Materials methods The study was a retrospective analysis of patients who were included Turkish Interventional Neurology database had mechanical thrombectomy as first choice between January 2020 2023. type is descriptive research. Result Using device, 525 received treatment. median baseline National Institutes Health Stroke Scale (NIHSS) score 13, initial Alberta Program Early Computed Tomography (ASPECT) 8, mean patient age 68.6+11.7 years. Between groin puncture successful recanalization, time 34 minutes (interquartile range [IQR]: 15–45). 48.2% (modified treatment cerebral infarction; mTICI) 2b/3% 33.9% (mTICI 2c/3) first-pass recanalization rates. In end, 87.7% effective (thrombolysis infarction 2b/3). “first-pass” subgroup, favorable functional result Rankin 0–2) 51.8%, while 41.6% for entire population. rate embolization into new territory/different territory 2.1/0.1%. 23 (4.5%) symptomatic hemorrhage. Conclusion showed good profile high overall rates our experience.