Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry
Introduction Rapid expansion of mechanical thrombectomy and swift manufacturing development has translated into significant evolution of large bore catheter technology. The objective of this study was to evaluate the association among diverse structural components of large bore aspiration catheters...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Stroke: Vascular and Interventional Neurology |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_2.248 |
| _version_ | 1797221230840905728 |
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| author | Jaydevsinh N. Dolia Mahmoud H. Mohammaden Mohamed A. Tarek Mateus D. Monteiro Jonathan A. Grossberg Aqueel H. Pabaney Michael V. Frankel Dinesh E. Jillella Ameer V. Hassan Wondwossen E. G. Tekle Alexandros G. Georgiadis Hamzah Saei Santiago Ortega Gutierrez Juan Vivanco‐Suarez Milagros Galecio‐Castillo Aaron Rodriguez‐Calienes Shahram Majidi Johanna Fifi Stavros Matsoukas James Siegler Mary Penckofer Ankit Rana Sunil Sheth Sergio Salazar Maroni Thanh Nguyen Mohamad Abdalkader Italo Linfante Guilherme Dabus Brijesh Mehta Joy Sessa Mouhammad Jumaa Rebecca Sugg Guillermo Linares Alhamza Al‐Bayati David Libeskind Raul Noguiera Diogo Haussen |
| author_facet | Jaydevsinh N. Dolia Mahmoud H. Mohammaden Mohamed A. Tarek Mateus D. Monteiro Jonathan A. Grossberg Aqueel H. Pabaney Michael V. Frankel Dinesh E. Jillella Ameer V. Hassan Wondwossen E. G. Tekle Alexandros G. Georgiadis Hamzah Saei Santiago Ortega Gutierrez Juan Vivanco‐Suarez Milagros Galecio‐Castillo Aaron Rodriguez‐Calienes Shahram Majidi Johanna Fifi Stavros Matsoukas James Siegler Mary Penckofer Ankit Rana Sunil Sheth Sergio Salazar Maroni Thanh Nguyen Mohamad Abdalkader Italo Linfante Guilherme Dabus Brijesh Mehta Joy Sessa Mouhammad Jumaa Rebecca Sugg Guillermo Linares Alhamza Al‐Bayati David Libeskind Raul Noguiera Diogo Haussen |
| author_sort | Jaydevsinh N. Dolia |
| collection | DOAJ |
| description | Introduction Rapid expansion of mechanical thrombectomy and swift manufacturing development has translated into significant evolution of large bore catheter technology. The objective of this study was to evaluate the association among diverse structural components of large bore aspiration catheters on procedural performance. Methods Retrospective analysis of a prospectively maintained mechanical thrombectomy consortium (SVIN Registry) treated with stand‐alone contact aspiration for the first pass in the MCA M1 or intracranial ICA occlusions from 2012‐2021. Catheters were stratified based on construction materials, tip technology, catheter sizing, and catheter lining. Factors associated with first pass effect (FPE ‐ first‐pass eTICI2c‐3 reperfusion) as well as speed of clot engagement were analyzed. Results We identified 983 patients with proximal occlusion and aspiration as the first pass technique. FPE was observed in 34% and associated with age (OR:1.016;95%CI:1.006‐1.027), cardioembolic stroke etiology (OR:1.685;95%CI:1.77 ‐2.41), MCA M1(OR:2.737;95%CI:1.091 ‐1.867), non‐general anesthesia (OR:0.546;95%CI:0.389 ‐0.767), as well as with 0.070” (OR:2.038;95%CI:1.099 ‐3.779) and 0.088” (OR:3.899;95%CI:1.582 ‐9.606) distal catheter inner diameter in the adjusted analysis. Median time from arterial access to clot contact was 17 minutes with faster times observed in younger patients (OR:0.986;95%CI:0.975 ‐0.996) as well as with the use of aspiration catheters with shorter length of distal outer hydrophilic coating (18‐30cm) on multivariable regression (OR:0.303; 95%CI:0.113‐0.816). Conclusion Larger aspiration catheter distal inner diameter was associated with higher rates of FPE. Aspiration catheters with reduced distal tip hydrophilic coating were associated with faster arterial access to clot contact time. |
| first_indexed | 2024-03-07T15:38:55Z |
| format | Article |
| id | doaj.art-b05d046ede6b46e887a0674349dda0f7 |
| institution | Directory Open Access Journal |
| issn | 2694-5746 |
| language | English |
| last_indexed | 2024-04-24T13:02:08Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj.art-b05d046ede6b46e887a0674349dda0f72024-04-05T10:51:57ZengWileyStroke: Vascular and Interventional Neurology2694-57462023-11-013S210.1161/SVIN.03.suppl_2.248Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN RegistryJaydevsinh N. Dolia0Mahmoud H. Mohammaden1Mohamed A. Tarek2Mateus D. Monteiro3Jonathan A. Grossberg4Aqueel H. Pabaney5Michael V. Frankel6Dinesh E. Jillella7Ameer V. Hassan8Wondwossen E. G. Tekle9Alexandros G. Georgiadis10Hamzah Saei11Santiago Ortega Gutierrez12Juan Vivanco‐Suarez13Milagros Galecio‐Castillo14Aaron Rodriguez‐Calienes15Shahram Majidi16Johanna Fifi17Stavros Matsoukas18James Siegler19Mary Penckofer20Ankit Rana21Sunil Sheth22Sergio Salazar Maroni23Thanh Nguyen24Mohamad Abdalkader25Italo Linfante26Guilherme Dabus27Brijesh Mehta28Joy Sessa29Mouhammad Jumaa30Rebecca Sugg31Guillermo Linares32Alhamza Al‐Bayati33David Libeskind34Raul Noguiera35Diogo Haussen36Emory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesEmory University School of Medicine Georgia United StatesValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Texas United StatesValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Texas United StatesValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Texas United StatesValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Texas United StatesDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City Iowa United StatesDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City Iowa United StatesDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City Iowa United StatesDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City Iowa United StatesDepartment of Neurology Icahn School of Medicine at Mount Sinai New York New York United StatesDepartment of Neurology Icahn School of Medicine at Mount Sinai New York New York United StatesDepartment of Neurology Icahn School of Medicine at Mount Sinai New York New York United StatesCooper Neurological Institute Cooper University Hospital Camden New Jersey United StatesCooper Medical School of Rowan University Camden New Jersey United StatesCooper Medical School of Rowan University Camden New Jersey United StatesDepartment of Neurology University of Texas Health Science Center at Houston Texas United StatesDepartment of Neurology University of Texas Health Science Center at Houston Texas United StatesDepartments of Neurology and Radiology Boston Medical Center Boston University Chobanian & Avedisian School of Medicine Massachusetts United StatesBoston Medical Center Boston University Chobanian & Avedisian School of Medicine Massachusetts United StatesBaptist Hospital of Miami Florida United StatesBaptist Hospital of Miami Florida United StatesMemorial Neuroscience Institute Florida United StatesMemorial Neuroscience Institute Florida United StatesProMedica Toledo Hospital Ohio United StatesFrederick P. Whiddon College of Medicine University of South Alabama Alabama United StatesSaint Louis University School of Medicine Missouri United StatesUPMC Stroke Institute Pennsylvania United StatesUniversity of California Los Angeles California United StatesUPMC Stroke Institute Pennsylvania United StatesGrady Memorial Hospital Georgia United StatesIntroduction Rapid expansion of mechanical thrombectomy and swift manufacturing development has translated into significant evolution of large bore catheter technology. The objective of this study was to evaluate the association among diverse structural components of large bore aspiration catheters on procedural performance. Methods Retrospective analysis of a prospectively maintained mechanical thrombectomy consortium (SVIN Registry) treated with stand‐alone contact aspiration for the first pass in the MCA M1 or intracranial ICA occlusions from 2012‐2021. Catheters were stratified based on construction materials, tip technology, catheter sizing, and catheter lining. Factors associated with first pass effect (FPE ‐ first‐pass eTICI2c‐3 reperfusion) as well as speed of clot engagement were analyzed. Results We identified 983 patients with proximal occlusion and aspiration as the first pass technique. FPE was observed in 34% and associated with age (OR:1.016;95%CI:1.006‐1.027), cardioembolic stroke etiology (OR:1.685;95%CI:1.77 ‐2.41), MCA M1(OR:2.737;95%CI:1.091 ‐1.867), non‐general anesthesia (OR:0.546;95%CI:0.389 ‐0.767), as well as with 0.070” (OR:2.038;95%CI:1.099 ‐3.779) and 0.088” (OR:3.899;95%CI:1.582 ‐9.606) distal catheter inner diameter in the adjusted analysis. Median time from arterial access to clot contact was 17 minutes with faster times observed in younger patients (OR:0.986;95%CI:0.975 ‐0.996) as well as with the use of aspiration catheters with shorter length of distal outer hydrophilic coating (18‐30cm) on multivariable regression (OR:0.303; 95%CI:0.113‐0.816). Conclusion Larger aspiration catheter distal inner diameter was associated with higher rates of FPE. Aspiration catheters with reduced distal tip hydrophilic coating were associated with faster arterial access to clot contact time.https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_2.248 |
| spellingShingle | Jaydevsinh N. Dolia Mahmoud H. Mohammaden Mohamed A. Tarek Mateus D. Monteiro Jonathan A. Grossberg Aqueel H. Pabaney Michael V. Frankel Dinesh E. Jillella Ameer V. Hassan Wondwossen E. G. Tekle Alexandros G. Georgiadis Hamzah Saei Santiago Ortega Gutierrez Juan Vivanco‐Suarez Milagros Galecio‐Castillo Aaron Rodriguez‐Calienes Shahram Majidi Johanna Fifi Stavros Matsoukas James Siegler Mary Penckofer Ankit Rana Sunil Sheth Sergio Salazar Maroni Thanh Nguyen Mohamad Abdalkader Italo Linfante Guilherme Dabus Brijesh Mehta Joy Sessa Mouhammad Jumaa Rebecca Sugg Guillermo Linares Alhamza Al‐Bayati David Libeskind Raul Noguiera Diogo Haussen Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry Stroke: Vascular and Interventional Neurology |
| title | Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_full | Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_fullStr | Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_full_unstemmed | Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_short | Abstract 248: Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_sort | abstract 248 structural analysis of aspiration catheters and procedural outcomes an analysis of the svin registry |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_2.248 |
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