Safety and Efficacy of Mechanical Embolectomy in Acute Ischemic Stroke
University of Southern California · Hartford Hospital · +8 more institutions
Abstract
We investigated the safety and efficacy of a novel embolectomy device (Merci Retriever) to open occluded intracranial large vessels within 8 hours of the onset of stroke symptoms in a prospective, nonrandomized, multicenter trial. All patients were ineligible for intravenous tPA. Primary outcomes were recanalization and safety, and secondary outcomes were neurological outcome at 90 days in recanalized versus nonrecanalized patients.
Recanalization was achieved in 46% (69/151) of patients on intention to treat analysis, and in 48% (68/141) of patients in whom the device was deployed. This rate is significantly higher than that expected using an historical control of 18% (P
Citation impact
- FWCI
- 54.94
- Percentile
- 100%
- References
- 25
Authors
14- WSWade S. SmithCorresponding
University of Southern California, Hartford Hospital, University of California, Los Angeles, Oregon Health & Science University, Palo Alto University, University of California, San Francisco, Cornell University, Riverside Methodist Hospital, Saint Luke's Hospital, Stanford University
- GSGene Sung
University of Southern California, Hartford Hospital, University of California, Los Angeles, Oregon Health & Science University, Palo Alto University, University of California, San Francisco, Cornell University, Riverside Methodist Hospital, Saint Luke's Hospital, Stanford University
- SSSidney Starkman
University of Southern California, Hartford Hospital, University of California, Los Angeles, Oregon Health & Science University, Palo Alto University, University of California, San Francisco, Cornell University, Riverside Methodist Hospital, Saint Luke's Hospital, Stanford University
- JLJeffrey L. Saver
University of Southern California, Hartford Hospital, University of California, Los Angeles, Oregon Health & Science University, Palo Alto University, University of California, San Francisco, Cornell University, Riverside Methodist Hospital, Saint Luke's Hospital, Stanford University
- CSChelsea S. Kidwell
University of Southern California, Hartford Hospital, University of California, Los Angeles, Oregon Health & Science University, Palo Alto University, University of California, San Francisco, Cornell University, Riverside Methodist Hospital, Saint Luke's Hospital, Stanford University
Topics & keywords
- Medicine
- Embolectomy
- Stroke (engine)
- Ischemic stroke
- Cardiology
- Brain ischemia
- Ischemia
- Internal medicine
- Good health and well-being