ADAPT with New Catalyst 5 Reperfusion Catheter for Distal M2 Ischemic Stroke: Preliminary Experience

Romano, Daniele Giuseppe; Frauenfelder, Giulia; Napoletano, Rosa; Botto, Annibale; Locatelli, Gianpiero; Panza, Mario; Siani, Alfredo; Tartaglione, Salvatore; Visconti, Emiliano; Saponiero, Renato

doi:10.1016/j.wneu.2019.12.098

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…The most common definition, and the one used by the ETIS registry, is to define distal-M2 as "distal to the mid-Sylvian point" (Muszynski et al, 8 de Havenon et al, 10 and Menon et al 13 ). Other definitions encountered in the literature include: "immediately proximal to or at the M2-M3 junction" (Romano et al 14…”

Section: Supplementary Material Systematic Review and Meta-analysis O...mentioning

confidence: 99%

Endovascular Treatment of Distal-M2 Segment Occlusions: A Clinical Registry and Meta-Analysis

et al. 2023

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Section: Supplementary Material Systematic Review and Meta-analysis O...mentioning

confidence: 99%

Endovascular Treatment of Distal-M2 Segment Occlusions: A Clinical Registry and Meta-Analysis

et al. 2023

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“…Currently, EVT tools and techniques are rapidly evolving, resulting in improved efficacy and safety of MeVO EVT. Several authors report promising results of primary aspiration as a firstline approach in MeVO stroke (5)(6)(7)(8)(9). Mini stent-retrievers are designed specifically for more distal occlusion locations, and novel approaches like the blind exchange mini-pinning (10,11) technique may lead to higher rates of first-pass recanalization and a lower incidence of symptomatic intracranial hemorrhage compared to the use of mini stent retrievers alone (10).…”

Section: Introductionmentioning

confidence: 99%

Endovascular Device Choice and Tools for Recanalization of Medium Vessel Occlusions: Insights From the MeVO FRONTIERS International Survey

et al. 2021

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Background: Endovascular treatment (EVT) for stroke due to medium vessel occlusion (MeVO) can be technically challenging. Devices and tools are rapidly evolving. We aimed to gain insight into preferences and global perspectives on the usage of endovascular tools in treating MeVOs.Methods: We conducted an international survey with seven scenarios of patients presenting A3, M2/3, M3, M3/4, or P2/3 occlusions. Respondents were asked for their preferred first-line endovascular approach, and whether they felt that the appropriate endovascular tools were available to them. Answers were analyzed by occlusion location and geographical region of practice, using multinomial/binary logistic regression.Results: A total of 263 neurointerventionists provided 1836 responses. The first-line preferences of physicians were evenly distributed among stent-retrievers, combined approaches, and aspiration only (33.2, 29.8, and 26.8%, respectively). A3 occlusions were more often treated with stent-retrievers (RR 1.21, 95% CI: 1.07–1.36), while intra-arterial thrombolysis was more often preferred in M3 (RR 2.47, 95% CI: 1.53–3.98) and M3/4 occlusions (RR 7.71, 95% CI: 4.16–14.28) compared to M2/3 occlusions. Respondents who thought appropriate tools are currently not available more often chose stent retrievers alone (RR 2.07; 95% CI: 1.01–4.24) or intra-arterial thrombolysis (RR 3.35, 95% CI: 1.26–8.42). Physicians who stated that they do not have access to optimal tools opted more often not to treat at all (RR 3.41, 95% CI: 1.11–10.49). Stent-retrievers alone were chosen more often and contact aspiration alone less often as a first-line approach in Europe (RR 2.12, 95% CI: 1.38–3.24; and RR 0.49, 95% CI 0.34–0.70, respectively) compared to the United States and Canada.Conclusions: In EVT for MeVO strokes, neurointerventionalists choose a targeted vessel specific first-line approach depending on the occlusion location, region of practice, and availability of the appropriate tools.

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Multicentric Experience with an Intermediate Aspiration Catheter for Distal M2 Ischemic Stroke

Romano

Frauenfelder

Caragliano

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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ADAPT with New Catalyst 5 Reperfusion Catheter for Distal M2 Ischemic Stroke: Preliminary Experience

Cited by 3 publications

References 23 publications

Endovascular Treatment of Distal-M2 Segment Occlusions: A Clinical Registry and Meta-Analysis

Endovascular Treatment of Distal-M2 Segment Occlusions: A Clinical Registry and Meta-Analysis

Endovascular Device Choice and Tools for Recanalization of Medium Vessel Occlusions: Insights From the MeVO FRONTIERS International Survey

Multicentric Experience with an Intermediate Aspiration Catheter for Distal M2 Ischemic Stroke

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