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Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent

Recently, mechanical thrombectomy with stent retriever has achieved faster and higher rates of recanalization for intracranial major vessel occlusion. However, comparative studies of the most widely used Solitaire and Trevo stents have been rarely published. The authors retrospectively reviewed a to...

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Autores principales: Yi, Ho Jun, Lee, Dong Hoon, Kim, Sang Uk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976322/
https://www.ncbi.nlm.nih.gov/pubmed/29768352
http://dx.doi.org/10.1097/MD.0000000000010747
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author Yi, Ho Jun
Lee, Dong Hoon
Kim, Sang Uk
author_facet Yi, Ho Jun
Lee, Dong Hoon
Kim, Sang Uk
author_sort Yi, Ho Jun
collection PubMed
description Recently, mechanical thrombectomy with stent retriever has achieved faster and higher rates of recanalization for intracranial major vessel occlusion. However, comparative studies of the most widely used Solitaire and Trevo stents have been rarely published. The authors retrospectively reviewed a total of 200 patients who performed mechanical thrombectomy at our center during 4 years and divided patients into 2 groups: mechanical thrombectomy with Solitaire stent (Group 1: Solitaire) and mechanical thrombectomy with Trevo stent (Group 2: Trevo). All patients underwent a clinical assessment with National Institutes of Health Stroke Scale (NIHSS) score and underwent modified Rankin Scale (mRS) score. Radiologic results were evaluated using thrombolysis in cerebral infarction (TICI) score and number of stent passes. In addition, multiple time intervals were analyzed. There was no statistically significant difference in clinical outcome between the 2 groups. Trevo group revealed the shorter procedure time, less number of stent passage, and more one pass cases than Solitaire group with statistically significance (P = .009, P = .014, P = .030). In addition, Trevo group achieved higher successful recanalization (TICI 2b or 3) rate (89.7%) with statically significant than group1 (82.3%) (P = .018). In multivariate logistic regression analysis, the use of Trevo stent was a predictive for successful recanalization. (odds ratio 1.40, 95% confidence interval 1.250–1.550, P = .028). Our study suggests that the Trevo stent allows higher recanalization rate through the less number of stent passages and shorter procedure time than the Solitaire stent. More randomized control trials are needed to determine which stents are more effective.
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spelling pubmed-59763222018-06-05 Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent Yi, Ho Jun Lee, Dong Hoon Kim, Sang Uk Medicine (Baltimore) Research Article Recently, mechanical thrombectomy with stent retriever has achieved faster and higher rates of recanalization for intracranial major vessel occlusion. However, comparative studies of the most widely used Solitaire and Trevo stents have been rarely published. The authors retrospectively reviewed a total of 200 patients who performed mechanical thrombectomy at our center during 4 years and divided patients into 2 groups: mechanical thrombectomy with Solitaire stent (Group 1: Solitaire) and mechanical thrombectomy with Trevo stent (Group 2: Trevo). All patients underwent a clinical assessment with National Institutes of Health Stroke Scale (NIHSS) score and underwent modified Rankin Scale (mRS) score. Radiologic results were evaluated using thrombolysis in cerebral infarction (TICI) score and number of stent passes. In addition, multiple time intervals were analyzed. There was no statistically significant difference in clinical outcome between the 2 groups. Trevo group revealed the shorter procedure time, less number of stent passage, and more one pass cases than Solitaire group with statistically significance (P = .009, P = .014, P = .030). In addition, Trevo group achieved higher successful recanalization (TICI 2b or 3) rate (89.7%) with statically significant than group1 (82.3%) (P = .018). In multivariate logistic regression analysis, the use of Trevo stent was a predictive for successful recanalization. (odds ratio 1.40, 95% confidence interval 1.250–1.550, P = .028). Our study suggests that the Trevo stent allows higher recanalization rate through the less number of stent passages and shorter procedure time than the Solitaire stent. More randomized control trials are needed to determine which stents are more effective. Wolters Kluwer Health 2018-05-18 /pmc/articles/PMC5976322/ /pubmed/29768352 http://dx.doi.org/10.1097/MD.0000000000010747 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Research Article
Yi, Ho Jun
Lee, Dong Hoon
Kim, Sang Uk
Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent
title Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent
title_full Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent
title_fullStr Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent
title_full_unstemmed Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent
title_short Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent
title_sort effectiveness of trevo stent retriever in acute ischemic stroke: comparison with solitaire stent
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976322/
https://www.ncbi.nlm.nih.gov/pubmed/29768352
http://dx.doi.org/10.1097/MD.0000000000010747
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