scholarly journals P.099 Characteristics of the SOFIA distal access catheter in suction-stentriever acute stroke intervention

Author(s):  
E Spinos ◽  
TK Mattingly

Background: Tri-axial systems are frequently employed in stroke interventions. In addition to more support, the distal access catheter can provide suction aspiration during a stent retrieval. We have recently adopted the 5F SOFIA as part of a tri-axial system for acute stroke interventions, and believe it has improved efficient recanalization. Methods: This is a retrospective case series of acute stroke interventions utilizing the 5 F SOFIA 125 cm distal access catheter. Cases were evaluated for distal location of the catheter, number of stent-triever passes, and final TICI score. We describe our angiographic technique. Results: Nine acute stroke cases were performed using the SOFIA catheter. LVOs were in the M1(6), M2 (2), distal basilar (1). The 5F SOFIA catheter was advanced into the M1 or Basilar artery in all cases. No dissections or spasm was seen in the catheterized intracranial artery. Mean stent-triever passes was 2 (1-4). Final angiographic results were TICI 3 (6), TICI 2b (2), and TICI 0 (1). Conclusions: Efficient thrombectomy is a key part of successful stroke recanalization. We report on our experience with a specific distal access catheter which has reduced the number of stent passes required to restore flow.

2020 ◽  
Vol 173 ◽  
pp. 106163
Author(s):  
Malcolm Wilson ◽  
Bridget O'Connor ◽  
Nicholas Matigian ◽  
Geoffrey Eather

Author(s):  
Ahmed Fathy Sadek ◽  
Ezzat Hassan Fouly ◽  
Ahmad Fouad Abdelbaki Allam ◽  
Alaa Zenhom Mahmoud

2021 ◽  
pp. 175114372110121
Author(s):  
Stephen A Spencer ◽  
Joanna S Gumley ◽  
Marcin Pachucki

Background Critically ill children presenting to district general hospitals (DGH) are admitted to adult intensive care units (AICUs) for stabilisation prior to transfer to paediatric intensive care units (PICUs). Current training in PICU for adult intensive care physicians is only three months. This single centre retrospective case series examines the case mix of children presenting to a DGH AICU and a multidisciplinary survey assesses confidence and previous experience, highlighting continued training needs for DGH AICU staff. Methods all paediatric admissions to AICU and paediatric retrievals were reviewed over a 6-year period (2014-2019). Cases were identified from the Electronic Patient Record (EPR) and from data provided by the regional paediatric retrieval service. A questionnaire survey was sent to AICU doctors and nurses to assess confidence and competence in paediatric critical care. Results Between 2014-2019, 284 children were managed by AICU. In total 35% of cases were <1 y, 48% of cases were <2 y and 64% of cases were <5 y, and 166/284 (58%) children were retrieved. Retrieval reduced with increasing age (OR 0.49 [0.40-0.60], p < 0.0001). The survey had an 82% response rate, and highlighted that only 13% of AICU nurses and 50% of doctors had received prior PICU training. Conclusion At least one critically unwell child presents to the AICU each week. Assessment, stabilisation and management of critically unwell children are vital skills for DGH AICU staff, but confidence and competence are lacking. Formalised strategies are required to develop and maintain paediatric competencies for AICU doctors and nurses.


Author(s):  
C. Osborne ◽  
Y. A. Elce ◽  
L. Meehan ◽  
A. J. Davern ◽  
T. B. Lescun

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