Mechanical Thrombectomy Making Practical Use of an Aspiration Catheter While Selecting the Retrieval Technique during the Procedure

2021 ◽  
Author(s):  
Tatsuya Ogino ◽  
Koichiro Shindo ◽  
Yasuyuki Tatsuta ◽  
Suguru Sakurai ◽  
Hideki Endo ◽  
...  
Keyword(s):  
Mechanical Thrombectomy ◽  
Retrieval Technique

Abstract P14: Per Pass Clot Retrieval Technique: Interim Analysis of the Excellent Registry

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Adnan H Siddiqui ◽  
Muhammad Waqas ◽  
Tommy Andersson ◽  
Simon F De Meyers ◽  
Jens Fiehler ◽  
...  
Keyword(s):  
Interim Analysis ◽  
Current Practice ◽  
Mechanical Thrombectomy ◽  
Practice Patterns ◽  
Standard Of Care ◽  
High Volume ◽  
Retrieval Technique ◽  
International Registry ◽  
Technical Details ◽  
International Multicenter

Background: EXCELLENT (NCT03685578) is a large, prospective, single-arm, multicenter, international registry of mechanical thrombectomy (MT) with EmboTrap as the first attempted device in routine clinical practice. The study collects per pass data on procedural and technical details that are based on interventionalists’ preference, providing an opportunity to assess current practices in MT across multiple international high-volume stroke centers. Methods: Subjects treated according to standard of care were eligible for inclusion in the study if EmboTrap was used in the first MT pass. Interim analysis focusing on procedural details and per pass clot retrieval technique was performed based on 689 subjects enrolled by 79 physicians across 26 international sites (US, Belgium, Germany, France) between Sept 2018 and Jul 2020. Results: Mean #passes was 2.1 (median=1, max=10), 50.3% subjects had only 1 pass and 84.8% had 3 or fewer. Per pass use of stent retriever, aspiration, balloon guide, intermediate catheter and long sheath catheter, along with technique details (e.g. incubation time, device positioning, co-aspiration) are summarized in Table 1. Rates and reasons for device changes are also given. Conclusion: Interim analysis of the ongoing EXCELLENT registry informs on current practice patterns in MT. This is the first report of detailed per pass clot retrieval strategies in a large international multicenter cohort.

Percutaneous mechanical thrombectomy in the treatment of acute and subacute occlusions of the peripheral arteries and bypasses

VASA ◽  
2016 ◽  
Vol 45 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Frantisek Stanek ◽  
Radoslava Ouhrabkova ◽  
David Prochazka
Keyword(s):  
Mechanical Thrombectomy ◽  
Clinical Success ◽  
Major Amputation ◽  
Peripheral Arteries ◽  
Duration Of Symptoms ◽  
Efficient Treatment ◽  
Percutaneous Mechanical Thrombectomy ◽  
Single Centre Study ◽  
Crural Arteries

Abstract. Background: The aim of this prospective single-centre study was to analyse the immediate results, failures and complications of percutaneous mechanical thrombectomy using the Rotarex catheter in the treatment of acute and subacute occlusions of peripheral arteries and bypasses, as well as to evaluate long-term outcomes of this method. Patients and methods: Patients with acute (duration of symptoms < 14 days) or subacute (duration of symptoms > 14 days and < 3 months) occlusions of peripheral arteries and bypasses were selected consecutively for treatment. The cohort consisted of 113 patients, aged 18 - 92 years (median 72 years). In all, 128 procedures were performed. Results: Angiographic success was obtained in 120 interventions (93.8 %). Reasons for failures were rethrombosis of a partially recanalised segment in six procedures, and embolism into crural arteries in one intervention - percutaneous aspiration thromboembolectomy (PAT) and/or thrombolysis were ineffective in all these cases. Breakage of the Rotarex catheter happened in one procedure. Embolisation into crural arteries as a transitory complication solvable with PAT and/or thrombolysis occurred in four cases. Rethrombosis was more frequent in bypasses than in native arteries (p = 0.0069), in patients with longer occlusions (p = 0.026) and those with poorer distal runoff (p = 0.048). Embolisation happened more often in patients with a shorter duration of symptoms (p = 0.0001). Clinical success was achieved in 82.5 %. Major amputation was performed in 10 % of cases. Cumulative patency rates were 75 % after one month, 71 % after six months, 38 % after 12 months, 33 % after 18 months and 30 % after 24, 30, 36 and 42 months. Conclusions: Rotarex thrombectomy has excellent immediate results with a low rate of failures and complications. In comparison to thrombolysis, it enables the fast and efficient treatment of acute and subacute occlusions of peripheral arteries in one session.

Mechanical thrombectomy as a first-line treatment for arterial occlusion

2001 ◽  
Vol 14 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Karthikeshwar Kasirajan ◽  
John M. Marek ◽  
Mark Langsfeld
Keyword(s):  
Mechanical Thrombectomy ◽  
Arterial Occlusion ◽  
Line Treatment ◽  
First Line ◽  
First Line Treatment

Recent trends in Component Based software development and Efficiency analysis of Semantic search based component retrieval Technique

2018 ◽  
pp. 105-113 ◽  
Author(s):  
Vishnu Sharma ◽  
Vijay Singh Rathore
Keyword(s):  
Software Development ◽  
Efficiency Analysis ◽  
Software Components ◽  
High Demand ◽  
Component Retrieval ◽  
Software Developer ◽  
Software Libraries ◽  
Retrieval Technique ◽  
Executable File ◽  
Recent Trends

In these days most of the software development uses preexisting software components. This approach provides plenty of benefits over the traditional development. Most of the software industries uses their own domain based software libraries where components resides in the form of modules, codes, executable file, documentations, test plans which may be used as it is or with minor changes. Due to shrinking time and high demand of software development it is necessary to use pre tested software components to ensure high functionality in software developed. Software components can be used very easily and without having the worries of errors and bugs because these are developed under expert supervision and well tested. What we have to do is just embed these components in our project. In this paper a survey got conducted over 112 software developer,testers and freelancers. In survey several issues in CBSD were identified. An efficient repository along with a component search engine is developed. All the component retrieval techniques were evaluated and compared with precise and recall method.

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