Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry
Background Rapid expansion of mechanical thrombectomy and swift manufacturing development has translated into significant evolution of large‐bore catheter technology. The objective of this study was to evaluate the association among diverse structural components of large‐bore aspiration catheters on...
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2024-07-01
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| Series: | Stroke: Vascular and Interventional Neurology |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.123.001214 |
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| author | Jaydevsinh N. Dolia Mahmoud H. Mohammaden Mohamed A. Tarek Mateus Damiani Jonathan A. Grossberg Aqueel Pabaney Michael Frankel Dinesh V. Jillella Ameer E. Hassan Wondwossen G. Tekle Alexandros Georgiadis Hamzah Saei Santiago Ortega‐Gutierrez Juan Vivanco‐Suarez Milagros Galecio‐Castillo Aaron Rodriguez‐Calienes Shahram Majidi Johanna Fifi Stavros Matsoukas James E. Siegler Mary Penckofer Ankit Rana Sunil A. Sheth Sergio A. Salazar Marioni Thanh N. Nguyen Mohamad Abdalkader Italo Linfante Guilherme Dabus Brijesh P. Mehta Joy Sessa Mouhammad Jumaa Rebecca Sugg Guillermo Linares Alhamza R. Al‐Bayati David S. Libeskind Raul G. Nogueira Diogo C. Haussen |
| author_facet | Jaydevsinh N. Dolia Mahmoud H. Mohammaden Mohamed A. Tarek Mateus Damiani Jonathan A. Grossberg Aqueel Pabaney Michael Frankel Dinesh V. Jillella Ameer E. Hassan Wondwossen G. Tekle Alexandros Georgiadis Hamzah Saei Santiago Ortega‐Gutierrez Juan Vivanco‐Suarez Milagros Galecio‐Castillo Aaron Rodriguez‐Calienes Shahram Majidi Johanna Fifi Stavros Matsoukas James E. Siegler Mary Penckofer Ankit Rana Sunil A. Sheth Sergio A. Salazar Marioni Thanh N. Nguyen Mohamad Abdalkader Italo Linfante Guilherme Dabus Brijesh P. Mehta Joy Sessa Mouhammad Jumaa Rebecca Sugg Guillermo Linares Alhamza R. Al‐Bayati David S. Libeskind Raul G. Nogueira Diogo C. Haussen |
| author_sort | Jaydevsinh N. Dolia |
| collection | DOAJ |
| description | Background Rapid expansion of mechanical thrombectomy and swift manufacturing development has translated into significant evolution of large‐bore catheter technology. The objective of this study was to evaluate the association among diverse structural components of large‐bore aspiration catheters on procedural performance. Methods Retrospective analysis of a prospectively maintained mechanical thrombectomy consortium (SVIN [Society of Vascular Interventional Neurology] Registry) treated with stand‐alone contact aspiration for the first pass in the middle cerebral artery M1 or intracranial internal carotid artery occlusions from 2012 to 2021. Catheters were stratified on the basis of construction materials, tip technology, catheter sizing, and catheter lining. Factors associated with first‐pass effect (first‐pass eTICI 2c–3 reperfusion) as well as speed of clot engagement were analyzed. Results We identified 983 patients with proximal occlusion and aspiration as the first‐pass technique. First‐pass effect was observed in 34% and associated with age (odds ratio [OR], 1.02 [95% CI, 1.01–1.03]), cardioembolic stroke pathogenesis (OR, 1.69 [95% CI, 1.77–2.41]), middle cerebral artery M1 (OR, 2.74 [95% CI, 1.09–1.87]), nongeneral anesthesia (OR, 0.55 [95% CI, 0.39–0.767]), as well as with 0.070‐inch (OR, 2.04 95% CI, 1.01–3.78]), and 0.088‐inch (OR, 3.90 [95% CI, 1.58–9.61]) distal catheter inner diameter in the adjusted analysis. Mean time from arterial access to clot contact was 17 minutes, with faster times observed in younger patients (OR, 0.99 [95% CI, 0.98–0.996]) as well as with the use of aspiration catheters with shorter length of distal outer hydrophilic coating (18–30 cm) on multivariable regression (OR, 0.30 [95% CI, 0.11–0.82]). Conclusion Larger aspiration catheter distal inner diameter was associated with higher rates of first‐pass effect. Aspiration catheter construction components were found to influence times from arterial access to clot contact. |
| format | Article |
| id | doaj-art-c519f7cd39174d44a077203f06b97fd9 |
| institution | OA Journals |
| issn | 2694-5746 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj-art-c519f7cd39174d44a077203f06b97fd92025-08-20T02:34:35ZengWileyStroke: Vascular and Interventional Neurology2694-57462024-07-014410.1161/SVIN.123.001214Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN RegistryJaydevsinh N. Dolia0Mahmoud H. Mohammaden1Mohamed A. Tarek2Mateus Damiani3Jonathan A. Grossberg4Aqueel Pabaney5Michael Frankel6Dinesh V. Jillella7Ameer E. Hassan8Wondwossen G. Tekle9Alexandros Georgiadis10Hamzah Saei11Santiago Ortega‐Gutierrez12Juan Vivanco‐Suarez13Milagros Galecio‐Castillo14Aaron Rodriguez‐Calienes15Shahram Majidi16Johanna Fifi17Stavros Matsoukas18James E. Siegler19Mary Penckofer20Ankit Rana21Sunil A. Sheth22Sergio A. Salazar Marioni23Thanh N. Nguyen24Mohamad Abdalkader25Italo Linfante26Guilherme Dabus27Brijesh P. Mehta28Joy Sessa29Mouhammad Jumaa30Rebecca Sugg31Guillermo Linares32Alhamza R. Al‐Bayati33David S. Libeskind34Raul G. Nogueira35Diogo C. Haussen36Emory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAEmory University School of Medicine Grady Memorial Hospital Atlanta GAValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Harlingen TXValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Harlingen TXValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Harlingen TXValley Baptist Brain and Spine Network University of Texas Health Science Center‐ San Antonio Harlingen TXDepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IADepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IADepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IADepartment of Neurology University of Iowa Hospitals and Clinics Iowa City IADepartment of Neurology Icahn School of Medicine at Mount Sinai New York NYDepartment of Neurology Icahn School of Medicine at Mount Sinai New York NYDepartment of Neurology Icahn School of Medicine at Mount Sinai New York NYCooper Neurological Institute Cooper University Hospital Camden NJCooper Medical School of Rowan University Camden NJCooper Medical School of Rowan University Camden NJDepartment of Neurology University of Texas Health Science Center at Houston Houston TXDepartment of Neurology University of Texas Health Science Center at Houston Houston TXDepartments of Neurology and Radiology Boston Medical Center Boston University Chobanian & Avedisian School of Medicine Boston MADepartments of Neurology and Radiology Boston Medical Center Boston University Chobanian & Avedisian School of Medicine Boston MADepartment of Interventional Neuroradiology & Neuroendovascular Surgery Miami Cardiac and Vascular Institute Baptist Hospital of Miami Miami FLDepartment of Interventional Neuroradiology & Neuroendovascular Surgery Miami Cardiac and Vascular Institute Baptist Hospital of Miami Miami FLMemorial Neuroscience Institute Pembroke Pines FLMemorial Neuroscience Institute Pembroke Pines FLDepartment of Neurology ProMedica Toledo Hospital Toledo OHDepartment of Neurology Frederick, P. Whiddon College of Medicine University of South Alabama Mobile ALDepartment of Neurology Saint Louis University School of Medicine St Louis MOUPMC Stroke Institute Pittsburgh PAUCLA Stroke Center and Department of Neurology University of California Los Angeles CAUPMC Stroke Institute Pittsburgh PAEmory University School of Medicine Grady Memorial Hospital Atlanta GABackground Rapid expansion of mechanical thrombectomy and swift manufacturing development has translated into significant evolution of large‐bore catheter technology. The objective of this study was to evaluate the association among diverse structural components of large‐bore aspiration catheters on procedural performance. Methods Retrospective analysis of a prospectively maintained mechanical thrombectomy consortium (SVIN [Society of Vascular Interventional Neurology] Registry) treated with stand‐alone contact aspiration for the first pass in the middle cerebral artery M1 or intracranial internal carotid artery occlusions from 2012 to 2021. Catheters were stratified on the basis of construction materials, tip technology, catheter sizing, and catheter lining. Factors associated with first‐pass effect (first‐pass eTICI 2c–3 reperfusion) as well as speed of clot engagement were analyzed. Results We identified 983 patients with proximal occlusion and aspiration as the first‐pass technique. First‐pass effect was observed in 34% and associated with age (odds ratio [OR], 1.02 [95% CI, 1.01–1.03]), cardioembolic stroke pathogenesis (OR, 1.69 [95% CI, 1.77–2.41]), middle cerebral artery M1 (OR, 2.74 [95% CI, 1.09–1.87]), nongeneral anesthesia (OR, 0.55 [95% CI, 0.39–0.767]), as well as with 0.070‐inch (OR, 2.04 95% CI, 1.01–3.78]), and 0.088‐inch (OR, 3.90 [95% CI, 1.58–9.61]) distal catheter inner diameter in the adjusted analysis. Mean time from arterial access to clot contact was 17 minutes, with faster times observed in younger patients (OR, 0.99 [95% CI, 0.98–0.996]) as well as with the use of aspiration catheters with shorter length of distal outer hydrophilic coating (18–30 cm) on multivariable regression (OR, 0.30 [95% CI, 0.11–0.82]). Conclusion Larger aspiration catheter distal inner diameter was associated with higher rates of first‐pass effect. Aspiration catheter construction components were found to influence times from arterial access to clot contact.https://www.ahajournals.org/doi/10.1161/SVIN.123.001214 |
| spellingShingle | Jaydevsinh N. Dolia Mahmoud H. Mohammaden Mohamed A. Tarek Mateus Damiani Jonathan A. Grossberg Aqueel Pabaney Michael Frankel Dinesh V. Jillella Ameer E. Hassan Wondwossen G. Tekle Alexandros Georgiadis Hamzah Saei Santiago Ortega‐Gutierrez Juan Vivanco‐Suarez Milagros Galecio‐Castillo Aaron Rodriguez‐Calienes Shahram Majidi Johanna Fifi Stavros Matsoukas James E. Siegler Mary Penckofer Ankit Rana Sunil A. Sheth Sergio A. Salazar Marioni Thanh N. Nguyen Mohamad Abdalkader Italo Linfante Guilherme Dabus Brijesh P. Mehta Joy Sessa Mouhammad Jumaa Rebecca Sugg Guillermo Linares Alhamza R. Al‐Bayati David S. Libeskind Raul G. Nogueira Diogo C. Haussen Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry Stroke: Vascular and Interventional Neurology |
| title | Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_full | Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_fullStr | Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_full_unstemmed | Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_short | Structural Analysis of Aspiration Catheters and Procedural Outcomes: An Analysis of the SVIN Registry |
| title_sort | structural analysis of aspiration catheters and procedural outcomes an analysis of the svin registry |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.123.001214 |
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