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Embolus Retriever with Interlinked Cages (ERIC) versus conventional stent retrievers for thrombectomy: a propensity score-based analysis.
Ducroux, Célina; Renaud, Nicolas; Bourcier, Romain; Marnat, Gaultier; Sibon, Igor; Gory, Benjamin; Richard, Sébastien; Dargazanli, Cyril; Arquizan, Caroline; Eugene, Francois; Vannier, Stephane; Labreuche, Julien; Walker, Gregory; Blanc, Raphaël; Obadia, Mickael; Consoli, Arturo; Lapergue, Bertrand; Fahed, Robert.
Afiliación
  • Ducroux C; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
  • Renaud N; Neuroradiology, Centre Hospitalier Universitaire de Nantes, Nantes, Pays de la Loire, France.
  • Bourcier R; Neuroradiology, Centre Hospitalier Universitaire de Nantes, Nantes, Pays de la Loire, France.
  • Marnat G; Interventional and Diagnostic Neuroradiology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, Aquitaine, France.
  • Sibon I; Neurology, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, Aquitaine, France.
  • Gory B; Diagnostic and Interventional Neuroradiology, Centre Hospitalier Régional Universitaire de Nancy, Nancy, Lorraine, France.
  • Richard S; Neurology Stroke Unit, Centre Hospitalier Régional Universitaire de Nancy, Nancy, France.
  • Dargazanli C; Neuroradiology, Centre Hospitalier Universitaire Gui de Chauliac, Montpellier, Occitanie, France.
  • Arquizan C; Neurology, Centre Hospitalier Universitaire Gui de Chauliac, Montpellier, France.
  • Eugene F; Neuroradiology, Centre Hospitalier Universitaire de Rennes, Rennes, France.
  • Vannier S; Neurology, Centre Hospitalier Universitaire de Rennes, Rennes, France.
  • Labreuche J; Biostatistics, Centre Hospitalier Universitaire de Lille, Lille, France.
  • Walker G; Department of Medicine - Division of Neurology, Ottawa Hospital, Ottawa, Ontario, Canada.
  • Blanc R; Department of Medicine - Division of Neurology, Royal Columbian Hospital, New Westminster, British Columbia, Canada.
  • Obadia M; Interventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
  • Consoli A; Neurology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, Île-de-France, France.
  • Lapergue B; Neuroradiology, Foch Hospital, Suresnes, Île-de-France, France.
  • Fahed R; Neurology, Foch Hospital, Suresnes, France.
J Neurointerv Surg ; 13(3): 255-260, 2021 Mar.
Article en En | MEDLINE | ID: mdl-32606101
BACKGROUND: The Embolus Retriever with Interlinked Cages (ERIC) is one of the latest devices for thrombectomies. It has several architectural features that are supposed to enhance its ability to remove clots and prevent distal emboli. We aimed to compare ERIC with standard stent retrievers (SRs) using propensity score (PS) matching. METHODS: The clinical and radiological data of all consecutive patients treated with ERIC or standard FDA-approved stent retrievers were collected from a prospective multicenter registry. We compared procedural outcomes (recanalization rates according to the modified Thrombolysis In Cerebral Infarction (mTICI) score and procedural complications) and clinical outcomes (modified Rankin Scale (mRS) and mortality at 3 months). Matching of the populations with PS was performed to account for differences in baseline characteristics. RESULTS: A total of 1230 patients were included. In both the PS-matched cohort (195 ERIC patients, 630 SR patients) and the inverse probability of treatment weighting PS-adjusted cohort (206 ERIC patients, 1024 SR patients) there was no difference in terms of successful recanalization (modified TICI score ≥2b), good clinical outcome (mRS=0-2 or equal to pre-stroke mRS), or mortality at 3 months. Patients treated with first-line ERIC had a higher rate of complete recanalization (mTICI 3); however, they also required more passes and more frequent rescue therapy than the SR patient group. CONCLUSION: In a large multicenter registry with PS matching, the ERIC device provided equivalent angiographic and clinical results to conventional SRs. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov Unique identifier: NCT03776877.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Stents / Isquemia Encefálica / Trombectomía / Accidente Cerebrovascular Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurointerv Surg Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Stents / Isquemia Encefálica / Trombectomía / Accidente Cerebrovascular Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurointerv Surg Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido