Your browser doesn't support javascript.
loading
SOFIA Nonwire Advancement techniKE 35 Technique: A Minimalist Approach to Stroke Thrombectomy.
Colasurdo, Marco; Gabrieli, Joseph Domenico; Cester, Giacomo; Edhayan, Gautam; Simonato, Davide; Pieroni, Alessio; De Cassai, Alessandro; Geraldini, Federico; Baracchini, Claudio; Causin, Francesco.
Afiliación
  • Colasurdo M; Department of Neuroradiology, Padua University Hospital, Padua, Italy.
  • Gabrieli JD; Department of Neuroradiology, Padua University Hospital, Padua, Italy.
  • Cester G; Department of Neuroradiology, Padua University Hospital, Padua, Italy.
  • Edhayan G; Division of Neuroradiology, Department of Radiology, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA.
  • Simonato D; Department of Neuroradiology, Padua University Hospital, Padua, Italy.
  • Pieroni A; Department of Neuroscience, Stroke Unit, Padua University Hospital, Padua, Italy.
  • De Cassai A; Department of Pharmacology and Anesthesiology, Neuro-Intensive Care Unit, Padua University Hospital, Padua, Italy.
  • Geraldini F; Department of Pharmacology and Anesthesiology, Neuro-Intensive Care Unit, Padua University Hospital, Padua, Italy.
  • Baracchini C; Department of Neuroscience, Stroke Unit, Padua University Hospital, Padua, Italy.
  • Causin F; Department of Neuroradiology, Padua University Hospital, Padua, Italy.
Oper Neurosurg (Hagerstown) ; 23(6): 482-488, 2022 12 01.
Article en En | MEDLINE | ID: mdl-36227178
BACKGROUND: The Soft Torqueable Catheter Optimized for Intracranial Access (SOFIA) is a catheter designed to enable intracranial access, allowing for advancement, at least partially, without a microcatheter by a technique called SOFIA Nonwire Advancement techniKE (SNAKE). We propose a variation of this technique, called SOFIA Nonwire Advancement techniKE 35 (SNAKE35), in which the catheter is navigated by the intracatheter support of a 0.035-inch guidewire, allowing for rapid, distal intracranial access through a biaxial technique. OBJECTIVE: To assess the performance of a modified navigation technique in the setting of acute stroke thrombectomy. METHODS: Consecutive patients who underwent a thrombectomy procedure between January 2017 and February 2019 were retrospectively identified at our institution. The primary end point was defined as successful positioning of the catheter at the proximal end of the occlusion with the sole use of the SNAKE35 technique. Secondary end points were defined as complications, reperfusion times, and thrombolysis in cerebral infarction scores. RESULTS: Among 140 patients, SNAKE35 was attempted in 79 patients (SNAKE35 group), while traditional navigation was used in the remaining 61 patients (conventional group). Of the total 79 cases, SNAKE35 was successful in positioning the catheter at the proximal end of the occlusion in 66 cases (84%). Of these, 54 cases were completed solely with aspiration techniques. Groin puncture to revascularization time averaged 26 minutes in the SNAKE35 group and 37 minutes in the conventional group ( P < .05), despite older age ( P < .001) and increased use of conscious sedation ( P < .001) in the SNAKE35 group. CONCLUSION: SNAKE35 is an effective and safe technique for SOFIA navigation up to the site of intracranial occlusion in the anterior circulation leading to significant decrease of procedural times.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Isquemia Encefálica / Accidente Cerebrovascular Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Oper Neurosurg (Hagerstown) Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Isquemia Encefálica / Accidente Cerebrovascular Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Oper Neurosurg (Hagerstown) Año: 2022 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos