Embolus Retriever with Interlinked Cages (ERIC) versus conventional stent retrievers for thrombectomy: a propensity score-based analysis
In: Journal of Neurointerventional Surgery Journal of Neurointerventional Surgery, BMJ Journals, 2021, 13 (3), pp.255-260. ⟨10.1136/neurintsurg-2020-016289⟩; (2021-02-15)
Online
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Zugriff:
BackgroundThe 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.MethodsThe 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.ResultsA 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.ConclusionIn a large multicenter registry with PS matching, the ERIC device provided equivalent angiographic and clinical results to conventional SRs.Clinical trial registrationURL: http://www.clinicaltrials.gov Unique identifier: NCT03776877.
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Embolus Retriever with Interlinked Cages (ERIC) versus conventional stent retrievers for thrombectomy: a propensity score-based analysis
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Autor/in / Beteiligte Person: | Richard, Sébastien ; Marnat, Gaultier ; Ducroux, Célina ; Dargazanli, Cyril ; Walker, Gregory ; Fahed, Robert ; Labreuche, Julien ; Bourcier, Romain ; Gory, Benjamin ; Obadia, Mickael ; Renaud, Nicolas ; Eugène, François ; Sibon, Igor ; Arquizan, Caroline ; Consoli, Arturo ; Blanc, Raphaël ; Vannier, Stephane ; Lapergue, Bertrand ; Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) ; Service de neurologie [Nantes] ; Université de Nantes (UN)-Centre hospitalier universitaire de Nantes (CHU Nantes)-Hôpital Guillaume-et-René-Laennec [Saint-Herblain] ; Service de neurologie [Bordeaux] ; CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin ; Imagerie Adaptative Diagnostique et Interventionnelle (IADI) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL) ; Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy] ; Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy) ; Service de neurologie [CHRU Nancy] ; Département de Neuroradiologie[Montpellier] ; Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Gui de Chauliac [Montpellier]-Université de Montpellier (UM) ; Département de neurologie [Montpellier] ; Hôpital Gui de Chauliac [Montpellier]-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Université Montpellier 1 (UM1)-Université de Montpellier (UM) ; Service de Neurologie [CHU Rennes] ; CHU Pontchaillou [Rennes] ; Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille) ; The Ottawa Hospital ; Hôpital Foch [Suresnes] |
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Quelle: | Journal of Neurointerventional Surgery Journal of Neurointerventional Surgery, BMJ Journals, 2021, 13 (3), pp.255-260. ⟨10.1136/neurintsurg-2020-016289⟩; (2021-02-15) |
Veröffentlichung: | HAL CCSD, 2021 |
Medientyp: | unknown |
ISSN: | 1759-8478 (print) ; 1759-8486 (print) |
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