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04.04.2019 | Original Article

One-year single-center experience with the Aperio thrombectomy device in large vessel occlusion in the anterior circulation: safety, efficacy, and clinical outcome

verfasst von: Marius Georg Kaschner, Daniel Weiss, Christian Rubbert, John-Ih Lee, Michael Gliem, Sebastian Jander, Vivien Ivan, Bastian Kraus, Bernd Turowski, Julian Caspers

Erschienen in: Neurological Sciences | Ausgabe 7/2019

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Abstract

Background and purpose

The Aperio thrombectomy device (Aperio) is a stent retriever designed to achieve rapid and substantial flow restoration in acute ischemic stroke due to large-vessel occlusions (LVOs). We evaluated the safety and efficacy of the Aperio device and compared it with published data of established stent retrievers.

Methods

We retrospectively analyzed institutional data of consecutive stroke procedures in patients with LVO in the anterior circulation that were treated between January 2017 and December 2017 with the Aperio. Reperfusion rate regarding to the extended thrombolysis in cerebral infarction scale (eTICI), procedural times, early clinical outcome, and complications were documented.

Results

Eighty-two patients were treated by using the Aperio in LVO in the anterior circulation. Median age was 77 (± 12) years (w = 59.8%). Median Baseline National Institutes of Health Stroke Scale (NIHSS) score was 14. Fifty-three (64.6%) patients received intravenous thrombolysis. Successful recanalization (eTICI≥2b) was achieved in 85.3%. Mean time from groin puncture to final recanalization was 52.3 ± 34.8 min. Embolization to new territories occurred in one case. Symptomatic intracranial hemorrhage within 24 h was observed in six patients (7.3%). Twenty-eight (41.2%) out of 68 patients available for assessment of functional outcome at 3 months achieved favorable outcome (mRS 0–2).

Conclusion

The Aperio stent retriever mechanical thrombectomy device demonstrated high rates of successful reperfusion and a good safety profile in patients with acute ischemic stroke due to LVO in the anterior circulation.

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Titel: One-year single-center experience with the Aperio thrombectomy device in large vessel occlusion in the anterior circulation: safety, efficacy, and clinical outcome
verfasst von: Marius Georg Kaschner
Daniel Weiss
Christian Rubbert
John-Ih Lee
Michael Gliem
Sebastian Jander
Vivien Ivan
Bastian Kraus
Bernd Turowski
Julian Caspers
Publikationsdatum: 04.04.2019
Verlag: Springer International Publishing
Erschienen in: Neurological Sciences / Ausgabe 7/2019
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-019-03861-z

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One-year single-center experience with the Aperio thrombectomy device in large vessel occlusion in the anterior circulation: safety, efficacy, and clinical outcome

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Background and purpose

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Results

Conclusion

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