Embolus Retriever with Interlinked Cages ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Embolus Retriever with Interlinked Cages (ERIC) versus conventional stent retrievers for thrombectomy: a propensity score-based analysis.
Author(s) :
Ducroux, Célina [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Renaud, Nicolas [Auteur]
Service de neurologie [Nantes]
Bourcier, Romain [Auteur]
Service de neurologie [Nantes]
Marnat, Gaultier [Auteur]
Département de Neuro-Radiologie [Bordeaux] [DNR - Bordeaux]
Sibon, Igor [Auteur]
Service de neurologie [Bordeaux]
Gory, Benjamin [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Richard, Sebastien [Auteur]
Service de neurologie [CHRU Nancy]
Dargazanli, Cyril [Auteur]
Département de Neuroradiologie[Montpellier]
Arquizan, Caroline [Auteur]
Neurochirurgie [Hôpital Gui de Chauliac]
Eugene, François [Auteur]
Service de Neuroradiologie [Rennes]
Vannier, Stephane [Auteur]
Service de Neurologie [Rennes] = Neurology [Rennes]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Walker, Gregory [Auteur]
The Ottawa Hospital
Blanc, Raphaël [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Obadia, Mickael [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Consoli, Arturo [Auteur]
Hôpital Foch [Suresnes]
Lapergue, Bertrand [Auteur]
Hôpital Foch [Suresnes]
Fahed, Robert [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Renaud, Nicolas [Auteur]
Service de neurologie [Nantes]
Bourcier, Romain [Auteur]
Service de neurologie [Nantes]
Marnat, Gaultier [Auteur]
Département de Neuro-Radiologie [Bordeaux] [DNR - Bordeaux]
Sibon, Igor [Auteur]
Service de neurologie [Bordeaux]
Gory, Benjamin [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Richard, Sebastien [Auteur]
Service de neurologie [CHRU Nancy]
Dargazanli, Cyril [Auteur]
Département de Neuroradiologie[Montpellier]
Arquizan, Caroline [Auteur]
Neurochirurgie [Hôpital Gui de Chauliac]
Eugene, François [Auteur]
Service de Neuroradiologie [Rennes]
Vannier, Stephane [Auteur]
Service de Neurologie [Rennes] = Neurology [Rennes]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Walker, Gregory [Auteur]
The Ottawa Hospital
Blanc, Raphaël [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Obadia, Mickael [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Consoli, Arturo [Auteur]
Hôpital Foch [Suresnes]
Lapergue, Bertrand [Auteur]
Hôpital Foch [Suresnes]
Fahed, Robert [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Journal title :
Journal of Neurointerventional Surgery
Abbreviated title :
J Neurointerv Surg
Publication date :
2020-07-04
ISSN :
1759-8486
English keyword(s) :
stroke
thrombectomy
thrombectomy
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
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 ...
Show more >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.Show less >
Show more >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.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T08:36:38Z
2024-01-11T09:14:05Z
2024-01-11T09:14:05Z