Hussain Shallwani1,2, Hakeem J Shakir1,2, Leonardo Rangel-Castilla1,2, Jason M Davies1,2,3, Ashish Sonig1,2, Mithun G Sattur4, Bernard R Bendok4, Kenneth V Snyder1,5,2,4, Adnan H Siddiqui1,6,2,7,8, Elad I Levy1,6,2,7. 1. Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York. 2. Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York. 3. Department of Bioinformatics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York AND Jacobs Institute. 4. Department of Neurosurgery, Mayo Clinic Arizona, Scottsdale, Arizona. 5. Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York. 6. Department of Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York. 7. Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, New York. 8. Jacobs Institute, Buffalo, New York.
Abstract
BACKGROUND: Neuroendovascular intervention has become a key treatment option for acute ischemic stroke. The Sofia (6F) PLUS catheter was designed for neurovascular access for diagnostic or therapeutic interventions. OBJECTIVE: To report the first series describing use of the Sofia PLUS intermediate/distal access reperfusion catheter in the treatment of acute ischemic stroke. METHODS: In this retrospective study, 41 stroke cases were identified in which the catheter was utilized for thrombolysis/thrombectomy. Mean preprocedure National Institutes of Health Stroke Scale score was 16.5 ± 5.2 (range 4-29). Occluded vessels included the M1 segment, M2 segment, internal carotid artery terminus, cervical internal carotid artery, and basilar artery. RESULTS: Successful positioning of the Sofia PLUS catheter near the occlusion site was achieved in 38 (92.7%) of 41 cases in which thrombectomy or thrombolysis was attempted using intraarterial tissue plasminogen activator, a direct aspiration first-pass technique, and/or stent retrieval. A postprocedure thrombolysis in cerebral infarction (TICI) score of 2b/3 was achieved in 37 of 41 cases. Of 15 cases where the Sofia PLUS was used for a direct aspiration first-pass technique, TICI 2b/3 was achieved in 11 (73.3%). In one case where intra-arterial tissue plasminogen activator was used as the only treatment modality, TICI 2a was achieved. No device-related or catheter-related complications were observed. The mean 7-d-postprocedure National Institutes of Health Stroke Scale score among the 39 survivors was 8.5 ± 7.3 (range 0-23). CONCLUSION: Initial results with use of the Sofia (6F) PLUS for endovascular treatment of acute ischemic stroke have been encouraging. Experience with a larger series is warranted to further evaluate the safety and efficacy of this device and compare it with other reperfusion catheters.
BACKGROUND: Neuroendovascular intervention has become a key treatment option for acute ischemic stroke. The Sofia (6F) PLUS catheter was designed for neurovascular access for diagnostic or therapeutic interventions. OBJECTIVE: To report the first series describing use of the Sofia PLUS intermediate/distal access reperfusion catheter in the treatment of acute ischemic stroke. METHODS: In this retrospective study, 41 stroke cases were identified in which the catheter was utilized for thrombolysis/thrombectomy. Mean preprocedure National Institutes of Health Stroke Scale score was 16.5 ± 5.2 (range 4-29). Occluded vessels included the M1 segment, M2 segment, internal carotid artery terminus, cervical internal carotid artery, and basilar artery. RESULTS: Successful positioning of the Sofia PLUS catheter near the occlusion site was achieved in 38 (92.7%) of 41 cases in which thrombectomy or thrombolysis was attempted using intraarterial tissue plasminogen activator, a direct aspiration first-pass technique, and/or stent retrieval. A postprocedure thrombolysis in cerebral infarction (TICI) score of 2b/3 was achieved in 37 of 41 cases. Of 15 cases where the Sofia PLUS was used for a direct aspiration first-pass technique, TICI 2b/3 was achieved in 11 (73.3%). In one case where intra-arterial tissue plasminogen activator was used as the only treatment modality, TICI 2a was achieved. No device-related or catheter-related complications were observed. The mean 7-d-postprocedure National Institutes of Health Stroke Scale score among the 39 survivors was 8.5 ± 7.3 (range 0-23). CONCLUSION: Initial results with use of the Sofia (6F) PLUS for endovascular treatment of acute ischemic stroke have been encouraging. Experience with a larger series is warranted to further evaluate the safety and efficacy of this device and compare it with other reperfusion catheters.
Authors: Federico Bolognini; Pablo A Lebedinsky; Mariano Musacchio; Mariette Delaitre; Abdoulaye M Traoré; Francis Vuillemet; François Sellal; Jean-François Cerfon; Eric Schluck; Daniela Iancu; Elena A Cora; Sébastien Richard; René Anxionnat; Benjamin Gory; Stephanos N Finitsis Journal: Interv Neuroradiol Date: 2021-04-04 Impact factor: 1.610
Authors: Zhen Yu Jia; Sang Hun Lee; Young Eun Kim; Joon Ho Choi; Sun Moon Hwang; Ga Young Lee; Jin Ho Youn; Deok Hee Lee Journal: Neurointervention Date: 2017-09-05
Authors: Faysal Benali; Robert-Jan B Goldhoorn; Bart A J M Wagemans; Christiaan van der Leij; Rutger J B Brans; Sanne W de Boer; Michiel W de Haan; Wim H van Zwam Journal: Cardiovasc Intervent Radiol Date: 2019-07-02 Impact factor: 2.740