Journal article
MRS SOFIA: a multicenter retrospective study for use of Sofia for revascularization of acute ischemic stroke
Journal of neurointerventional surgery, Vol.14(1), pp.22-26
02/01/2021
DOI: 10.1136/neurintsurg-2020-017042
PMID: 33526479
Abstract
BackgroundOver the past several years there has been increased interest in the use of the Sofia aspiration system (MicroVention, Tustin, California) as a primary aspiration catheter.ObjectiveTo perform a multicenter retrospective study examining the efficacy of the Sofia aspiration catheter as a standalone aspiration treatment for large vessel occlusion.MethodsConsecutive cases in which the Sofia catheter was used for aspiration thrombectomy for large vessel occlusion were included. Exclusion criteria were the following: (1) Sofia not used for first pass, and (2) a stent retriever used as an adjunct on the first pass. The primary outcome of the study was first pass recanalization (Thrombolysis in Cerebral Infarction (TICI) 2c/3). Secondary outcomes included first pass TICI 2b/3, crossover to other thrombectomy devices, number of passes, time from puncture to recanalization, and complications.Results323 patients were included. First pass TICI 2c/3 was achieved in 49.8% of cases (161/323). First pass TICI 2b/3 was achieved in 69.7% (225/323) of cases. 74.8% had TICI 2b/3 with the Sofia alone. Crossover to other thrombectomy devices occurred in 29.1% of cases (94/323). The median number of passes was 1 (IQR=1–3). Median time from puncture to recanalization was 26 min (IQR=17–45). Procedure related complications occurred in 3.1% (10/323) of cases.ConclusionOur study highlights the potential advantage of the Sofia aspiration catheter for primary aspiration thrombectomy in acute ischemic stroke. High rates of first pass recanalization with low crossover rates to other thrombectomy devices were achieved. Median procedure time was low, as were procedural complications.
Details
- Title: Subtitle
- MRS SOFIA: a multicenter retrospective study for use of Sofia for revascularization of acute ischemic stroke
- Creators
- Waleed Brinjikji - Mayo Clinic Minnesota, Rochester, Minnesota, USAEytan Raz - Department of Radiology, NYU, New York, New York, USAReade De Leacy - Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USADan Meila - Department of Radiology and Neuroradiology, Klinikum Duisburg - Sana Kliniken, Duisburg, GermanyMaxim Mokin - Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, Florida, USAEdgar A Samaniego - Interventional Neuroradiology/Endovascular Neurosurgery Division Department of Neurology, Neurosurgery and Radiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAMaksim Shapiro - Department of Interventional Radiology, New York University Langone Medical Center, New York, New York, USADevin Bageac - Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USAAlberto Varon - Interventional Neuroradiology/Endovascular Neurosurgery Division Department of Neurology, Neurosurgery and Radiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAZeguang Ren - Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, Florida, USALorenzo Rinaldo - Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USAHarry J Cloft - Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA
- Resource Type
- Journal article
- Publication Details
- Journal of neurointerventional surgery, Vol.14(1), pp.22-26
- DOI
- 10.1136/neurintsurg-2020-017042
- PMID
- 33526479
- ISSN
- 1759-8478
- eISSN
- 1759-8486
- Language
- English
- Date published
- 02/01/2021
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984070730702771
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