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Neuroradiology
Published in: Neuroradiology 1/2019

01-01-2019 | Short Report

A back and forth manual aspiration technique using a SOFIA Plus catheter for acute ischemic stroke: technical note

Published in: Neuroradiology | Issue 1/2019

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Abstract

Purpose

We describe a new modification of thromboaspiration to facilitate recanalization, referred to as the “back and forth” manual aspiration technique.

Methods

In this technique, the aspiration catheter (SOFIA Plus catheter, MicroVentionInc, Tustin, CA, USA) is positioned adjacent to the occluded segment and then advanced over the thrombus during manual aspiration with a 50-cc syringe.

Results

We evaluated this technique in 15 patients who presented to our institution with acute ischemic stroke (AIS). Final mTICI 2b/3 was achieved in 86.6% of the patients with the sole use of this new aspiration technique. No dissection, rupture, or downstream emboli were associated with the procedure. The mean time from puncture to revascularization was 35 min.

Conclusion

This modified technique with back and forth movements of the SOFIA Plus catheter over the thrombus during aspiration may facilitate thrombectomy in AIS. However, further studies in larger groups are necessary to elucidate its efficacy and to compare with current techniques.
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Literature
1.
Powers WJ, Derdeyn CP, Biller J, Coffey CS, Hoh BL, Jauch EC, Johnston KC, Johnston SC, Khalessi AA, Kidwell CS, Meschia JF, Ovbiagele B, Yavagal DR, American Heart Association Stroke Council (2015) American heart association/American stroke association focused update of the 2013 guidelines for the early management of patients with acute ıschemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American heart association/American stroke association. Stroke 46:3020–3035CrossRefPubMed
2.
Turk AS, Spiotta A, Frei D, Mocco J, Baxter B, Fiorella D, Siddiqui A, Mokin M, Dewan M, Woo H, Turner R, Hawk H, Miranpuri A, Chaudry I (2014) Initial clinical experience with the ADAPT technique: a direct aspiration first pass technique for stroke thrombectomy. J Neurointerv Surg 6:231–237CrossRefPubMed
3.
Kabbasch C, Mohlenbruch M, Stampfl S et al (2016) First-line lesional aspiration in acute stroke thrombectomy using a novel intermediate catheter: ınitial experiences with the SOFIA. Interv Neuroradiol 22:333–339CrossRefPubMedPubMedCentral
4.
Kowoll A, Weber A, Mpotsaris A, Behme D, Weber W (2016) Direct aspiration first pass technique for the treatment of acute ischemic stroke: initial experience at a European stroke center. J Neurointerv Surg 8:230–234CrossRefPubMed
5.
Shallwani H, Shakir HJ, Rangel-Castilla L et al (2018) Safety and efficacy of the Sofia (6F) PLUS Distal Access Reperfusion Catheter in the endovascular treatment of acute ischemic stroke. Neurosurgery 1(82(3)):312–321CrossRef
6.
Nguyen TN, Malisch T, Castonguay AC, Gupta R, Sun CHJ, Martin CO, Holloway WE, Mueller-Kronast N, English JD, Linfante I, Dabus G, Marden FA, Bozorgchami H, Xavier A, Rai AT, Froehler MT, Badruddin A, Taqi M, Abraham MG, Janardhan V, Shaltoni H, Novakovic R, Yoo AJ, Abou-Chebl A, Chen PR, Britz GW, Kaushal R, Nanda A, Issa MA, Masoud H, Nogueira RG, Norbash AM, Zaidat OO (2014) Balloon guide catheter improves revascularization and clinical outcomes with the solitaire device: analysis of the North American Solitaire Acute Stroke Registry. Stroke 45(1):141–145CrossRefPubMed
Metadata
Title
A back and forth manual aspiration technique using a SOFIA Plus catheter for acute ischemic stroke: technical note
Publication date
01-01-2019
Published in
Neuroradiology / Issue 1/2019
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-018-2134-x

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