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Page 67
allied
academies
Volume 2
June 11-13, 2018 | London, UK
Neurology and Neuroscience
6
th
International Conference on
Safety and efficacy of the ¨SOFITAIRE¨ approach in the endovascular treatment of Acute Ischemic Stroke
Carlos Díaz
and
Boris Pabón
Angioteam, USA
Purpose:
Prompt recanalization of occluded brain arteries in
patients with stroke requires the use of multiple strategies.
We report a retrospectively collected clinical experience in
Medellin – Colombia using a combination of a direct first pass
techniquewithSofia6Plus(MicroVention-Terumo,Inc.,Tustin,
CA) Reperfusion Catheter in combination with Solitaire™ FR
(SFR) (ev3 Inc, Irvine, California, USA) in the treatment of AIS
Materials and Methods:
Between March 2016
and Nov 2017 data from 32 patients treated with
¨SOFITAIRE¨ approach within 8 h of AIS symptom onset
were selected. Procedural data including TICI score,
Timing, adverse events and outcome were analyzed
Results:
¨SOFITAIRE¨ approach was successful in
achieving complete recanalization in 24 patients (75%)
with a final score of 3 according to the TICI. A partial
recanalization (TICI 1 -2a) was obtained in four patients
(12.5%). Treatment failure was observed in four cases.
80.6% of strokes were in anterior circulation. Five cases
presented with tandem lesions involving cervical ICA.
Median time from groin puncture to revascularization was
39 minutes. None adverse events were recorded. Two
patient, not re-vascularized died during the hospitalization
due to massive MCA infarction. Marked improvement of
National Institutes of Health Stroke Scale from baseline
to 24 h after recanalization was obtained in all survivals.
Conclusion:
¨SOFITAIRE¨ approach was effective and fast
in achieving a high rate of complete artery recanalization
with a low rate of complications. The combined use of
reperfusion catheters with retrievers may be considered
a promising tool for endovascular revascularization.
e:
cadiazp@yahoo.com