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. 2021 Sep 29:12:677630.
doi: 10.3389/fneur.2021.677630. eCollection 2021.

Trevo 6 × 25mm vs. 4 × 30mm in Mechanical Thrombectomy of M1 LVO

Marion John Oliver  1 , Emily Brereton  2 , Muhib A Khan  3 , Alan Davis  3 , Justin Singer  3
Affiliations

Trevo 6 × 25mm vs. 4 × 30mm in Mechanical Thrombectomy of M1 LVO

Marion John Oliver et al. Front Neurol. .

Abstract

Objectives: Our primary objective was to determine the successful rate of recanalization of M1 large vessel occlusion using either the Trevo 4 × 30 mm or 6 × 25 mm stent during mechanical thrombectomy. Our secondary objectives were to determine differences between the use of these two stent retrievers regarding first-pass effect, periprocedural complications, and mortality in the first 90 days. Methods: This is a retrospective cohort study. Data regarding the stent used, recanalization, number of passes, periprocedural complications, and mortality were determined via our mechanical thrombectomy database along with chart review. Conclusion: When comparing Trevo 4 × 30 mm to 6 × 25 mm stent retrievers used in mechanical thrombectomy for middle cerebral artery large-vessel occlusion causing stroke, there is no statistically significant difference in successful recanalization rates, first-pass effect, perioperative complications, or mortality at 90 days. Studies like this will hopefully lead to further prospective, randomized controlled trials that will help show experts in the field an additional way to perform this procedure effectively and safely.

Keywords: large vessel occlusion; mechanical thrombectomy; neurointervention; stent retreiver; stroke.

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Conflict of interest statement

JS is a consultant for Stryker and Medtronic. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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