Penumbra system: A novel mechanical thrombectomy device for large-vessel occlusions in acute stroke

American Journal of Neuroradiology

Volumn 31, Issue 4, 2010, Pages 628-633

  Kulcsar Z ^a   Bonvin, C ^a   Pereira, V M ^a   Altrichter, S ^a   Yilmaz, H ^a   Lovblad K O ^a   Sztajzel, R ^a   Rufenacht D A ^a,b  

^a GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^b KLINIK HIRSLANDEN   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; ALTEPLASE; CLOPIDOGREL; HEPARIN; TIROFIBAN;

AGED; ARTICLE; BASILAR ARTERY; BLOOD CLOT LYSIS; BRAIN HEMORRHAGE; CEREBROVASCULAR ACCIDENT; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DEVICE; FEMALE; FIBRINOLYTIC THERAPY; HOSPITAL DISCHARGE; HUMAN; INTERNAL CAROTID ARTERY OCCLUSION; LOADING DRUG DOSE; MALE; MONOTHERAPY; MORTALITY; NATIONAL INSTITUTES OF HEALTH STROKE SCALE; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; RETROSPECTIVE STUDY; REVASCULARIZATION; STENT; SUBARACHNOID HEMORRHAGE; THROMBECTOMY; THROMBOEMBOLISM; THROMBUS ASPIRATION;

ACUTE DISEASE; AGED; AGED, 80 AND OVER; CAROTID ARTERY THROMBOSIS; CATHETERIZATION; CEREBRAL ANGIOGRAPHY; COMBINED MODALITY THERAPY; EQUIPMENT DESIGN; FEMALE; FIBRINOLYTIC AGENTS; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; INFARCTION, MIDDLE CEREBRAL ARTERY; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; STENTS; SUCTION; SURGICAL INSTRUMENTS; SURVIVAL RATE; THROMBECTOMY; THROMBOLYTIC THERAPY; TISSUE PLASMINOGEN ACTIVATOR; TOMOGRAPHY, X-RAY COMPUTED; VERTEBROBASILAR INSUFFICIENCY;

EID: 77950802790     PISSN: 01956108     EISSN: None     Source Type: Journal    
DOI: 10.3174/ajnr.A1924     Document Type: Article

References (24)

1. Zaidat OO, Suarez JI, Santillan C, et al. Response to intra-arterial and combined intravenous and intra-arterial thrombolytic therapy in patients with distal internal carotid artery occlusion. Stroke 2002;33:1821-1826 (Pubitemid 34761068)
2. Tissue Plasminogen Activator for Acute Ischemic Stroke: The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 1995;333:1581-1587
3. Kim YS, Garami Z, Mikulik R, et al, for the CLOTBUST Collaborators. Early recanalization rates and clinical outcomes in patients with tandem internal carotid artery/middle cerebral artery occlusion and isolated middle cerebral artery occlusion. Stroke 2005;36:869-871 Epub 2005 Mar 3 (Pubitemid 40490640)
4. Arnold M, Nedeltchev K, Mattle HP, et al. Intra-arterial thrombolysis in 24 consecutive patients with internal carotid artery T occlusions. J Neurol Neurosurg Psychiatry 2003;74:739-742 (Pubitemid 36628285)
5. Rubiera M, Alvarez-Sabin J, Ribo M, et al. Predictors of early arterial reocclusion after tissue plasminogen activator-induced recanalization in acute ischemic stroke. Stroke 2005;36:1452-1456 (Pubitemid 40967511)
6. Rha J-H, Saver JL. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007;38:967-973 (Pubitemid 46568460)
7. Zangerle A, Kiechl S, Spiegel M, et al. Recanalization after thrombolysis in stroke patients: predictors and prognostic implications. Neurology 2007;68:39-44 (Pubitemid 46058549)
8. Smith WS, Sung G, Saver J, et al. Mechanical thrombectomy for acute ischemic stroke: final results of the Multi MERCI trial. Stroke 2008;39:1205-1212 Epub 2008 Feb 28 (Pubitemid 351440692)
9. Smith WS, Sung G, Starkman S, et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke 2005;36:1432-1438 (Pubitemid 40967507)
10. Brekenfeld C, Schroth G, Mattle HP, et al. Stent placement in acute cerebral artery occlusion: use of a self-expandable intracranial stent for acute stroke treatment. Stroke 2009;40:847-852
11. Levy EI, Mehta R, Gupta R, et al. Self-expanding stents for recanalization of acute cerebrovascular occlusions. AJNR Am J Neuroradiol 2007;28:816-822
12. Bose A, Henkes H, Alfke K, et al. The Penumbra System: a mechanical device for the treatment of acute stroke due to thromboembolism. AJNR Am J Neuroradiol 2008;29:1409-1413 Epub 2008 May 22
13. Higashida RT, Furlan AJ, Roberts H, et al. Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke. Stroke 2003;34:e109-37
14. Hacke W, Kaste M, Fieschi C, et al. Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II): Second European-Australasian Acute Stroke Study Investigators. Lancet 1998;352:1245-1251
15. Théron J, Nelson M, Alachkar F, et al. Dynamic digitized cerebral parenchymography. Neuroradiology 1992;34:361-364
16. Saqqur M, Uchino K, Demchuk AM, et al. Site of arterial occlusion identified by transcranial Doppler predicts the response to intravenous thrombolysis for stroke. Stroke 2007;38:948-954 (Pubitemid 46568457)
17. Furlan A, Higashida R, Wechsler L, et al. Intra-arterial prourokinase for acute ischemic stroke: The PROACT II study - a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism. JAMA 1999;282:2003-2011
18. Zaidat OO, Suarez JI, Santillan C, et al. Response to intra-arterial and combined intravenous and intra-arterial thrombolytic therapy in patients with distal internal carotid artery occlusion. Stroke 2002;33:1821-1827 (Pubitemid 34761068)
19. Sims JR, Rordorf G, Smith EE, et al. Arterial occlusion revealed by CT angiography predicts NIH stroke score and acute outcomes after IV tPA treatment. AJNR Am J Neuroradiol 2005;26:246-251 (Pubitemid 43073300)
20. Linfante I, Llinas RH, Selim M, et al. Clinical and vascular outcome in internal carotid artery versus middle cerebral artery occlusions after intravenous tissue plasminogen activator. Stroke 2002;33:2066-2071 (Pubitemid 34840069)
21. Rubiera M, Ribo M, Delgado-Mederos R, et al. Tandem internal carotid artery/middle cerebral artery occlusion: an independent predictor of poor outcome after systemic thrombolysis. Stroke 2006;37:2301-2305 (Pubitemid 44337173)
22. Jovin TG, Gupta R, Horowitz MB, et al. Pretreatment ipsilateral regional cortical blood flow influences vessel recanalization in intra-arterial thrombolysis for MCA occlusion. AJNR Am J Neuroradiol 2007;28:164-167 (Pubitemid 46147559)
23. Kucinski T, Koch C, Eckert B, et al. Collateral circulation is an independent radiological predictor of outcome after thrombolysis in acute ischaemic stroke. Neuroradiology 2003;45:11-18 (Pubitemid 36700809)
24. Singer OC, Berkefeld J, Lorenz MW, et al. Risk of symptomatic intracerebral hemorrhage in patients treated with intra-arterial thrombolysis. Cerebrovascular Diseases 2009;27:368-374 Epub 2009 Feb 16