1. FreeClimb 88 catheter with Tenzing 8 delivery for contact aspiration mechanical thrombectomy of anterior circulation large vessel occlusions.
- Author
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Alexander MD, Caldwell J, Lee SS, Kim WT, English JD, Kim J, McGuinness BJ, Page M, Belachew NF, Grossberg JA, Tonetti D, Khalife J, Shaikh H, Kass-Hout O, Colasurdo M, Priest R, Varjavand B, Khangura RS, Chaudhry TA, and Settecase F
- Abstract
Purpose: Contact aspiration mechanical thrombectomy (CAMT) with 0.088-inch catheters may improve first-pass success rates, but delivery of such catheters can be challenging and limit effectiveness. This study examines the initial multicenter experience using the FreeClimb 88 catheter paired with the Tenzing 8 delivery catheter., Materials and Methods: Retrospective analysis was performed of consecutive patients with large vessel occlusion (LVO) of the internal carotid artery (ICA) or M1 segment of the middle cerebral artery treated with off-label CAMT using the FreeClimb 88 and Tenzing 8 at eight sites participating in the early limited release for these devices. Demographic and procedural variables were collected and analyzed with descriptive statistics and multivariable analysis., Results: Fifty-three consecutive patients were treated. Large vessel occlusion was located in the ICA in 19/53 (35.8%) patients; 34/53 (64.2%) were in the M1 segment. FreeClimb 88 was successfully delivered to the site of occlusion in 50/53 (94.3%) of patients. First-pass TICI 2c or 3 was achieved with FreeClimb 88 delivered by Tenzing 8 in 36 (67.9%) cases. Among cases with successful FreeClimb 88 delivery 9/50 (18.0%) required additional smaller devices to perform thrombectomy of distal occlusions after recanalization of the initial LVO. No complications or symptomatic hemorrhages occurred following thrombectomy., Conclusion: Contact aspiration mechanical thrombectomy performed for ICA or M1 LVOs using FreeClimb 88 delivered with Tenzing 8 was safe, effective, and efficient in this early experience, with first-pass TICI 2c or 3 was achieved in 68% of patients without procedural complications occurring in any cases., Competing Interests: Author contributionsConcept and design (FS, MDA, JDE), analysis and interpretation (MDA, FS, JDE), data collection (all authors), writing the article (MDA, FS), critical revision of the article (MDA, FS, JC, SL, WTK, JDE), final approval of the article (all authors), statistical analysis (MDA, FS), and overall responsibility (MDA, FS, JDE). Declaration of conflicting interestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: MDA: Consultant fees, Route 92 Medical. Stock or stock options, Certus Critical Care, Route 92 Medical, Piraeus Medical. JC: Consultant fees and travel/meeting Support, Route 92 Medical. SL: Consultant fees and travel/meeting Support, Route 92 Medical. WTK: Consultant fees, Stryker Neurovascular; Consultant fees, Travel reimbursements, and Stock Options, Route 92 Medical. JDE: Consultant fees, Stryker Neurovascular; Consultant fees, Travel reimbursements, and Stock Options, Route 92 Medical, Co-founder and Chief Medical Officer, Route 92 Medical. JAG: Consultant fees, Imperative Care, Route 92, Cognition; Grant Support, Emory Medical Care Foundation, Neurosurgery Catalyst, Department of Defense-Surgical Critical Care Initiative, Georgia Research Alliance. DT: Consultant fees Route 92, Scientia; Speaker fees, IRRAS. RP: Consultant fees, Stryker, Medtronic, Route 92 Medical; Grant Support, Phenox. FS: Consultant fees, Stryker Neurovascular and Route 92 Medical; Honoraria for lectures, Stryker Neurovascular; Travel, Medtronic; Research Grants: Microvention, Stryker. Stock or Stock Options: Route 92 Medical
- Published
- 2024
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