First Pass Effect in Patients Treated With the Trevo Stent-Retriever: A TRACK Registry Study Analysis

Frontiers in Neurology
Maxim MokinOsama O Zaidat

Abstract

Background and Objective: The first pass effect (FPE; achieving complete recanalization with a single thrombectomy device pass) has been shown to be associated with higher rates of good clinical outcomes in patients with acute ischemic stroke. Here, we investigate clinical and radiographic factors associated with FPE in a large U.S. post-marketing registry (TRACK, Trevo Stent-Retriever Acute Stroke). Methods: We analyzed the TRACK database (multicenter registry of 634 patients from 23 centers from March 2013 through August 2015), which 609 patients were included in the final analysis. FPE was defined as a single pass/use of device, TICI 2c/3 recanalization, and no use of rescue therapy. Analysis of individual patient data from TRACK were performed to analyze clinical and radiographic characteristics associated with FPE as well-compared clinical outcomes defined as modified Rankin Scale (mRS) score at 30 and 90 days from hospital discharge to the non-FPE group. Results: The rate of FPE in TRACK was 23% (140/609). There was no association between patient demographics and FPE, including age (p = 0.36), sex (p = 0.50), race (p = 0.50), location of occlusion (p = 0.26), baseline NIHSS (p = 0.62), or past medical history. There was n...Continue Reading

References

Jul 23, 2013·Journal of Neurointerventional Surgery·Travis M DumontAdnan H Siddiqui
Aug 8, 2013·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatUNKNOWN STIR Thrombolysis in Cerebral Infarction (TICI) Task Force
May 24, 2017·International Journal of Stroke : Official Journal of the International Stroke Society·Simon F De MeyerUNKNOWN Clot Summit Group
Oct 1, 2017·Journal of Neurointerventional Surgery·Osama O ZaidatThanh N Nguyen
Feb 21, 2018·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatRaul G Nogueira
Apr 13, 2018·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatTommy Andersson
Jun 3, 2018·Journal of Neurointerventional Surgery·Diogo C HaussenRaul G Nogueira
Jul 27, 2018·Journal of Neurointerventional Surgery·Naoki KanekoSatoshi Tateshima
Sep 9, 2018·Journal of Neurointerventional Surgery·David S LiebeskindUNKNOWN HERMES Collaborators
Sep 17, 2018·Journal of Neurointerventional Surgery·Maxim MokinUNKNOWN NASA and TRACK investigators.
Jan 11, 2019·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatMichael T Froehler
May 11, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Alejandro TomaselloÀlex Rovira

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Citations

Oct 3, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yi-He ZhangShou-Chun Wang
Feb 3, 2021·Journal of Neurointerventional Surgery·Waleed BrinjikjiHarry J Cloft
Mar 20, 2021·Journal of the American Heart Association·Sanne J den HartogUNKNOWN MR CLEAN (Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands) Regi
Apr 23, 2021·Journal of Neurointerventional Surgery·Laura MechtouffOmer F Eker
May 1, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Muhammad Zeeshan MemonDileep R Yavagal
Jul 17, 2021·Frontiers in Neurology·Carmen Serna CandelVictoria Hellstern

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Software Mentioned

TRACK
JMP
ELVO
THRACE
EmboTrap
REVASCAT

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