The SAVE Technique : Large-Scale Experience for Treatment of Intracranial Large Vessel Occlusions

Clinical Neuroradiology
Volker MausMarios-Nikos Psychogios

Abstract

The stent retriever assisted vacuum-locked extraction (SAVE) technique was introduced as an effective thrombectomy method in stroke patients suffering from intracranial large vessel occlusion (LVO). This article presents our multicenter, large-scale experience with SAVE. The study involved a retrospective core team analysis of 200 patients undergoing mechanical thrombectomy using the SAVE technique due to intracranial LVO at 4 German centers. Primary endpoints were first-pass and overall complete/near complete reperfusion, defined as a modified thrombolysis in cerebral infarction (mTICI) score of 2c and 3. Secondary endpoints were the number of passes, time from groin puncture to reperfusion, embolization to new territories (ENT), postinterventional symptomatic intracranial hemorrhage (sICH), and favorable outcome at discharge, defined as a modified Rankin Scale (mRS) score ≤ 2. The median age was 78 years (interquartile range IQR 68-85). Median National Institutes of Health stroke scale (NIHSS) at admission was 16 (IQR 12-20). Occlusions sites were: internal carotid artery (ICA-T) in 39/200 (19.5%), M1 in 126/200 (63%), M2 in 30/200 (15%), and others in 5/200 (2.5%) cases. The primary endpoints were documented in 114/200 (57% ...Continue Reading

References

Jul 19, 2003·Stroke; a Journal of Cerebral Circulation·Randall T HigashidaUNKNOWN Technology Assessment Committee of the Society of Interventional Radiology
Aug 3, 2013·Stroke; a Journal of Cerebral Circulation·Vitor M PereiraGerhard Schroth
Aug 8, 2013·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatUNKNOWN STIR Thrombolysis in Cerebral Infarction (TICI) Task Force
Jan 28, 2014·Journal of Neurointerventional Surgery·William HumphriesAdam S Arthur
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators
Jan 15, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Nils WahlgrenUNKNOWN ESO-KSU, ESO, ESMINT, ESNR and EAN
Feb 19, 2016·Stroke; a Journal of Cerebral Circulation·Bruce C V CampbellMayank Goyal
Feb 26, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Francesco MassariAjit S Puri
Aug 4, 2016·Stroke; a Journal of Cerebral Circulation·J MoccoUNKNOWN THERAPY Trial Investigators*
Dec 18, 2016·Journal of Neurointerventional Surgery·Ryan A McTaggartMahesh V Jayaraman
Feb 15, 2017·Clinical Neuroradiology·Volker MausMarios Nikos Psychogios
Aug 24, 2017·Stroke; a Journal of Cerebral Circulation·Nils H Mueller-KronastUNKNOWN STRATIS Investigators
Oct 1, 2017·Journal of Neurointerventional Surgery·Amélie Carolina HesseMarios-Nikos Psychogios
Oct 12, 2017·Stroke; a Journal of Cerebral Circulation·Marios-Nikos PsychogiosMichael Knauth
Nov 23, 2017·Scientific Reports·Jang-Hyun BaekJi Hoe Heo
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

❮ Previous
Next ❯

Citations

Jan 23, 2020·Stroke; a Journal of Cerebral Circulation·Wolfgang G KunzUNKNOWN HERMES Collaborators
Dec 12, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·B IkenbergC Maegerlein
Sep 1, 2019·Current Cardiology Reports·Tasneem F HasanRabih G Tawk
Apr 29, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Hanna StyczenDaniel Behme
Jun 20, 2020·Expert Review of Medical Devices·Raphaël BlancMichel Piotin
May 10, 2019·Clinical Neuroradiology·D BehmeM N Psychogios
Dec 23, 2020·Journal of the Neurological Sciences·Mohamed AlzayianiWalid Albanna
Feb 11, 2021·Stroke; a Journal of Cerebral Circulation·Precious Jolugbo, Robert A S Ariëns
Jun 9, 2021·Der Nervenarzt·Marios-Nikos PsychogiosLeo H Bonati
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·N AbdullayevA Mpotsaris
Aug 3, 2021·Frontiers in Neurology·Manina M EtterMarios-Nikos Psychogios
Apr 25, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Seung Hwan KimSung-Chul Jin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.