Trombectomía mecánica en el ICTUS; Experiencia con trevo en hospital provincial clínico Barcelona

Abstract

Objectives. To report our experience, the effciency, safety and results of endovascular mechanical thrombectomy with the Trevo device in acute ischemic cerebral stroke. Materials and Methods. We performed a retrospective study of 145 acute ischemic stroke patients treated with mechanical thrombectomy using the Trevo system, between october 2008 and march 2012. 87.3% in anterior circulation and 12.7% in posterior circulation. Results. Mean age at presentation was 67 years (range 21-82, 54.5% males). The NIHSS presentation baseline was 17 (range, 18-22). The median interval from the onset of symptoms to arterial punction was 263 minutes (173-296). Satisfactory recanalization defned TICI (2-3) in 91% with 45% showing a good functional prognosis (mRS 0-2) at 90 days. 23% mortality at 90 days with 11% intracerebral haemorrage. Conclusions. In our experience, endovascular treatment of acute ischemic stroke with the Trevo device is safe and effective.