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ORIGINAL ARTICLE
Year : 2021  |  Volume : 69  |  Issue : 2  |  Page : 378--382

Comparison of the Solitaire and Trevo Stents for Endovascular Treatment of Acute Ischemic Stroke: A Single.Center Experience

Jin Wook Baek1, Young Jin Heo1, Sung Tae Kim2, Jung Hwa Seo3, Hae Woong Jeong1, Eung-Gyu Kim3 
1 Department of Diagnostic Radiology, Busan Paik Hospital, Inje University, Busan, Korea
2 Department of Neurosurgery, Busan Paik Hospital, Inje University, Busan, Korea
3 Department of Neurology, Busan Paik Hospital, Inje University, Busan, Korea

Correspondence Address:
Jung Hwa Seo
Department of Neurology, Inje University College of Medicine, Busan Paik Hospital, Gaegum-dong, Busanjin-gu, Busan, 614-110
Korea

Aims: Limited studies have compared the effectiveness of Solitaire and Trevo stentrievers for endovascular thrombectomy to achieve recanalization and improve functional outcomes of patients with acute ischemic stroke. Therefore, we compared the safety and efficacy of the two stents during endovascular thrombectomy for patients with acute ischemic stroke. Materials and Methods: This study included 130 patients who underwent endovascular thrombectomy using either the Trevo (n = 51) or the Solitaire (n = 79) stent for anterior circulation acute ischemic stroke. Recanalization was classified using thrombolysis in cerebral infarction (TICI) grading. Efficacy and safety of the devices during endovascular thrombectomy were analyzed by evaluating the rate of good recanalization after the first pass, clot retrieval rate, final recanalization grade, use of rescue treatment, recanalization time, and hemorrhagic and thromboembolic complications. Results: Overall, good recanalization (TICI grades 2b and 3) was achieved (Solitaire: n = 57, 72.2%; Trevo: n = 46, 90.2%) (P = 0.01). The rate of good recanalization after the first pass and clot retrieval rate were similar between groups; however, the use of rescue treatment was more frequent in the Solitaire group. Recanalization time was shorter in the Trevo group. The good clinical outcome rate was higher in the Trevo group but not statistically significantly. The rates of symptomatic hemorrhage and thromboembolism were not significantly different between groups. Conclusion: The Trevo stent achieved more successful recanalization with less need for rescue treatment and less time for recanalization than the Solitaire stent. There was no statistically significant difference in the clinical outcomes.


How to cite this article:
Baek JW, Heo YJ, Kim ST, Seo JH, Jeong HW, Kim EG. Comparison of the Solitaire and Trevo Stents for Endovascular Treatment of Acute Ischemic Stroke: A Single.Center Experience.Neurol India 2021;69:378-382


How to cite this URL:
Baek JW, Heo YJ, Kim ST, Seo JH, Jeong HW, Kim EG. Comparison of the Solitaire and Trevo Stents for Endovascular Treatment of Acute Ischemic Stroke: A Single.Center Experience. Neurol India [serial online] 2021 [cited 2021 Jun 24 ];69:378-382
Available from: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2021;volume=69;issue=2;spage=378;epage=382;aulast=Baek;type=0