The Stream Device-A Retrospective Review of 51 Cases

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dc.contributor.authorKupčs, Kārlis
dc.contributor.authorSproģe, Patrīcija
dc.contributor.authorKupca, Katrina
dc.contributor.authorPervinder, Bhogal
dc.contributor.institutionDepartment of Radiology
dc.date.accessioned2023-12-15T08:10:01Z
dc.date.available2023-12-15T08:10:01Z
dc.date.issued2023-10-06
dc.descriptionPublisher Copyright: © 2023 by the authors.
dc.description.abstractMechanical thrombectomy is the gold-standard treatment for patients that have suffered large-vessel occlusion (LVO) stroke. Various different stent-retrievers, aspiration catheters, and techniques have been developed to perform this procedure. We present our initial results regarding the Stream device. Materials and Methods: We performed a retrospective review of a prospectively maintained database at our high-volume centre to identify all patients treated with the Stream device between February 2021 and January 2023. We recorded baseline demographics, NIHSS, ASPECT scores, eTICI scores, complications, and 90-day mRS. Results: We identified 51 patients, 49.0% of whom were male (n = 25), with a median age of 73 (range: 51–89) and a median NIHSS score of 17 (range 4–22), and 68.6% received IV tPA. The median ASPECT score was 10 (range 6–10). Hyperdense clots were seen in 34 cases (66.7%), with a mean clot length of 12 ± 6.2 mm (range 2–26 mm). Clots were located in the anterior circulation in 49 patients. The standard Stream device was used in 78.4% of cases, with Stream 17 being used in 19.6% of cases. The FPE was observed in 25.5% of cases (n = 13), with the mFPE being seen in 31.4% of cases (n = 16). A final eTICI score of ≥2b was achieved in 90.2% of cases (n = 46), and eTICI 2c/3 was seen in 84.3% of cases (n = 43). Furthermore, 24 h CT scans showed that the median ASPECT score was 8 (range 0–10). Good functional outcomes at 90 days (mRS ≤ 2) were achieved in 21.6% of cases (n = 11). Conclusions: The Stream device shows acceptable rates of FPE and mFPE compared to existing devices. Further larger studies are required alongside an understanding of the optimal technique for this device’s use.en
dc.description.statusPeer reviewed
dc.format.extent1191019
dc.identifier.citationKupčs, K, Sproģe, P, Kupca, K & Pervinder, B 2023, 'The Stream Device-A Retrospective Review of 51 Cases', Journal of Clinical Medicine, vol. 12, no. 19, 6384. https://doi.org/10.3390/jcm12196384
dc.identifier.doi10.3390/jcm12196384
dc.identifier.issn2077-0383
dc.identifier.otherMendeley: ce838571-d20a-3407-8e90-a6de16655386
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/15058
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85173848835&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofJournal of Clinical Medicine
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectstream device
dc.subjectmechanical thrombectomy
dc.subjectischaemic stroke
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.titleThe Stream Device-A Retrospective Review of 51 Casesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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