Kupčs, KārlisSproģe, PatrīcijaKupca, KatrinaPervinder, Bhogal2023-12-152023-12-152023-10-06Kupčs, 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/jcm121963842077-0383Mendeley: ce838571-d20a-3407-8e90-a6de16655386https://dspace.rsu.lv/jspui/handle/123456789/15058Publisher Copyright: © 2023 by the authors.Mechanical 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.1191019enginfo:eu-repo/semantics/openAccessstream devicemechanical thrombectomyischaemic stroke3.2 Clinical medicine1.1. Scientific article indexed in Web of Science and/or Scopus database/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article10.3390/jcm12196384http://www.scopus.com/inward/record.url?scp=85173848835&partnerID=8YFLogxK