The Q and A—The MIVI Q Catheters for Aspiration Thrombectomy—Initial Experience from London
Abstract
:1. Introduction
2. Methods
2.1. MIVI Aspiration System
2.2. Patient Selection
2.3. Endovascular Procedure
2.4. Post-Op Imaging and Care
3. Results
3.1. Baseline Demographics and Clinical Characteristics
3.2. Revascularization and Endovascular Procedures
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Demographic | Pre-Op | Onset to Puncture (min) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Gender | Age | TPA | Baseline mRS | NIHSS | CT ASPECTS | Clot Location on CTA | Hyperdense Clot | Clot Length | Tandem Lesion (Y/N) | ||
1 | F | 70 | N | 3 | 11 | 8 | M1 (stenosis) | N | NA | N | 395 |
2 | F | 74 | Y | 1 | 19 | 8 | M1 | Y | 13 | N | 300 |
3 | F | 67 | N | 0 | 13 | 8 | M1 | Y | 12 | Y | 165 |
4 | M | 19 | Y | 0 | 18 | 6 | Petrous ICA | Y | 130 | N | 525 |
5 | F | 89 | N | 1 | 22 | 10 | M1 | Y | 8 | N | 1920 |
6 | M | 71 | Y | 0 | 20 | 10 | M1 | Y | 20 | Y | 168 |
7 | F | 84 | Y | 3 | 30 | 8 | M2 and A3 | Y | 2 | N | 165 |
8 | F | 89 | N | 1 | 18 | 9 | M2 | Y | 2 | N | 465 |
9 | F | 46 | N | 3 | 19 | 9 | M2 and A2 | Y | 14 | Y | 330 |
10 | M | 70 | N | 3 | 23 | 8 | M1 | N | NA | N | 150 |
11 | F | 26 | N | 0 | 7 | 8 | M2 | Y | 6 | N | 296 |
12 | F | 58 | N | 0 | 24 | 5 | M1 | Y | 10 | N | 217 |
13 | F | 43 | Y | 0 | 22 | 8 | M1 | N | NA | N | 420 |
14 | F | 84 | N | 0 | 8 | 8 | M2 | N | NA | N | 825 |
15 | M | 77 | N | 0 | 24 | 6 | ICA T | Y | 30 | N | 570 |
16 | M | 60 | N | 0 | 27 | 5 | M1 | Y | 70 | Y | 390 |
17 | M | 74 | N | 0 | 6 | 8 | M2 | Y | 9 | N | 453 |
18 | M | 60 | Y | 0 | 24 | 8 | M1 | Y | 14 | N | 186 |
19 | M | 44 | Y | 0 | 17 | 9 | M2 | N | NA | N | 160 |
20 | F | 88 | N | 1 | 12 | 7 | M1 | Y | 10 | N | 535 |
21 | M | 50 | Y | 0 | 12 | 8 | M1 | Y | 20 | N | 180 |
22 | F | 88 | Y | 0 | 16 | 9 | M1 | N | NA | N | 365 |
23 | M | 56 | N | 0 | 14 | 6 | M1 | Y | 13 | N | 900 |
24 | F | 83 | N | 0 | 9 | 9 | M1 | N | NA | N | 1260 |
25 | M | 62 | Y | 0 | 9 | 9 | M1 | Y | 8 | N | 50 |
Equipment/Procedure | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Guide Catheter | MIVI Catheter Used | 1st Pass mTICI | mTICI at End of MIVI Procedure | Number of MIVI Passes | Bailout Stent-Retriever | Final TICI | Treatment Time (Puncture to Final Angio/Min) | ICH | 90 Day mRS | Comments | |
1 | Neuron Max | Q6 | 1 | 1 | 1 | Solitaire implanted for ICAD | 2b | 90 | 0 | 5 | Stenosis in M1 |
2 | Neuron Max | Q6 | 2a | 2a | 1 | Y | 2b | 111 | 3a & 3c | 6 | |
3 | Neuron Max | Q6 | 3 | 3 | 1 | N | 3 | 57 | 0 | 1 | Acute carotid stenting |
4 | Neuron Max | Q6 | 0 | 2b | 10 | Y (A3) | 2c | 95 | 0 | 6 | SR for ACA clot |
5 | Neuron Max | Q5 | 1 | 1 | 1 | Y | 3 | 68 | 0 | 6 | |
6 | Neuron Max | Q6 | 3 | 3 | 1 | N | 3 | 28 | 0 | 1 | Acute carotid stenting |
7 | Neuron Max | Q3 | 3 (M2) | 3 | 1 | Y (A3) | 3 | 40 | 0 | 3 | SR for ACA clot |
8 | AXS Infinity | Q5 | 1 | 1 | 1 | Y | 3 | 37 | 0 | 6 | |
9 | AXS Infinity | Q3 | 0 | 0 | 1 | Y | 3 (MCA), 2c (ACA) | 116 | 0 | 3 | Acute carotid stenting |
10 | Neuron Max | Q6 | 3 | 3 | 1 | N | 3 | 26 | 0 | 3 | |
11 | Neuron Max | Q6 | 2c | 2c | 1 | N | 2c | 29 | 0 | 2 | |
12 | Neuron Max | Q6/Q4 | 2c (M2) | 2c | 2 | Y (A2) | 2c | 62 | 0 | 4 | SR for ACA clot |
13 | Neuron Max | Q6 | 1 | 2b | 4 | N | 2b | 71 | 3c | 1 | |
14 | AXS Infinity | Q3 | 2b | 2b | 1 | N | 2b | 26 | 0 | 1 | Transradial approach |
15 | Fubuki | Q6/Q4 | 1 | 1 | 2 | Y | 2c | 111 | 1a | 6 | Transradial approach |
16 | MIVI S90 | Q6/Q4 | 0 | 2b | 6 | N | 2c | 75 | 0 | 4 | |
17 | MIVI S90 | Q6 | Q did not reach clot | NA | 0 | N | 2c | 55 | 0 | 2 | Unable to reach clot due to instability of S90 |
18 | MIVI S90 | Q6 | 1 | 2a | 2 | Y | 2c | 37 | 0 | 0 | COVID +VE |
19 | Fubuki | Q5 | 2a | 2b | 2 | N | 2b | 33 | 0 | 0 | COVID +VE |
20 | Ballast | Q6 | 3 | 3 | 1 | N | 3 | 7 | 0 | NA | |
21 | Ballast | Q6 | 2c | 2c | 1 | N | 2c | 35 | 0 | NA | |
22 | Ballast | Q6 | Q did not reach clot | NA | 0 | Y | 2c | 78 | 0 | NA | Unable to reach clot due to vessel ectasia |
23 | Ballast | Q6/Q4 | 2a | 2b | 4 | Y | 2b | 109 | 2 & 3b/c | NA | |
24 | Ballast | Q5 | 3 (M1), 1 (M2) | 3 (M1), 1 (M2) | 2 | Y | 2a | 67 | 3c | NA | ICAD in M2 branch |
25 | Ballast | Q6 | 3 | 3 | 1 | N | 3 | 14 | 0 | 6 | Patient had underlying undiagnosed malignancy |
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Makalanda, L.; Lansley, J.; Wong, K.; Spooner, O.; Bhogal, P. The Q and A—The MIVI Q Catheters for Aspiration Thrombectomy—Initial Experience from London. J. Clin. Med. 2021, 10, 5844. https://doi.org/10.3390/jcm10245844
Makalanda L, Lansley J, Wong K, Spooner O, Bhogal P. The Q and A—The MIVI Q Catheters for Aspiration Thrombectomy—Initial Experience from London. Journal of Clinical Medicine. 2021; 10(24):5844. https://doi.org/10.3390/jcm10245844
Chicago/Turabian StyleMakalanda, Levansri, Joseph Lansley, Ken Wong, Oliver Spooner, and Pervinder Bhogal. 2021. "The Q and A—The MIVI Q Catheters for Aspiration Thrombectomy—Initial Experience from London" Journal of Clinical Medicine 10, no. 24: 5844. https://doi.org/10.3390/jcm10245844
APA StyleMakalanda, L., Lansley, J., Wong, K., Spooner, O., & Bhogal, P. (2021). The Q and A—The MIVI Q Catheters for Aspiration Thrombectomy—Initial Experience from London. Journal of Clinical Medicine, 10(24), 5844. https://doi.org/10.3390/jcm10245844