Brain Disorders & Therapy

Safety and efficacy of the SOFITAIRE approach in the endovascular treatment of acute ischemic stroke

7^th International Conference on Neurological Disorders & Stroke

September 20-21, 2018 | Rome, Italy

Carlos Alberto Diaz Pacheco and Boris Pabon

Universidad de Antioquia, Colombia

Scientific Tracks Abstracts: Brain Disord Ther

Abstract:

Introduction: Prompt recanalization of occluded brain arteries in patients with stroke requires the use of multiple strategies. We report a retrospectively collected clinical experience in Medellin ??? Colombia using a combination of a direct first pass technique with Sofia 6 Plus (Micro Vention-Terumo, Inc., Tustin, CA) Reperfusion Catheter in combination with Solitaire??? FR (SFR) (ev3 Inc, Irvine, California, USA) in the treatment of AIS (acute ischemic stroke). Materials & Methodology: Between March 2016 and Nov 2017 data from 32 patients treated with ???SOFITAIRE??? approach within 8 h of AIS symptom onset were selected. Procedural data including TICI score (Thrombolysis in cerebral infarction), timing, adverse events and outcome were analyzed. Results: SOFITAIRE approach was successful in achieving complete recanalization in 24 patients (75%) with a final score of 3 according to the TICI. A partial recanalization (TICI 1 -2a) was obtained in four patients (12.5%). Treatment failure was observed in four cases. 80.6% of strokes were in anterior circulation. Five cases were presented with tandem lesions involving cervical ICA. Median time from groin puncture to revascularization was 39 minutes. None adverse events were recorded. Two patients, not re-vascularized died during the hospitalization due to massive MCA infarction. Marked improvement of National Institutes of Health Stroke Scale from baseline to 24 h after recanalization were obtained in all survivals. Conclusions: SOFITAIRE approach was effective and fast in achieving a high rate of complete artery recanalization with a low rate of complications. The combined use of reperfusion catheters with retrievers may be considered as a promising tool for endovascular revascularization.

Biography :

Carlos Alberto Diaz Pacheco earned his Medical Degree from the University of Antioquia (UdeA), Medellin, Colombia, followed by Radiology Residency at the same university. He subsequently completed a Interventional Neuroradiology Fellowship at SILAN (Ibero Latin American Society of Neurointervention) in Barcelona (Spain). He has extensive expertise in the minimally invasive treatment of cerebrovascular diseases including cerebral aneurysms, AVM and stroke as well as in the interventional treatment of craniofacial vascular malformations and chemosurgery for the treatment of retinoblastoma. He has several national and international publications, review articles and book chapters to his credit. He is an active Lecturer and serves as a Reviewer for scientific journals. He is a Member of the Colombian Association of Radiology and Member of its scientific committee. He served as the Director of Radiology- Faculty of Medicine at UdeA.

E-mail: cadiazp@yahoo.com