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The Scientific World Journal
Volume 2012 (2012), Article ID 190763, 7 pages
http://dx.doi.org/10.1100/2012/190763
Clinical Study

The Phenox Clot Retriever as Part of a Multimodal Mechanical Thrombectomy Approach in Acute Ischemic Stroke: Single Center Experience in 56 Patients

1Department of Neuroradiology, Klinikum rechts der Isar, Technische UniversitƤt MĆ¼nchen, Ismaninger Straße 22, 81675 Munich, Germany
2Institute and Policlinic of Radiological Diagnostics, Uniklinik Kƶln, Kerpener Straße 62, 50937 Cologne, Germany
3Neurological Clinic and Policlinic, Klinikum rechts der Isar, Technische UniversitƤt MĆ¼nchen, Ismaninger Straße 22, 81675 Munich, Germany

Received 31 October 2011; Accepted 12 December 2011

Academic Editor: Tobias Engelhorn

Copyright © 2012 Sascha Prothmann et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. We analyzed our experience with the phenox clot retriever as part of a multimodal mechanical thrombectomy (MTE) approach in acute ischemic stroke. Methods. 56 patients were treated by MTE with the phenox clot retriever alone or in combination with other modalities. Results. Overall we achieved TICI 2b/3 reperfusion rates of 61,9%. In multimodally treated patients we achieved reperfusion rates of 72,8%. There were 3 (5,5%) severe adverse events, all symptomatic intracranial hemorrhages. The mean angio to reperfusion times (ART) were 74 minutes for phenox-only procedures and 51 minutes for multimodal procedures. A chronological analysis showed a reduction of ART from 70,5 to 49,4 minutes and an increase of TICI 2b/3 recanalizations from 53,8% to 81,8%. Throughout the observation period there was a significant shift towards multimodal procedures with simultaneous increase of TICI 2b/3 reperfusions. Both effects are partially attributable to our institutional learning curve. NIHSS improvement could be seen in 54% ( š¯‘› = 2 8 ) overall and in 73% ( š¯‘› = 1 5 ) of MCA recanalizations. Conclusions. The phenox clot retriever is a safe and effective tool for MTE in acute stroke patients, with faster and better reperfusion results when used as part of a multimodal strategy. Clinical improvement is more frequent in MCA recanalizations.