Preliminary results of mechanical thrombectomy with the novel Titan aspiration catheter in acute ischemic stroke patients.

PURPOSE

The aim of this study was to reveal our preliminary experience related to the technical success and safety of the Titan aspiration catheter in acute ischemic stroke (AIS) patients.

METHODS

Forty-eight consecutive AIS patients (mean age 62.6 ± 13.8 years) treated with Titan aspiration catheter, using both the ADAPT technique or combined approach with a stent retriever, were included in the study. The primary outcome was successful recanalization (mTICI ≥ 2c-3), and the secondary outcomes were complication rates and 90th day clinical outcomes.

RESULTS

The mean NIHSS score of the patients was 14.63 ± 3.04, and the mean time from groin puncture to recanalization was 24.72 ± 12.48 min. Successful recanalization was achieved in 35 (72.91%) patients. Postprocedural symptomatic hemorrhage was seen in 5 patients (10.41%). Rate of good clinical outcomes on day 90 was 45.83%. There were 7 deaths (14.58%) in this study.

CONCLUSION

The aspiration thrombectomy method is increasingly being used in AIS cases due to its rapid patency rate and its relatively easy application. Because of technological advances, newer aspiration catheters have been improved and are commercially available. Our preliminary results showed that the Titan aspiration catheter could be a useful tool both with the ADAPT technique and the combined approach. Additionally, the fact that the device is offered as a kit may be important in terms of cost-effectiveness.