Table 3.
Summary of thrombectomy trials and distal emboli
| Study or author’s name | Thrombectomy device | N | Posterior circ occ (N)? | Anterior circ BCG use? | Emboli distal to occlusion | Emboli in new territory | Date of study | Core-lab assessed distal emboli? |
|---|---|---|---|---|---|---|---|---|
| Current study | emboTrap® | 167 | Yes (23) | Yes | 9.6% (6.6% anterior, 3% posterior circ) | 2.4% (1.2% anterior 1.2% posterior circ) | 2017 | Yes |
| MR CLEAN [1] | MR CLEAN | 233 | No | Unknown | x | 8.6% | 2015 | Yes |
| EXTEND-IA [2] | Solitaire | 35 | No | Unknown | x | 6% | 2015 | No |
| ADAPT-FAST [7] | Penumbra | 100 | Yes (5) | No | 10% | 0% | 2014 | No |
| Dorn et al. [10] | Phenox (79.8%) and Solitaire | 104 | Yes (24) |
Intermediate Cath only |
x | 3.7% | 2012 | No |
| Akins et al. [11] | Solitaire (61.2%) and merci | 144 | Yes (4) | No | 4.9% | 0.7% | 2014 | Yes |
| Kurre [12] | Various devices | 105 | No |
Intermediate Cath only |
x | 11% | 2013 | No |
| Gascou et al. [28] | Solitaire | 144 | Yes (35) | Yes | Embolic complication 12.5% | 2014 | No | |
| Nguyen et al. [29] | Solitaire | 338 | Yes (35) | Yes | 18% | 5% | 2014 | No |
| Mazur et al. [30] | Solitaire | 39 | Yes (8) | Yes | 15% | 8% | 2016 | No |
| RECOST [31] | Solitare | 50 | Yes (16) | Yes | x | 8% | 2011 | No |
| Nogueira et al.[32] | Merci/Trevo | 178 | Yes (12) | Yes | x | 4%/7% | 2012 | Yes |
| ASTER [35] | Aspiration/stent retriever | 181/176 | No | Yes | X | 5.3%/8.5% | 2017 | Yes |
| Menon [40] | Penumbra | 27 | Yes (5) | No | 48% | x | 2011 | No |
| THRACE [42] | Stent retriever 83%, aspiration 16% | 204 | Yes (2) | Unknown | x | 6% | 2016 | Yes |
N numbers, circ circulation, occ occlusion, Cath catheter, BGC balloon guide catheter