MASTRO I: Meta-Analysis and Systematic Review of thrombectomy stent retriever outcomes: comparing functional, safety and recanalization outcomes between EmboTrap, Solitaire and Trevo in acute ischemic stroke
Publication: Journal of Comparative Effectiveness Research
Abstract
Aim: Stent-retriever (SR) thrombectomy has demonstrated superior outcomes in patients with acute ischemic stroke compared with medical management alone, but differences among SRs remain unexplored. We conducted a Systematic Review/Meta-Analysis to compare outcomes between three SRs: EmboTrap®, Solitaire™, and Trevo®. Methods: We conducted a PRISMA-compliant Systematic Review among English-language studies published after 2014 in PubMed/MEDLINE that reported SRs in ≥25 patients. Functional and safety outcomes included 90-day modified Rankin scale (mRS 0-2), mortality, symptomatic intracranial hemorrhage (sICH), and embolization to new territory (ENT). Recanalization outcomes included modified thrombolysis in cerebral infarction (mTICI) and first-pass recanalization (FPR). We used a random effects Meta-Analysis to compare outcomes; subgroup and outlier-influencer analysis were performed to explore heterogeneity. Results: Fifty-one articles comprising 9,804 patients were included. EmboTrap had statistically significantly higher rates of mRS 0-2 (57.4%) compared with Trevo (50.0%, p = 0.013) and Solitaire (45.3%, p < 0.001). Compared with Solitaire (20.4%), EmboTrap (11.2%, p < 0.001) and Trevo (14.5%, p = 0.018) had statistically significantly lower mortality. Compared with Solitaire (7.7%), EmboTrap (3.9%, p = 0.028) and Trevo (4.6%, p = 0.049) had statistically significantly lower rates of sICH. There were no significant differences in ENT rates across all three devices (6.0% for EmboTrap, 5.3% for Trevo, and 7.7% for Solitaire, p = 0.518). EmboTrap had numerically higher rates of recanalization; however, no statistically significant differences were found. Conclusion: The results of our Systematic Review/Meta-Analysis suggest that EmboTrap may be associated with significantly improved functional outcomes compared with Solitaire and Trevo. EmboTrap and Trevo may be associated with significantly lower rates of sICH and mortality compared with Solitaire. No significant differences in recanalization and ENT rates were found. These conclusions are tempered by limitations of the analysis including variations in thrombectomy techniques in the field, highlighting the need for multi-arm RCT studies comparing different SR devices to confirm our findings.
Tweetable abstract
In the MASTRO I Meta-Analysis of stent-retrievers for AIS, the authors found higher rates of good neurological outcome for EmboTrap over Solitaire and Trevo, and improvements in sICH and mortality for EmboTrap and Trevo over Solitaire.
Graphical and video abstract
Plain language summary
What is this article about?
The standard treatment for acute stroke involves using minimally invasive stent-retrievers to remove clots. Many studies have reported outcomes for three commonly used stent-retrievers (EmboTrap®, Solitaire™, and Trevo®), but there are few studies comparing these devices directly. In the MASTRO I study, we systematically reviewed studies reporting stroke outcomes with these devices in order to combine and compare findings to determine whether any of them performed better in their ability to improve functional deficits, remove clots successfully or mitigate patient safety, such as hemorrhage in the brain, formation of distal clot fragments, and death.
What were the results?
We found 51 studies reporting 9,804 patients treated for acute stroke with one of these three devices. When the 51 studies from the three devices were combined and compared, none of them did a significantly better job based on clot removal rates but EmboTrap had significantly better rates of achieving good neurological function than either Trevo or Solitaire. Also, with respect to safety, Solitaire had significantly higher rates of hemorrhage in the brain, and higher rates of death than either EmboTrap or Trevo. The rate of formation of distal clot fragments did not seem to differ among the three devices.
What do the results mean?
The information from this comparative research review can help physicians with evidence-based decision making on which devices to use when treating acute stroke. It is worth noting that there was a potential for bias in the 51 studies combined in this review due to the high risk of comparing patient groups and treatment approaches that may not be similar, hence we highlight the fact that more randomized trials that control for any differences in study parameters are needed to confirm our results. There are two such randomized controlled trials that are ongoing, and we look forward to including these and any other new studies in future updates to this review in MASTRO II.
Supplementary Material
References
Papers of special note have been highlighted as: • of interest
1.
Lambrinos A, Schaink AK, Dhalla I et al. Mechanical thrombectomy in acute ischemic stroke: a systematic review. Can. J. Neurol. Sci. 43(4), 455–460 (2016).
2.
Fanous AA, Siddiqui AH. Mechanical thrombectomy: stent retrievers vs. aspiration catheters. Cor et Vasa 58(2), e193–e203 (2016).
3.
Powers WJ, Derdeyn CP, Biller J et al. 2015 American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 46(10), 3020–3035 (2015).
4.
Saber H, Rajah GB, Kherallah RY, Jadhav AP, Narayanan S. Comparison of the efficacy and safety of thrombectomy devices in acute stroke: a network meta-analysis of randomized trials. J. Neurointerv. Surg. 10(8), 729–734 (2018).
5.
Nogueira RG, Lutsep HL, Gupta R et al. Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO 2): a randomised trial. Lancet 380(9849), 1231–1240 (2012).
6.
Chueh JY, Marosfoi MG, Brooks OW, King RM, Puri AS, Gounis MJ. Novel distal emboli protection technology: the EmboTrap. Interv. Neurol. 6(3–4), 268–276 (2017).
7.
Zaidat OO, Bozorgchami H, Ribo M et al. Primary results of the multicenter ARISE II study (Analysis of Revascularization in Ischemic Stroke With EmboTrap). Stroke 49(5), 1107–1115 (2018).
• ARISE II was a prospective, single-arm, multicenter study, reporting patient outcomes with the EmboTrap device. It is the single largest study of EmboTrap in stent-triever-only procedures, and notably found mFPR mTICI ≥2b of 51.5%, final mTICI 2c/3 of 75.8%, mRS of 67.3%, and sICH of 5.3%.
8.
Zhang Y, Zhang Y, Hu C, Zhao W, Zhang Z, Li W. A direct aspiration first-pass technique (ADAPT) versus stent retriever for acute ischemic stroke (AIS): a systematic review and meta-analysis. J. Neurol. 268(12), 4594–4606 (2021).
9.
Mirza M MR, Gilvarry M. EP64|Systematic review and analysis of pre-clinical side-by-side comparisons of EmboTrap versus Solitaire performance. J. Neurointerv. Surg. 13, A26 (2021).
10.
Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J. Clin. Epidemiol. 62(10), 1006–1012 (2009).
11.
Nested Knowledge, Inc. MASTRO - EmboTrap vs. Solitaire vs. Trevo. https://nested-knowledge.com/nest/643 (2023).
• This reference is to the Nested Knowledge living review platform, where the MASTRO I evidence was gathered in a workflow assisted by Artificial Intelligence, and where the concepts and data from underlying studies are visualized in an interactive Synthesis page. Not only is all evidence for MASTRO I presented here, but its automatic updates will enable publication of MASTRO II and follow-on meta-analyses regarding this crucial research question.
12.
Barber PA, Demchuk AM, Zhang J, Buchan AM. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet 355(9216), 1670–1674 (2000).
13.
Haldane J. The mean and variance of the moments of chi-squared, when used as a test of homogeneity, when expectations are small. Biometrika 29, 133–134 (1940).
14.
Anscombe F. On estimating binomial response relations. JSTOR 43(3/4), 461–464 (1956).
15.
Dersimonian R, Laird N. Meta-analysis in clinical trials. Control. Clin. Trials 7(3), 177–188 (1986).
16.
Jackson D. Confidence intervals for the between-study variance in random effects meta-analysis using generalised Cochran heterogeneity statistics. Res. Synth. Methods 4(3), 220–229 (2013).
17.
Mcgrath S, Zhao X, Qin ZZ, Steele R, Benedetti A. One-sample aggregate data meta-analysis of medians. Stat. Med. 38(6), 969–984 (2019).
18.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 327(7414), 557–560 (2003).
19.
Balduzzi S, Rucker G, Schwarzer G. How to perform a meta-analysis with R: a practical tutorial. Evid. Based Ment. Health 22(4), 153–160 (2019).
20.
McGrath S, Zhao X, Steele R, Benedetti A. Metamedian: meta-analysis of medians. Available from: https://CRAN.R-project.org/package=metamedian (2020).
21.
Campbell BCV, Mitchell PJ, Kleinig TJ et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N. Engl. J. Med. 372(11), 1009–1018 (2015).
22.
Cao J, Lin H, Lin M et al. RECO Flow Restoration Device Versus Solitaire FR With the Intention for Thrombectomy Study (REDIRECT): a prospective randomized controlled trial. J. Neurosurg. 134(5), 1569–1577 (2020).
23.
Jovin TG, Chamorro A, Cobo E et al. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N. Engl. J. Med. 372(24), 2296–2306 (2015).
24.
Nogueira RG, Jadhav AP, Haussen DC et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N. Engl. J. Med. 378(1), 11–21 (2018).
25.
Saver JL, Goyal M, Bonafe A et al. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N. Engl. J. Med. 372(24), 2285–2295 (2015).
26.
Binning MJ, Bartolini B, Baxter B et al. Trevo 2000: results of a large real-world registry for stent retriever for acute ischemic stroke. J. Am. Heart Assoc. 7(24), e010867 (2018).
• The TREVO 2000 real-world registry was the largest cohort included in this meta-analysis, reporting 2,008 patients treated with the Trevo device (though only only 1,599 patients had core lab adjudication). The rates of final mTICI ≥2b were 81.6%, mRS 0-2 was 55.4%, mortality was 13.9%, and sICH was notably low at 1.7%.
27.
Cabral NL, Conforto A, Magalhaes PSC et al. Intravenous rtPA versus mechanical thrombectomy in acute ischemic stroke: a historical cohort in Joinville, Brazil. eNeurologicalSci 5, 1–6 (2016).
28.
Kaesmacher J, Chaloulos-Iakovidis P, Panos L et al. Clinical effect of successful reperfusion in patients presenting with NIHSS <8: data from the BEYOND-SWIFT registry. J. Neurol. 266(3), 598–608 (2019).
• Outcomes from the retrospective BEYOND-SWIFT registry, targeted at showing patient outcomes in low-NIHSS patients. Across 1,616 patients, they found mTICI ≥2b of 82.4%, mRS 0-2 of 44.2%, sICH of 5.8%, and mortality of 23.8%.
29.
Lapergue B, Blanc R, Guedin P et al. A direct aspiration, first pass technique (ADAPT) versus stent retrievers for acute stroke therapy: an observational comparative study. AJNR Am. J. Neuroradiol. 37(10), 1860–1865 (2016).
30.
Srivatsan A, Srinivasan VM, Starke RM et al. Early postmarket results with EmboTrap II stent retriever for mechanical thrombectomy: a multicenter experience. AJNR Am. J. Neuroradiol. 42(5), 904–909 (2021).
31.
Zaidat OO, Castonguay AC, Gupta R et al. North American Solitaire Stent Retriever Acute Stroke registry: post-marketing revascularization and clinical outcome results. J. Neurointerv. Surg. 10(Suppl. 1), i45–i49 (2018).
32.
Zaidat OO, Mueller-Kronast NH, Hassan AE et al. Impact of balloon guide catheter use on clinical and angiographic outcomes in the STRATIS Stroke Thrombectomy Registry. Stroke 50(3), 697–704 (2019).
33.
Brouwer PA, Yeo LLL, Holmberg A et al. Thrombectomy using the EmboTrap device: core laboratory-assessed results in 201 consecutive patients in a real-world setting. J. Neurointerv. Surg. 10(10), 964–968 (2018).
• Reports a real-world study of thrombectomy to treat acute ischemic stroke containing the second-largest EmboTrap cohort in this meta-analysis, with final mTICI ≥2b of 84.6%, mRS 0-2 of 52.8%, and mortality of 13.0%.
34.
Jiang S, Wang H-R, Peng Y et al. Mechanical thrombectomy by Solitaire stent for treating acute ischemic stroke: a prospective cohort study. Int. J. Surg. 28, 2–7 (2016).
35.
Mattle HP, Carl S, Mairsil C et al. Analysis of revascularisation in ischaemic stroke with EmboTrap (ARISE I study) and meta-analysis of thrombectomy. Interv. Neuroradiol. 25(3), 261–270 (2019).
36.
Pu Y. Comparison of different types of endovascular mechanical embolectomy in acute ischemic stroke. Rev. Assoc. Med. Bras. (1992) 65(3), 342–347 (2019).
37.
Sang H-F, Yin C-G, Xia W-Q et al. Mechanical thrombectomy using Solitaire in acute ischemic stroke patients with vertebrobasilar occlusion: a prospective observational study. World Neurosurg. 128, e355–e361 (2010).
38.
Slezak A, Kurmann R, Oppliger L et al. Impact of anesthesia on the outcome of acute ischemic stroke after endovascular treatment with the Solitaire stent retriever. AJNR Am. J. Neuroradiol. 38(7), 1362–1367 (2017).
39.
Zhou T, Li T, Zhu L et al. Comparing the efficacy and safety of the Skyflow device with those of the Solitaire FR stent in patients with acute ischemic stroke: a prospective, multicenter, randomized, non-inferiority clinical trial. J. Neurointerv. Surg. 14(11), 1130–1134 (2021).
40.
Imahori T, Tanaka K, Koyama J et al. Mechanical thrombectomy using the Trevo ProVue in 50 consecutive patients with anterior circulation stroke: a single-center experience after approval of the stent retriever in Japan. Neurol. Med. Chir. (Tokyo) 57(3), 128–135 (2017).
41.
Baek J-H, Joonsang Y, Dongbeom S et al. Predictive value of thrombus volume for recanalization in stent retriever thrombectomy. Scientific Reports 7(1), 15938 (2017).
42.
Baek JW, Heo YJ, Kim ST, Seo JH, Jeong HW, Kim E-G. Comparison of the Solitaire and Trevo stents for endovascular treatment of acute ischemic stroke: a single center experience. Neurol. India 69(2), 378–382 (2021).
43.
Bourcier R, Abed D, Piotin M et al. Multicenter initial experience with the EmboTrap device in acute anterior ischemic stroke. J. Neuroradiol. 45(4), 230–235 (2018).
44.
Choi J-H, Park H-S, Kim D-H, Cha J-K, Huh J-T, Kang M. Comparative analysis of endovascular stroke therapy using urokinase, Penumbra system and retrievable (Solitare) stent. J. Korean Neurosurg. Soc. 57(5), 342–349 (2015).
45.
Guo Y, Zi W, Wan Y et al. Leukoaraiosis severity and outcomes after mechanical thrombectomy with stent-retriever devices in acute ischemic stroke. J. Neurointerv. Surg. 11(2), 137–140 (2019).
46.
Haussen DC, Eby B, Al-Bayati AR et al. A comparative analysis of 3MAX aspiration versus 3 mm Trevo Retriever for distal occlusion thrombectomy in acute stroke. J. Neurointerv. Surg. 12(3), 279–282 (2020).
47.
He G, Deng J, Lu H et al. Thrombus enhancement sign on CT angiography is associated with the first pass effect of stent retrievers. J. Neurointerv. Surg. 15(2), 146–152 (2022).
48.
Hesse AC, Behme D, Kemmling A et al. Comparing different thrombectomy techniques in five large-volume centers: a ‘real world’ observational study. J. Neurointerv. Surg. 10(6), 525–529 (2018).
49.
Imahori T, Okamura Y, Sakata J et al. Stent expansion and in-stent thrombus sign in the Trevo stent retriever predict recanalization and possible etiology during mechanical thrombectomy: a case series of 50 patients with acute middle cerebral artery occlusion. World Neurosurg. S1878-8750(18)32910-3 (2018).
50.
Imahori T, Tanaka K, Arai A et al. Mechanical thrombectomy for acute ischemic stroke patients aged 80 years or older. J. Stroke Cerebrovasc. Dis. 26(12), 2793–2799 (2017).
51.
Jiang S, Fei A, Peng Y et al. Predictors of outcome and hemorrhage in patients undergoing endovascular therapy with Solitaire stent for acute ischemic stroke. PLoS One 10(12), e0144452 (2015).
52.
Kabbasch C, Mpotsaris A, Chang D-H et al. Mechanical thrombectomy with the Trevo ProVue device in ischemic stroke patients: does improved visibility translate into a clinical benefit? J. Neurointerv. Surg. 8(8), 778–782 (2016).
53.
Kabbasch C, Mpotsaris A, Liebig T et al. First-in-man procedural experience with the novel EmboTrap® revascularization device for the treatment of ischemic stroke – a European multicenter series. Clin. Neuroradiol. 26(2), 221–228 (2016).
54.
Kammerer S, Du Mesnil De Rochemont R, Wagner M et al. Efficacy of mechanical thrombectomy using stent retriever and balloon-guiding catheter. Cardiovasc. Intervent. Radiol. 41(5), 699–705 (2018).
55.
Kühn AL, Wakhloo AK, Lozano JD et al. Two-year single-center experience with the ‘Baby Trevo’ stent retriever for mechanical thrombectomy in acute ischemic stroke. J. Neurointerv. Surg. 9(6), 541–546 (2017).
56.
Li Z, Chu Z, Zhao S et al. Severe stroke patients with left-sided occlusion of the proximal anterior circulation benefit more from thrombectomy. Front. Neurol. 10, 551 (2019).
57.
Liang CW, Toor HJ, Duran Martinez E et al. First pass recanalization rates of Solitaire vs Trevo vs primary aspiration: the Kaiser Southern California experience. Perm. J. 25, 1–3 (2020).
58.
Mokin M, Morr S, Natarajan SK et al. Thrombus density predicts successful recanalization with Solitaire stent retriever thrombectomy in acute ischemic stroke. J. Neurointerv. Surg. 7(2), 104–107 (2015).
59.
Mokin M, Primiani CT, Castonguay AC et al. First pass effect in patients treated with the Trevo stent-retriever: a TRACK Registry study analysis. Front. Neurol. 11, 83 (2020).
• The TRACK Registry was the second-largest Trevo cohort included in this meta-analysis, reporting 609 patients. The authors reported mTICI ≥2b of 80.0%, FPR mTICI 2c/3 of 23.0%, mRS 0-2 of 48.8%, mortality of 20.0%, and sICH of 7.4%.
60.
Oliver MJ, Brereton E, Khan MA, Davis A, Singer J. Trevo 6 × 25 mm vs. 4 × 30 mm in Mechanical Thrombectomy of M1 LVO. Front. Neurol. 12, 677630 (2021).
61.
Pfaff J, Rohde S, Engelhorn T, Doerfler A, Bendszus M, Möhlenbruch MA. Mechanical thrombectomy using the new Solitaire™ Platinum Stent-retriever: reperfusion results, complication rates and early neurological outcome. Clin. Neuroradiol. 29(2), 311–319 (2019).
62.
Sztajzel RF, Muller H, Sekoranja L et al. Strokes in the anterior circulation: comparison between bridging and intravenous thrombolysis. Acta Neurol. Scand. 131(5), 329–335 (2015).
63.
Valente I, Nappini S, Renieri L et al. Initial experience with the novel EmboTrap II clot-retrieving device for the treatment of ischaemic stroke. Interv. Neuroradiol. 25(3), 271–276 (2019).
64.
Wiącek M, Kaczorowski R, Homa J et al. Single-center experience of stent retriever thrombectomy in acute ischemic stroke. Neurol. Neurochir. Pol. 51(1), 12–18 (2017).
65.
Yang D, Hao Y, Zi W et al. Effect of retrievable stent size on endovascular treatment of acute ischemic stroke: a multicenter study. AJNR Am. J. Neuroradiol. 38(8), 1586–1593 (2017).
• Reports 628 patients treated with different lengths of Solitaire, with cumulative final mTICI ≥2b of 84.4%, mRS 0-2 of 41.7%, and notably high rates of sICH (16.1%).
66.
Yang X, Jia X, Ren H, Zhang H. The short- and long-term efficacies of endovascular interventions for the treatment of acute ischemic stroke patients. Am. J. Transl. Res. 13(5), 5436–5443 (2021).
67.
Yi HJ, Lee DH, Kim SU. Effectiveness of Trevo stent retriever in acute ischemic stroke: Comparison with Solitaire stent. Medicine 97(20), e10747 (2018).
68.
Yi T-Y, Chen W-H, Wu Y-M, Zhang M-F, Lin D-L, Lin X-H. Adjuvant intra-arterial rt-PA injection at the initially deployed solitaire stent enhances the efficacy of mechanical thrombectomy in acute ischemic stroke. J. Neurol. Sci. 386, 69–73 (2018).
69.
Zhou T-F, Zhu L-F, Li T-X et al. Application of retrievable Solitaire AB stents in the endovascular treatment of acute ischemic stroke. J. Interv. Med. 1(2), 77–81 (2019).
70.
Jiang L, Xia WQ, Huang H et al. Mechanical thrombectomy outcome predictors in stroke patients with M2 occlusion: a single-center retrospective study. World Neurosurg. 127, e155–e161 (2019).
71.
Zaidat OO, Castonguay AC, Linfante I et al. First pass effect: a new measure for stroke thrombectomy devices. Stroke 49(3), 660–666 (2018).
72.
Pederson JM, Reierson NL, Hardy N et al. Comparison of balloon guide catheters and standard guide catheters for acute ischemic stroke: a systematic review and meta-analysis. World Neurosurg. 154, 144–153.e121 (2021).
73.
Adusumilli G, Pederson JM, Hardy N et al. Mechanical thrombectomy with and without intravenous tissue plasminogen activator for acute ischemic stroke: a systematic review and meta-analysis using nested knowledge. Front. Neurol. 12, 759759 (2021).
74.
Siddiqui AH, Waqas M, Brinjikji W et al. EmboTrap Extraction & Clot Evaluation & Lesion Evaluation for NeuroThrombectomy (EXCELLENT) Registry design and methods. J. Neurointerv. Surg. 14(8), 783–787 (2021).
75.
Mohammaden MH, Haussen DC, Pisani L et al. Stent-retriever alone vs. aspiration and stent-retriever combination in large vessel occlusion stroke: a matched analysis. Int. J. Stroke 17(4), 465–473 (2022).
76.
Bai X, Fu Z, Sun Z et al. Thrombectomy using the EmboTrap clot-retrieving device for the treatment of acute ischemic stroke: a glimpse of clinical evidence. AJNR Am. J. Neuroradiol. 43(12), 1736–1742 (2022).
77.
Brinjikji W, Ikeme S, Kottenmeier E, Khaled A, M S, Khanna R. Real-world outcomes associated with the use of the EmboTrap revascularization device for ischemic stroke in the United States. J. Neurointerv. Surg. 14(11), 1068–1072 (2022).
78.
Bala F, Ferrigno M, Personnic T et al. Thrombectomy using the EmboTrap II device in late treatment patients in the real-world setting. World Neurosurg. 151, e387–e394 (2021).
79.
Linfante I, Llinas RH, Selim M et al. Clinical and vascular outcome in internal carotid artery versus middle cerebral artery occlusions after intravenous tissue plasminogen activator. Stroke 33(8), 2066–2071 (2002).
80.
Mohammaden MH, Stapleton CJ, Brunozzi D et al. Predictors of poor outcome despite successful mechanical thrombectomy of anterior circulation large vessel occlusions within 6 h of symptom onset. Front. Neurol. 11, 907 (2020).
81.
Neuberger U, Möhlenbruch MA, Herweh C, Ulfert C, Bendszus M, Pfaff J. Classification of bleeding events: comparison of ECASS III (European Cooperative Acute Stroke Study) and the New Heidelberg Bleeding Classification. Stroke 48(7), 1983–1985 (2017).
82.
Abbasi M, Liu Y, Fitzgerald S et al. Systematic review and meta-analysis of current rates of first pass effect by thrombectomy technique and associations with clinical outcomes. J. Neurointerv. Surg. 13(3), 212–216 (2021).
Information & Authors
Information
Published In
Copyright
© 2023 The Authors. This work is licensed under the Creative Commons Attribution 4.0 License
History
Received: 3 January 2023
Accepted: 2 March 2023
Published online: 11 April 2023
Keywords:
Topics
Authors
Funding Information
Cerenovus
Metrics & Citations
Metrics
Article Usage
Article usage data only available from February 2023. Historical article usage data, showing the number of article downloads, is available upon request.
Citations
How to Cite
MASTRO I: Meta-Analysis and Systematic Review of thrombectomy stent retriever outcomes: comparing functional, safety and recanalization outcomes between EmboTrap, Solitaire and Trevo in acute ischemic stroke. (2023) Journal of Comparative Effectiveness Research. DOI: 10.57264/cer-2023-0001
Export citation
Select the citation format you wish to export for this article or chapter.
Citing Literature
- Stent Retriever Thrombectomy in Acute Ischemic Stroke and Large Vessel Occlusion: Scoping Review with ☸️SAIMSARA, SAIMSARA Journal, 10.62487/saimsara1e6b954c, 1, 1, (2026).
- Vishnu Prasad Pulappadi, Santhosh Poyyamoli, Pankaj Mehta, Mathew Cherian, Magnetic Resonance Imaging-guided Double Stent Retriever Thrombectomy for Bifurcation Occlusions and Long Thrombi, Journal of Stroke Medicine, 10.1177/25166085261447734, (2026).
- G. De Rubeis, S. Fabiano, L. Bertaccini, M. Mangiardi, F.R. Pezzella, S. Anticoli, L. Saba, E. Pampana, Setting benchmark for ischemic stroke treated endovascularly: A systematic review and meta-analysis, Revue Neurologique, 10.1016/j.neurol.2025.12.009, (2026).
- Josep Puig, Guillem Dolz, Mariano Werner, Pepus Daunis‐i‐Estadella, Marc Comas‐Cufí, Alejandro Tomasello, Eva González, Xabier Manso del Caño, Pedro Vega, Eduardo Murias, Isabel Bravo, Elvira Jiménez, Fernando Aparici‐Robles, Juan Manuel Sanchís, Sebastià Remollo, Carlos Castaño, Manuel Moreu, Alfonso López‐Frías, Mikel Terceño, Yolanda Silva, Óscar Chirife, Antonio López‐Rueda, Javier Martínez‐Fernández, José Carlos Méndez, Antonio Sagredo, José Díaz‐Pérez, Víctor Cuba, José Carlos Llibre, Yeray Aguilar, Luis SanRoman, Jordi Blasco, New Stent Retriever Technology Versus Standard Devices for Anterior Large Vessel Thrombectomy: A Multicenter Study, Journal of Neuroimaging, 10.1111/jon.70111, 35, 6, (2025).
- Jaeseob Yun, Kwang Hyun Kim, Solbi Kim, Kyu Seon Chung, Hyo Suk Nam, Ji Hoe Heo, Byung Moon Kim, Young Dae Kim, Dong Joon Kim, Endovascular Thrombectomy in Cancer‐Related Stroke: Comparison of Thrombectomy Methods, Stroke: Vascular and Interventional Neurology, 10.1161/SVIN.125.001926, 5, 6, (2025).
- Qian Liu, Li-zhang Chen, Xin Jiang, Hong-bo Zheng, Li He, Impact of arterial tortuosity on endovascular thrombectomy outcomes in acute anterior circulation ischemic stroke, Journal of Clinical Neuroscience, 10.1016/j.jocn.2025.111543, 140, (111543), (2025).
- Jane Song, Kevin Z. Zhou, Davor Pavlin-Premrl, Ashu Jhamb, Calvin Gan, Ali Khabaza, Julian Maingard, Andrew Gauden, Lee-Anne Slater, Justin Moore, Numan Kutaiba, Ronil V. Chandra, Anousha Yazdabadi, Mark D. Brooks, Hong Kuan Kok, Christen Barras, Hamed Asadi, Types of stent retrievers used in mechanical thrombectomy for acute ischaemic stroke: A scoping review, Journal of Clinical Neuroscience, 10.1016/j.jocn.2025.111412, 138, (111412), (2025).
- Goetz Benndorf, Endovascular Treatment of Carotid Stenosis and Neuroradiological Thrombectomy, Carotid Artery Disease: Surgical Perspectives, 10.1007/978-3-031-81842-4_7, (71-125), (2025).
- Johannes A. R. Pfaff, Commentary on Knapen et al.’s “Outcomes After Thrombectomy for Acute Ischemic Stroke Related to Type of Stent Retriever; a MR CLEAN Registry Study”, CardioVascular and Interventional Radiology, 10.1007/s00270-025-04117-4, 48, 8, (1140-1141), (2025).
- Robrecht R. M. M. Knapen, Robert-Jan B. Goldhoorn, Jan Albert Vos, Bart J. Emmer, Maarten Uyttenboogaart, Jeannette Hofmeijer, Wouter J. Schonewille, Charles B. Majoie, Yvo B. W. E. M. Roos, Aad van der Lugt, Diederik W. J. van Dippel, Hester F. Lingsma, Christiaan van der Leij, Robert J. van Oostenbrugge, Wim H. van Zwam, Diederik W. J. Dippel, Aad van der Lugt, Charles B. L. M. Majoie, Yvo B. W. E. M. Roos, Robert J. van Oostenbrugge, Wim H. van Zwam, Jelis Boiten, Jan Albert Vos, Ivo G. H. Jansen, Maxim J. H. L. Mulder, Robert- Jan B. Goldhoorn, Kars C. J. Compagne, Manon Kappelhof, Josje Brouwer, Sanne J.den Hartog, Wouter H. Hinsenveld, Lotte van den Heuvel, Diederik W. J. Dippel, Bob Roozenbeek, Aad van der Lugt, Pieter Jan van Doormaal, Charles B. L. M. Majoie, Yvo B. W. E. M. Roos, Bart J. Emmer, Jonathan M. Coutinho, Wouter J. Schonewille, Jan Albert Vos, Marieke J. H. Wermer, Marianne A. A. van Walderveen, Adriaan C. G. M. van Es, Julie Staals, Robert J. van Oostenbrugge, Wim H. van Zwam, Jeannette Hofmeijer, Jasper M. Martens, Geert J. Lycklama à Nijeholt, Jelis Boiten, Sebastiaan F. de Bruijn, Lukas C. van Dijk, H. Bart van der Worp, Rob H. Lo, Ewoud J. van Dijk, Hieronymus D. Boogaarts, J. de Vries, Paul L. M. de Kort, Julia van Tuijl, Issam Boukrab, Jo P. Peluso, Puck Fransen, Jan S. P. van den Berg, Heleen M.den Hertog, Boudewijn A. A. M. van Hasselt, Leo A. M. Aerden, René J. Dallinga, Maarten Uyttenboogaart, Omid Eschgi, Reinoud P. H. Bokkers, Tobien H. C. M. L. Schreuder, Roel J. J. Heijboer, Koos Keizer, Rob A. R. Gons, Lonneke S. F. Yo, Emiel J. C. Sturm, Tomas Bulut, Paul J. A. M. Brouwers, Anouk D. Rozeman, Otto Elgersma, Michel J. M. Remmers, Thijs E. A. M. de Jong, Charles B. L. M. Majoie, Wim H. van Zwam, Aad van der Lugt, Geert J. Lycklama à Nijeholt, Marianne A. A. van Walderveen, Marieke E. S. Sprengers, Sjoerd F. M. Jenniskens, René van den Berg, Albert J. Yoo, Ludo F. M. Beenen, Alida A. Postma, Stefan D. Roosendaal, Bas F. W. van der Kallen, Ido R. van den Wijngaard, Adriaan C. G. M. van Es, Bart J. Emmer, Jasper M. Martens, Lonneke S. F. Yo, Jan Albert Vos, Joost Bot, Pieter-Jan van Doormaal, Anton Meijer, Elyas Ghariq, Reinoud P. H. Bokkers, Marc P. van Proosdij, G. Menno Krietemeijer, Jo P. Peluso, Hieronymus D. Boogaarts, Rob Lo, Wouter Dinkelaar, Auke P. A. Appelman, Bas Hammer, Sjoert Pegge, Anouk van der Hoorn, Saman Vinke, Sandra Cornelissen, Christiaan van der Leij, Rutger Brans, Jeanette Bakker, Maarten Uyttenboogaart, Miou Koopman, Lucas Smagge, Olvert A. Berkhemer, Jeroen Markenstein, Eef Hendriks, Patrick Brouwer, Dick Gerrits, Diederik W. J. Dippel, Aad van der Lugt, Charles B. L. M. Majoie, Yvo B. W. E. M. Roos, Robert J. van Oostenbrugge, Wim H. van Zwam, Geert J. Lycklama à Nijeholt, Jelis Boiten, Jan Albert Vos, Wouter J. Schonewille, Jeannette Hofmeijer, Jasper M. Martens, H. Bart van der Worp, Rob H. Lo, Robert J. van Oostenbrugge, Jeannette Hofmeijer, H. Zwenneke Flach, Hester F. Lingsma, Naziha el Ghannouti, Martin Sterrenberg, Wilma Pellikaan, Rita Sprengers, Marjan Elfrink, Michelle Simons, Marjolein Vossers, Joke de Meris, Tamara Vermeulen, Annet Geerlings, Gina van Vemde, Tiny Simons, Gert Messchendorp, Nynke Nicolaij, Hester Bongenaar, Karin Bodde, Sandra Kleijn, Jasmijn Lodico, Hanneke Droste, Maureen Wollaert, Sabrina Verheesen, D. Jeurrissen, Erna Bos, Yvonne Drabbe, Michelle Sandiman, Nicoline Aaldering, Berber Zweedijk, Jocova Vervoort, Eva Ponjee, Sharon Romviel, Karin Kanselaar, Denn Barning, Laurine van der Steen, Esmee Venema, Vicky Chalos, Ralph R. Geuskens, Tim van Straaten, Saliha Ergezen, Roger R. M. Harmsma, Daan Muijres, Anouk de Jong, Olvert A. Berkhemer, Anna M. M. Boers, J. Huguet, P. F. C. Groot, Marieke A. Mens, Katinka R. van Kranendonk, Kilian M. Treurniet, Manon L. Tolhuisen, Heitor Alves, Annick J. Weterings, Eleonora L. F. Kirkels, Eva J. H. F. Voogd, Lieve M. Schupp, Sabine L. Collette, Adrien E. D. Groot, Natalie E. LeCouffe, Praneeta R. Konduri, Haryadi Prasetya, Nerea Arrarte-Terreros, Lucas A. Ramos, Nikki Boodt, Anne F. A. V. Pirson, Agnetha A. E. Bruggeman, Nadinda A. M. van der Ende, Rabia Deniz, Susanne G. H. Olthuis, Floor Pinckaers, Outcomes After Thrombectomy for Acute Ischemic Stroke Related to Type of Stent Retriever; a MR CLEAN Registry Study, CardioVascular and Interventional Radiology, 10.1007/s00270-025-04048-0, 48, 8, (1126-1139), (2025).
- See more