AIMS: In acute @entity64 , endovascular therapy with the Solitaire FR stent retriever has been shown to double recanalisation rates and the numbers of @entity1 who recover to be functionally independent, when compared to standard therapy. We present the Auckland City Hospital experience of clot retrieval. METHODS: Previously independent @entity64 @entity1 with contraindications to, or no response following, i.v. alteplase, were treated with clot retrieval. All @entity1 had proximal large @entity432 on CT angiography and many also had CT perfusion scans showing salvageable ischaemic tissue. RESULTS: Clot retrieval was performed in 33 @entity1 (10 @entity1 , mean (SD) age of 54 (17) years) since 2011. Twenty-two (67%) @entity1 were first treated with alteplase. @entity1 fell into three groups: 17 (52%) had anterior circulation @entity432 , similar to those in recent clot retrieval studies; 10 (30%) had posterior circulation @entity432 ; and six (18%) had 'Rescue' clot retrieval, usually with @entity64 that followed a procedure. @entity1 with anterior circulation @entity432 had a median time from symptom onset to groin puncture of 225 (range 95-450) minutes, full recanalisation occurred in 76%, and by day 90, all 17 were alive and living at home, with 63% functionally independent (modified Rankin Scale (mRS) 0-2). At day 90, eight of 10 posterior circulation @entity432 group @entity1 were alive and living at home, four with a mRS of 0-2. In contrast, four of six 'Rescue' @entity1 had died, and another was functionally dependent with a mRS of 4. CONCLUSIONS: Endovascular clot retrieval can be safely and effectively performed in a New Zealand setting with similar results to recent trials in anterior circulation @entity432 @entity1 . We suggest that District Health Boards develop clot retrieval services as part of regional hyperacute @entity64 treatment pathways.

Endovascular clot retrieval for acute XXXX : the Auckland City Hospital experience.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['ischaemic stroke', 'stroke'] @entity432 :: ('MESH:D001157', 'Disease') :: ['artery occlusions', 'occlusion']
@entity64 :: (MESH:D020521,Disease) :: ['ischaemic stroke']
