ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025
Shorter procedures and less radiation with monopoint aspiration compared to conventional aspiration or stentriever-assisted aspiration for mechanical thrombectomy.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
IntroductionMechanical thrombectomy (MT) techniques affect procedure lengths and radiation exposure, with both reduced with contact aspiration (CA) compared to combination stentriever-assisted aspiration (SA). Monopoint MT has higher first pass effect (FPE) rates, less technical crossover, and recanalization with fewer passes. Monopoint MT may thus be associated with shorter procedural times and less radiation.Materials/MethodsAnterior circulation large vessel MT cases across four centers were identified, assigning cases to Monopoint, CA, or SA groups based on the first-line technique employed, excluding cases that could not be assigned to one of these three groups. Clinical variables, technical details, times to first and final pass, fluoroscopy time, dose-area product (DAP), and radiation dose were recorded. Univariable and multivariable analyses were performed to compare procedural times and radiation data among treatment groups.ResultsSeventy-seven Monopoint, 32 CA, 42 SA cases were analyzed. Time to first pass was shortest with Monopoint (
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