EP55 Keep it simple: the SNACE (Sofia non-wire aspiration contrast enhancement) technique for the endovascular management of acute ischemic stroke

We report a prospectively collected clinical experience with a simple technique: SNACE (Sofia Non-wire Aspiration Contrast Enhancement) as the primary method for vessel recanalization.Methods38 prospective patients with ELVO at four institutions were included in the study. The SNACE technique was utilized in all patients. Procedural and clinical data were analyzed.ResultsThe SNACE approach using SOFIA 6 Plus Catheter was successful in achieving Thrombolysis in Cerebral Infarction (TICI) 2b or 3 revascularizations in 88% of cases. The first Pass effect was obtained in 75%. The average time from groin puncture to at least TICI 2b recanalization was 17 min. National Institutes of Health Stroke Scale (NIHSS) score average at the onset of 16 and improved to a median NIHSS score at discharge of 5.5. We did not find intraprocedural complications and two symptomatic intracerebral hemorrhages were recorded postoperatively.DiscussionThe SNACE technique is a simple, fast, safe, and effective method that has reduced the requirements to multiple passes and avoiding the use of expensive materials to reach the occlusion site. SNACE is a replicable approach without additional training requirements.ReferencesGory B, Armoiry X, Sivan-Hoffmann R, Piotin M, Mazighi M, Lapergue B, et al. A direct aspiration first pass technique for acute stroke therapy: a systematic review and meta-analysis. Eur J Neurol 2018 Feb 1;25(2):284–92.Blanc R, Redjem H, Ciccio G, Smajda S, Desilles JP, Orng E, et ...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: Treatment Source Type: research