Narloch j, piasecki a, ziecina p, debiec a, wierzbicki m, staszewski j and piasecki p (2023) is aspiration an effective acute stroke treatment in older adults? front.Neurol.14:1149531.Doi: 10.3389/fneur.2023.114953 medtronic literature review found a report of patient complications in association with react 68 and 71 catheters.The purpose of this article was to compare the clinical and angiographic outcomes of a direct aspiration first-pass technique in interventional stroke treatment for elderly patients compared with younger patients consecutive patients who underwent ¿a direct aspiration first-pass technique¿ (adapt) as the first choice of treatment for the treatment of stroke due to a large vessel occlusion between (b)(6) 2021 at a comprehensive stroke center were included in the present study.A total of 162 patients (92 women and 70 men, aged between 35 and 94 years +/¿ 12.4 years) were included.To confirm the cerebral large-vessel occlusion (lvo), an impress diagnostic peripheral catheter (merit medical) was placed in an 8f radifocus super arrow-flex sheath introducer (arrow international inc.).The diagnostic catheter was exchanged for a guiding catheter, such as neuron max (penumbra, inc., alameda, ca, usa) or fubuki (terumo-microvention).The following aspiration catheters were used in this study: the react 68 and react 71 (medtronic); sofia and sofia plus (terumo-microvention); axs catalyst 5, 6, and 7 (stryker); or ace 68, jet7 (penumbra inc.).A microcatheter headway 0.021¿ (terumo-microvention) with 0.014¿ microwire traxcess (terumo, tokyo, japan) was used to reach the occlusion site.Aspiration passes were performed using adapt.The article does not state any technical issues during use of the react catheters the following intra- or post-procedural outcomes were noted: - 3 had complications in the <(><<)>60 group, 17 in the =60 group, 5 in the <(><<)>65 group, 15 in the =65 group, 13 in the <(><<)>80 group, and 7 in the =80 group.- 7 had hemorrhage at 24 hours in the <(><<)>60 group, 34 in the =60 group, 15 in the <(><<)>65 group, 27 in the =65 group, 31 in the <(> <<)>80 group, and 11 in the =80 group.- 2 had sah in the <(><<)>60 group, 8 in the =60 group, 2 in the <(> <<)>65 group, 8 in the =65 group, 4 in the <(><<)>80 group, and 6 in the =80 group. - 1 had ich in the <(><<)>60 group, 1 in the =60 group, 2 in the <(> <<)>65 group, 0 in the =65 group, 2 in the <(><<)>80 group, and 0 in the =80 group.- 1 had vasospasm in the <(><<)>60 group, 3 in the =60 group, 1 in the <(><<)>65 group, 3 in the =65 group, 4 in the <(><<)>80 group, and 0 in the =80 group.- 0 had embolization in a new territory in the <(><<)>60 group, 11 in the =60 group, 3 in the <(><<)>65 group, 8 in the =65 group, 9 in the <(><<)>80 group, and 2 in the =80 group.- 0 had dissection in the <(><<)>60 group, 4 in the =60 group, 0 in the <(><<)>65 group, 4 in the =65 group, 3 in the <(><<)>80 group, and 1 in the =80 group.- 7 didn't have mtici 2b-3 in the <(><<)>60 group, 50 in the =60 group, 15 in the <(><<)>65 group, 42 in the =65 group, 42 in the <(><<)>80 group, and 15 in the =80 group.-mrs was 0 at discharge for 4 in the <(><<)>60 group, 7 in the =60 group, 5 in the <(><<)>65 group, 6 in the =65 group, 10 in the <(><<)>80 group, and 1in the =80 group -mrs was 1 at discharge for 5 in the <(><<)>60 group, 14 in the =60 group, 6 in the <(><<)>65 group, 13 in the =65 group, 15 in the <(> <<)>80 group, and 4 in the =80 group -mrs was 2 at discharge for 4 in the <(><<)>60 group, 17 in the =60 group, 9 in the <(><<)>65 group, 12 in the =65 group, 19 in the <(> <<)>80 group, and 2 in the =80 group -mrs was 3 at discharge for 3 in the <(><<)>60 group, 10 in the =60 group, 6 in the <(><<)>65 group, 7 in the =65 group, 12 in the <(><<)>80 group, and 1 in the =80 group -mrs was 4 at discharge for 1 in the <(><<)>60 group, 11 in the =60 group, 2 in the <(><<)>65 group, 10 in the =65 group, 8 in the <(><<)>80 group, and 4 in the =80 group -mrs was 5 at discharge for 7 in the <(><<)>60 group, 38 in the =60 group, 14 in the <(><<)>65 group, 31 in the =65 group, 33 in the <(> <<)>80 group, and 12 in the =80 group -mrs was 6 at discharge for 5 in the <(><<)>60 group, 30 in the =60 group, 9 in the <(><<)>65 group, 26 in the =65 group, 26 in the <(> <<)>80 group, and 9 in the =80 group -mrs was 0 at 30 days for 3 in the <(><<)>60 group, 8 in the =60 group, 4 in the <(><<)>65 group, 7 in the =65 group, 9 in the <(><<)>80 group, and 2 in the =80 group -mrs was 1 at 30 days for 6 in the <(><<)>60 group, 9 in the =60 group, 6 in the <(><<)>65 group, 9 in the =65 group, 14 in the <(><<)>80 group, and 1in the =80 group -mrs was 2 at 30 days for 3 in the <(><<)>60 group, 16 in the =60 group, 7 in the <(><<)>65 group, 12 in the =65 group, 17 in the <(><<)>80 group, and 2 in the =80 group -mrs was 3 at 30 days for 3 in the <(><<)>60 group, 18 in the =60 group, 8 in the <(><<)>65 group, 13 in the =65 group, 19 in the <(><<)>80 group, and 2 in the =80 group -mrs was 4 at 30 days for 0 in the <(><<)>60 group, 12 in the =60 group, 2 in the <(><<)>65 group, 10 in the =65 group, 8 in the <(><<)>80 group, and 4 in the =80 group -mrs was 5 at 30 days for 8 in the <(><<)>60 group, 33 in the =60 group, 15 in the <(><<)>65 group, 26 in the =65 group, 31 in the <(><<)>80 group, and 10 in the =80 group -mrs was 6 at 30 days for 5 in the <(><<)>60 group, 24 in the =60 group, 7 in the <(><<)>65 group, 22 in the =65 group, 21 in the <(><<)>80 group, and 8 in the =80 group -mrs was 0 at 90 days for 1 in the <(><<)>60 group, 5 in the =60 group, 1 in the <(><<)>65 group, 5 in the =65 group, 4 in the <(><<)>80 group, and 2 in the =80 group -mrs was 1 at 90 days for 5 in the <(><<)>60 group, 9 in the =60 group, 6 in the <(><<)>65 group, 8 in the =65 group, 14 in the <(><<)>80 group, and 0 in the =80 group -mrs was 2 at 90 days for 5 in the <(><<)>60 group, 17 in the =60 group, 10 in the <(><<)>65 group, 12 in the =65 group, 19 in the <(><<)>80 group, and 3 in the =80 group -mrs was 3 at 90 days for 0 in the <(><<)>60 group, 11 in the =60 group, 2 in the <(><<)>65 group, 9 in the =65 group, 9 in the <(><<)>80 group, and 2 in the =80 group -mrs was 4 at 90 days for 2 in the <(><<)>60 group, 12 in the =60 group, 5 in the <(><<)>65 group, 9 in the =65 group, 13 in the <(><<)>80 group, and 1 in the =80 group -mrs was 5 at 90 days for 3 in the <(><<)>60 group, 11 in the =60 group, 6 in the <(><<)>65 group, 8 in the =65 group, 12 in the <(><<)>80 group, and 2 in the =80 group -mrs was 6 at 90 days for 1 in the <(><<)>60 group, 18 in the =60 group, 2 in the <(><<)>65 group, 17 in the =65 group, 10 in the <(><<)>80 group, and 9 in the =80 group -mrs was 0 at 12 months for 1 in the <(><<)>60 group, 1 in the =60 group, 1 in the <(><<)>65 group, 1 in the =65 group, 2 in the <(><<)>80 group, and 0 in the =80 group -mrs was 1 at 12 months for 6 in the <(><<)>60 group, 6 in the =60 group, 6 in the <(><<)>65 group, 6 in the =65 group, 12 in the <(><<)>80 group, and 0 in the =80 group -mrs was 2 at 12 months for 0 in the <(><<)>60 group, 10 in the =60 group, 5 in the <(><<)>65 group, 5 in the =65 group, 9 in the <(><<)>80 group, and 1 in the =80 group -mrs was 3 at 12 months for 2 in the <(><<)>60 group, 7 in the =60 group, 4 in the <(><<)>65 group, 5 in the =65 group, 8 in the <(><<)>80 group, and 1 in the =80 group -mrs was 4 at 12 months for 0 in the <(><<)>60 group, 4 in the =60 group, 1 in the <(><<)>65 group, 3 in the =65 group, 3 in the <(><<)>80 group, and 1 in the =80 group -mrs was 5 at 12 months for 0 in the <(><<)>60 group, 1 in the =60 group, 0 in the <(><<)>65 group, 1 in the =65 group, 1 in the <(><<)>80 group, and 0 in the =80 group -mrs was 6 at 12 months for 1 in the <(><<)>60 group, 15 in the =60 group, 3 in the <(><<)>65 group, 13 in the =65 group, 9 in the <(><<)>80 group, and 7 in the =80 group.
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