Cost-effectiveness of mechanical thrombectomy performed with the Monopoint reperfusion system compared to conventional contact aspiration and combined stentriever and aspiration.

ABSTRACT: IntroductionUnderstanding of costs associated with different mechanical thrombectomy (MT) approaches lags behind procedural efficacy and safety considerations. This study evaluates cost-effectiveness of MT using Monopoint (Route 92 Medical, San Mateo, CA) as first-line approach compared to traditional contact aspiration (CA) and stentriever/aspiration (SA).MethodsRetrospective analysis of consecutively treated ICA terminus or M1 occlusion patients across four high-volume stroke centers was conducted, categorized into Monopoint, CA, or SA groups. Direct device costs and total costs were obtained from institutional databases. Statistical analyses included mixed-effects linear regression and multivariable analysis.ResultsAmong 148 patients undergoing MT (Monopoint: 74, CA: 32, SA: 42), device

SUBMITTER: Settecase F 

PROVIDER: S-EPMC12623229 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature