Outcomes of Stent Retriever versus Aspiration-First Thrombectomy in Ischemic Stroke: A Systematic Review and Meta-Analysis.

ABSTRACT:

Background

There is ongoing debate regarding the optimal first-line thrombectomy technique for large-vessel occlusion.

Purpose

We performed a systematic review and meta-analysis of comparative studies on stent retriever-first and aspiration-first thrombectomy.

Data sources

We searched Ovid MEDLINE, PubMed, and EMBASE from 2009 to February 2018.

Study selection

Two reviewers independently selected the studies. The primary end point was successful reperfusion (TICI 2b/3).

Data analysis

Random-effects meta-analysis was used for analysis.

Data synthesis

Eighteen studies including 2893 patients were included. There was no significant difference in the rate of final successful reperfusion (83.9% versus 83.3%; OR = 0.87; 95% CI, 0.62%-1.27%) or good func

SUBMITTER: Tsang COA 

PROVIDER: S-EPMC7655372 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature