Language

English

Publication Date

6-16-2025

Journal

Interventional Neuroradiology

DOI

10.1177/15910199251348512

PMID

40518926

PMCID

PMC12170555

PubMedCentral® Posted Date

6-16-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Background

Mechanical thrombectomy with stent retrievers has become a standard treatment for acute ischemic stroke due to large vessel occlusion. Here we present a multicenter US experience using the EmboTrap III stent retriever, the latest iteration within its class.

Methods

We retrospectively reviewed patients with acute ischemic stroke treated with the EmboTrap III device at 4 US centers. We recorded baseline demographics, clinical characteristics, and procedural details. Outcomes included first-pass effect (FPE), modified FPE (mFPE), final mTICI scores, 90-day functional outcomes, and complications.

Results

A total of 92 patients were included, median age of 72 years, and 56.5% were women. The mean NIHSS on admission was 16.6 ± 8.1 and the median ASPECTS score was 9. IV thrombolysis was administered in 34.1%. Median last known normal to reperfusion time was 304 min. Final successful reperfusion (mTICI ≥ 2b) was achieved in 91.3% of patients. FPE (mTICI ≥ 2c after a first pass with the device) was achieved in 53.3% of patients, and mFPE (mTICI ≥ 2b after a first pass with the device) was achieved in 79.3% of patients. At 90 days, 22.9% of patients had modified Rankin Scale (mRS) ≤ 2. There were no device-related complications.

Conclusion

In this multicenter study, the EmboTrap III achieved high final recanalization success and FPE/mFPE rates with low complication rates.

Keywords

thrombectomy, stroke, EmboTrap 3, stent-retriever

Published Open-Access

yes

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.