{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T20:30:09Z","timestamp":1778704209927,"version":"3.51.4"},"reference-count":29,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Background: Mechanical thrombectomy is the standard therapy in patients with acute ischemic stroke (AIS). The primary aim of our study was to compare the procedural efficacy of the direct aspiration technique, using Penumbra ACETM aspiration catheter, and the stent retriever technique, with a SolitaireTM FR stent. Secondarily, we investigated treatment-dependent and treatment-independent factors that predict a good clinical outcome. Methods: We analyzed our series of mechanical thrombectomies using a SolitaireTM FR stent and a Penumbra ACETM catheter. The clinical and radiographic data of 76 patients were retrospectively reviewed. Using binary logistic regression, we looked for the predictors of a good clinical outcome. Results: In the Penumbra ACETM group we achieved significantly higher rates of complete vessel recanalization with lower device passage counts, shorter recanalization times, shorter procedure times and shorter fluoroscopy times (p &lt; 0.001) compared to the SolitaireTM FR group. We observed no significant difference in good clinical outcomes (52.4% vs. 56.4%, p = 0.756). Predictors of a good clinical outcome were lower initial NIHSS scores, pial arterial collateralization on admission head CT angiography scan, shorter recanalization times and device passage counts. Conclusions: The aspiration technique using Penumbra ACETM catheter is comparable to the stent retriever technique with SolitaireTM FR regarding clinical outcomes.<\/jats:p>","DOI":"10.3390\/brainsci11040504","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T10:20:11Z","timestamp":1618568411000},"page":"504","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Efficacy of Mechanical Thrombectomy using Penumbra ACETM Aspiration Catheter Compared to Stent Retriever SolitaireTM FR in Patients with Acute Ischemic Stroke"],"prefix":"10.3390","volume":"11","author":[{"given":"Dalibor","family":"Sila","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Interventional Neuroradiology, Donau-Isar Klinikum, Perlasberger Str. 41, 94469 Deggendorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Lenski","sequence":"additional","affiliation":[{"name":"Neurosurgical Clinic, Campus Grosshadern, Clinic of the University of Munich (LMU), Marchioninistrasse 15, 81377 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Vojtkov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Statistics, Faculty of Economic Informatics, University of Economics in Bratislava, Dolnozemska cesta 1\/b, 85235 Bratislava, Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Elgharbawy","sequence":"additional","affiliation":[{"name":"Department of Radiology and Interventional Radiology, Donau-Isar Klinikum, Perlasberger Str. 41, 94469 Deggendorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franti\u0161ek","family":"Charv\u00e1t","sequence":"additional","affiliation":[{"name":"Radiodiagnostic Departement, Military University Hospital Prague, U Vojensk\u00e9 nemocnice 1200, 16902 Praha, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Rath","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Interventional Neuroradiology, Donau-Isar Klinikum, Perlasberger Str. 41, 94469 Deggendorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2786","DOI":"10.1161\/STROKEAHA.115.010710","article-title":"Relationships Between Imaging Assessments and Outcomes in Solitaire with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke","volume":"46","author":"Albers","year":"2015","journal-title":"Stroke"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa1411587","article-title":"A randomized trial of intraarterial treatment for acute ischemic stroke","volume":"372","author":"Berkhemer","year":"2015","journal-title":"N. 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