ECHELON
Report
- Report Number
- 2029214-2021-00330
- Event Type
- Death
- Date Received
- March 23, 2021
- Date of Event
- December 1, 2020
- Report Date
- March 23, 2021
- Manufacturer
- MICRO THERAPEUTICS, INC. DBA EV3
- Product Code
- KRA
- PMA / PMN Number
- K093750
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
Narratives
F. GAO, X. SUN, X. GUO, D. LI, G.D. XU AND Z.R. MIAO. OPEN ACCESS ENDOVASCULAR RECANALIZATION OF SYMPTOMATIC NONACUTE INTRACRANIAL I NTERNAL CAROTID ARTERY OCCLUSION: PROPOSAL OF A NEW ANGIOGRAPHIC CLASSIFICATION AMERICAN JOURNAL OF NEURORADIOLOGY FEBRUARY 2021, 42 (2) 299-305; DOI.ORG/10.3174/AJNR.A6928 THIS VALUE IS THE AVERAGE AGE OF THE PATIENTS REPORTED IN THE ARTICLE AS SPECIFIC PATIENTS COULD NOT BE IDENTIFIED. THIS VALUE REFLECTS THE GENDER OF THE MAJORITY OF THE PATIENTS REPORTED IN THE ARTICLE AS SPECIFIC PATIENTS COULD NOT BE IDENTIFIED. PLEASE NOTE THAT THIS DATE IS BASED OFF OF THE DATE OF PUBLICATION OF THE ARTICLE [OR THE DATE THAT THE ARTICLE WAS ACCEPTED FOR PUBLICATION] AS THE EVENT DATES WERE NOT PROVIDED IN THE PUBLISHED LITERATURE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
F. GAO, X. SUN, X. GUO, D. LI, G.D. XU AND Z.R. MIAO. OPEN ACCESS ENDOVASCULAR RECANALIZATION OF SYMPTOMATIC NONACUTE INTRACRANIAL I NTERNAL CAROTID ARTERY OCCLUSION: PROPOSAL OF A NEW ANGIOGRAPHIC CLASSIFICATION AMERICAN JOURNAL OF NEURORADIOLOGY FEBRUARY 2021, 42 (2) 299-305; DOI.ORG/10.3174/AJNR.A6928 MEDTRONIC LITERATURE REVIEW FOUND REPORTED OF PATIENT COMPLICATIONS IN ASSOCIATION WITH THROMBECTOMY. THE PURPOSE OF THIS ARTICLE WAS TO REPORT MULTICENTER CLINICAL RESULTS OF ENDOVASCULAR RECANALIZATION FOR MEDICALLY REFRACTORY, NONACUTE, INTRACRANIAL ICA OCCLUSION AND TO PROPOSE A NEW ANGIOGRAPHIC CLASSIFICATION TO EXPLORE WHICH SUBGROUPS OF PATIENTS ARE MOST AMENABLE TO THIS TREATMENT. THE AUTHORS REVIEWED 36 CASES OF PATIENTS TREATED FOR ENDOVASCULAR RECANALIZATION FOR REFRACTORY, NONACUTE, ATHEROSCLEROTIC INTRACRANIAL ICA OCCLUSION USING EITHER AN ECHELON MICROCATHETER OR A NON-MEDTRONIC CATHETER IN CONJUNCTION WITH OTHER NON-MEDTRONIC PRODUCTS FOR A THROMBECTOMY. OF THE 36 PATIENTS, THE AVERAGE AGE WAS 54 YEARS, 12 WERE FEMALE AND 24 WERE MALE. IF THE ATTEMPTS WERE REPEATED AND THE MICROWIRE AND MICROCATHETER COULD NOT PASS THE OCCLUDED SEGMENT AND ENTER THE DISTAL TRUE LUMEN, THE PROCEDURE WAS STOPPED. IF THE MICROWIRE WAS SUCCESSFULLY STEERED THROUGH THE OCCLUDED SEGMENT, THEN MICROCATHETER INJECTION CONFIRMED THE POSITION DISTAL TO OCCLUSION IN THE DISTAL TRUE LUMEN. THE OVERALLTECHNICAL SUCCESS RATE WAS 80.6% (29/36). THE CLINICAL SYMPTOMS OF THE PATIENTS IN THIS GROUP WERE RELATIVELY MILD THE FOLLOWING INTRA- OR POST-PROCEDURAL OUTCOMES WERE NOTED: 1. TWO PATIENTS HAD REPERFUSION HEMORRHAGE 3 AND 4 HOURS AFTER SUCCESSFUL RECANALIZATION; THEIR SYMPTOMS DETERIORATED RAPIDLY, AND THEY DIED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 450066 | ECHELON | CATHETER, CONTINUOUS FLUSH | KRA | MICRO THERAPEUTICS, INC. DBA EV3 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Death| L |