Comparison of efficacy between Solumbra technique and SWIM technique for stroke
Qi Jiamin
Wu Jianhong
Wang Jun
Dong Guoli
Abstract：Objective To evaluate the effectiveness and safety of Solumbra technique and SWIM technique in the treatment of acute ischemic stroke(AIS).Methods Clinical data of 191 patients with AIS,which were divided into the Solumbra group(n=97)and the SWIM group(n=94)based on the surgical approach,were analyzed retrospectively.Propensity score matching(PSM)was applied to match patients in a 1:1 ratio between the two groups.Clinical parameters,National Institutes of Health Stroke Scale(NIHSS)scores at different time points postoperatively,improvement in collateral circulation,and complication rates were compared between the two matched groups.Results After PSM,50 pairs of patients were successfully matched.The Solumbra group had a higher proportion of patients requiring more than 2 thrombectomies and longer hospital stays compared to the SWIM group,with a lower proportion of good outcomes(P<0.05).The NIHSS scores at 7 days and 2 weeks postoperatively were lower in the Solumbra group than in the SWIM group(P<0.05).The complication rate was 20.00%in the Solumbra group and 38.00%in the SWIM group,indicating a lower complication rate in the Solumbra group(P<0.05).Conclusions Both Solumbra technique and SWIM technique have their respective advantages in the treatment of AIS with endovascular thrombectomy.Clinical decisions should be made based on the individual patient's condition to select the most appropriate thrombectomy approach.
Keywords：ischemic strokeacutepropensity score matchingSolumbra techniqueSWIM technique
Publication Date：2024-07-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 404-408 )