• Yuichiro Tsuji, Takashi Yoshida, Fuminori Shimizu, Seigo Kimura, Ryokichi Yagi, Ryo Hiramatsu, and Masahiko Wanibuchi.
• Department of Neurosurgery, Osaka Medical College, Takatsuki, Osaka, Japan. Electronic address: abyssinian1225@gmail.com.
• World Neurosurg. 2021 May 1; 149: e11-e15.

ObjectiveThe Sofia catheter is a new large-bore aspiration catheter that allows easy access and good reperfusion. In this study, we analyzed the efficacy and safety of the Sofia catheter in comparison with stent retrievers as a contact aspiration thrombectomy (CAT) tool for large vessel occlusion.MethodsWe enrolled patients with acute ischemic stroke who underwent endovascular thrombectomy from April 2017 and April 2020 in our hospital. Patients were retrospectively reviewed and divided into the stent retriever group (SR), the Sofia group, and all cases group.ResultsA total of 114 patients were treated during the study period, including 27 in the stent retriever group and 15 in the Sofia group. Higher rates of the first-pass effect (FPE) (37% vs. 47%, P = 0.12) and significantly higher modified FPE (44% vs. 67%, P = 0.001) were observed in patients with SR and Sofia, respectively. Functional independence (modified Rankin Scale ≤2) at 30 days after onset was observed in 30% versus 47% (P = 0.47) of SR and Sofia, respectively.ConclusionsThe Sofia Plus is a large-bore aspiration catheter with high FPE and good accessibility. Use of this catheter resulted better angiographic outcome compared with the stent retriever, but there was no difference in clinical outcomes in this study. Further studies are needed to compare in new generation aspiration catheters.Copyright © 2021 Elsevier Inc. All rights reserved.

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