SESAME Study:

Safety and Effectiveness of SOFIA™/​SOFIA™ PLUS for Direct Aspiration in Acute Ischemic Stroke
SOFIA™ Aspiration Catheter

"Primary aspiration with the SOFIA/SOFIA PLUS catheter demonstrates favorable safety and efficacy profiles in the treatment of anterior circulation LVO. These findings support the utilization of this technique as a first-line approach in mechanical thrombectomy for AIS, contributing to the growing body of evidence endorsing the effectiveness of direct aspiration thrombectomy in stroke management."

Patients

246

Countries

France, Germany, Austria, Italy, Netherlands

Clinical Centers

15

Design

Single arm prospective

Scope

Patients ≥ 18 y.o. presenting with an acute stroke in the anterior cerebral circulation, NIHSS of 2-30, pre stroke mRS<2, ASPECTS>5 that can be treated within 6 hrs from symptom onset.

Purpose

To demonstrate that use of SOFIA/SOFIA PLUS catheter for direct aspiration as a first line treatment technique is fast, safe and effective up to 90 days.

Endpoints

Efficacy:

  • Successful recanalization (mTICI 2b-3)

  • FPE (mTICI 2C-3) assessed by Corelab

Safety:

Proportion of patients with a good clinical outcome, defined as mRS ≤ 2 at 90 days post-treatment, as assessed by an independent certified neurologist

Efficacy results

After 1st line aspiration:

  • mTICI ≥2b: 72.8%

  • mTICI ≥2c: 57.3%

  • mTICI 3: 34.1%

  • FPE (mTICI 2c-3): 48.8%

Safety results

  • Symptomatic ICH: 4.4%

  • ENT: 3.7%

  • Mortality: 24.4%

  • mRS 0-2 at 90 days: 63.8%

LINK TO STUDY PAGE ClinicalTrials.gov ID NCT03417349

SPONSOR: Heidelberg Hospital

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