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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pmj</journal-id><journal-title-group><journal-title xml:lang="ru">Тихоокеанский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Pacific Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-1175</issn><publisher><publisher-name>TGMU</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.34215/1609-1175-2026-1-40-44</article-id><article-id custom-type="elpub" pub-id-type="custom">pmj-3079</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCHES</subject></subj-group></article-categories><title-group><article-title>Результаты стендовых сравнительных испытаний (in vitro) стент-ретривера «Граспер» и стратегий тромбэктомии</article-title><trans-title-group xml:lang="en"><trans-title>In vitro bench testing of the Grasper stent retriever and mechanical thrombectomy strategies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6100-3625</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Грачев</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Grachev</surname><given-names>N. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Грачев Никита Игоревич – доцент института хирургии ТГМУ.</p><p>690002, Владивосток, пр-т Острякова, 2</p><p>тел.: +7 (984) 150-97-70</p></bio><bio xml:lang="en"><p>Nikita I. Grachev - Associate Professor of the Institute of Surgery of the Pacific State Medical University.</p><p>2 Ostryakova ave., Vladivostok, 690002</p><p>tel.: +7 (984) 150-97-70</p></bio><email xlink:type="simple">nik-vgmu@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шуматов</surname><given-names>В. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Shumatov</surname><given-names>V. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владивосток</p></bio><bio xml:lang="en"><p>Vladivostok</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Раповка</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Rapovka</surname><given-names>V. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владивосток</p></bio><bio xml:lang="en"><p>Vladivostok</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалев</surname><given-names>Е. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalyov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кретов</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kretov</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Тихоокеанский государственный медицинский университет; Приморская краевая клиническая больница № 1</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pacific State Medical University; Primorsk Regional Clinical Hospital No. 1</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Тихоокеанский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pacific State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Новосибирский областной клинический кардиологический диспансер</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk Regional Clinical Cardiological Dispensary</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Центральная клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>01</day><month>05</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>40</fpage><lpage>44</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Грачев Н.И., Шуматов В.Б., Раповка В.Г., Ковалев Е.A., Кретов Е.И., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Грачев Н.И., Шуматов В.Б., Раповка В.Г., Ковалев Е.A., Кретов Е.И.</copyright-holder><copyright-holder xml:lang="en">Grachev N.I., Shumatov V.B., Rapovka V.G., Kovalyov E.A., Kretov E.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.tmj-vgmu.ru/jour/article/view/3079">https://www.tmj-vgmu.ru/jour/article/view/3079</self-uri><abstract><p>Цель исследования: оценить эффективность и эмболический профиль стент-ретривера «Граспер» и различных стратегий механической тромбэктомии в стандартизированной in vitro стендовой модели. Определить независимые предикторы эффекта первого прохода (FPE) и дистальной эмболизации. Материалы и методы. Использована пульсирующая flow-loop система с четырьмя анатомическими конфигурациями. Смоделированы три типа тромбов: эритроцитарно-богатый, смешанный и фибриново-богатый. Проведено 288 испытаний (144 сценария). Оценивали FPE, финальную реперфузию, количество проходов, время до реперфузии, интеграцию «устройство–тромб» и эмболизацию. Для анализа применяли χ², критерий Краскела – Уоллиса и многофакторную регрессию. Результаты. Частота FPE составила 60,4, 56,2 и 54,2% (p = 0,82) для сравниваемых устройств. Стент-ретривер показал лучшую интеграцию с тромбом и отсутствие случаев неудовлетворительной интеграции (p &lt; 0,001). FPE был связан с качеством интеграции (p = 0,001). На уровне стратегий FPE достигался в 64,6% случаев; комбинированная техника давала наименьшую эмболическую нагрузку, а стратегия аспирация-первым повышала ее (p &lt; 0,001). Фибриново-богатый тромб снижал вероятность FPE (ОШ 0,24; p &lt; 0,001). Заключение. В in vitro стендовой модели «Граспер» показал эффективность, сопоставимую с двумя эталонными стент-ретриверами.</p></abstract><trans-abstract xml:lang="en"><p>Objective: To evaluate the efficacy and embolic profile of the Grasper stent retriever, as well as various mechanical thrombectomy strategies, in a standardized in vitro bench model; to identify independent predictors of first-pass effect (FPE) and distal embolization. Materials and methods. A pulsating flow-loop system with four anatomical configurations was employed. Three types of blood clots were simulated, involving erythrocyte-rich, mixed, and fibrin-rich. A total of 288 tests (144 scenarios) were performed. Assessment included FPE, final reperfusion, number of passes, time to reperfusion, device–clot integration, and distal embolization. Statistical analysis was performed using the chi-square test, the Kruskal–Wallis test, and multiple regression analysis. Results. The FPE rates were 60.4%, 56.2%, and 54.2%, respectively, for the three devices compared (p = 0.82). The stent retriever showed superior device–clot integration, with no cases of failure to integrate (p &lt; 0.001). FPE correlated with integration quality (p = 0.001). At the strategy level, FPE was achieved in 64.6% of cases. The combined technique resulted in the lowest embolic burden, as opposed to the aspiration-first strategy, which increased it (p &lt; 0.001). The presence of a fibrin-rich clot reduced the probability of FPE (OR 0.24; p &lt; 0.001). Conclusion. In the in vitro model, the Grasper stent retriever demonstrated efficacy competitive with two reference stent retrievers.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>механическая тромбэктомия</kwd><kwd>эффект первого прохода</kwd><kwd>дистальная эмболизация</kwd><kwd>тромб</kwd><kwd>стендовая модель</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mechanical thrombectomy</kwd><kwd>first pass effect</kwd><kwd>distal embolization</kwd><kwd>clot</kwd><kwd>bench model</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bai X, Zhang X, Wang J, Zhang Y, Dmytriw AA, Wang T, Xu R, Ma Y, Li L, Feng Y, Mena CS, Yang K, Wang X, Song H, Ma Q, Jiao L. Factors Influencing Recanalization After Mechanical Thrombectomy With First-Pass Effect for Acute Ischemic Stroke: A Systematic Review and Meta-Analysis. 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