Need for rescue treatment and its implication: Stent retriever versus contact aspiration thrombectomy
DC Field | Value | Language |
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dc.contributor.author | Kang, D.-H. | - |
dc.contributor.author | Kim, J.W. | - |
dc.contributor.author | Kim, B.M. | - |
dc.contributor.author | Heo, J.H. | - |
dc.contributor.author | Nam, H.S. | - |
dc.contributor.author | Kim, Y.D. | - |
dc.contributor.author | Hwang, Y.-H. | - |
dc.contributor.author | Kim, Y.-W. | - |
dc.contributor.author | Baek, J.-H. | - |
dc.contributor.author | Yoo, J.S. | - |
dc.contributor.author | Kim, D.J. | - |
dc.contributor.author | Jeon, P. | - |
dc.contributor.author | Bang, O.Y. | - |
dc.contributor.author | Baik, S.K. | - |
dc.contributor.author | Suh, S.H. | - |
dc.contributor.author | Lee, K.-Y. | - |
dc.contributor.author | Kwak, H.S. | - |
dc.contributor.author | Roh, H.G. | - |
dc.contributor.author | Lee, Y.-J. | - |
dc.contributor.author | Kim, S.H. | - |
dc.contributor.author | Ryu, C.-W. | - |
dc.contributor.author | Ihn, Y.-K. | - |
dc.contributor.author | Kim, B.J. | - |
dc.contributor.author | Jeon, H.J. | - |
dc.contributor.author | Byun, J.S. | - |
dc.contributor.author | Suh, S.I. | - |
dc.contributor.author | Park, J.J. | - |
dc.contributor.author | Roh, J.E. | - |
dc.date.available | 2019-05-28T02:48:59Z | - |
dc.date.issued | 2019-10 | - |
dc.identifier.issn | 1759-8478 | - |
dc.identifier.issn | 1759-8486 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/18430 | - |
dc.description.abstract | Backgroud: The need for rescue treatment (RT) may differ depending on first-line modality (stent retriever (SR) or contact aspiration (CA)) in endovascular thrombectomy (EVT). We aimed to investigate whether the type of first-line modality in EVT was associated with the need for RT. Methods: We identified all patients who underwent EVT for anterior circulation large-vessel occlusion from prospectively maintained registries of 17 stroke centers. Patients were dichotomized into SR-first and CA-first. RT involved switching to the other device, balloon angioplasty, permanent stenting, thrombolytics, glycoprotein IIb/IIIa antagonist, or any combination of these. We compared clinical characteristics, procedural details, and final recanalization rate between the two groups and assessed whether first-line modality type was associated with RT requirement and if this affected clinical outcome. Results: A total of 955 patients underwent EVT using either SR-first (n=526) or CA-first (n=429). No difference occurred in the final recanalization rate between SR-first (82.1%) and CA-first (80.2%). However, recanalization with the first-line modality alone and first-pass recanalization rates were significantly higher in SR-first than in CA-first. CA-first had more device passes and higher RT rate. The RT group had significantly longer puncture-to-recanalization time (93±48 min versus 53±28 min). After adjustment, CA-first remained associated with RT (OR, 1.367; 95% CI, 1.019 to 1.834). RT was negatively associated with good outcome (OR, 0.597; 95% CI, 0.410 to 0.870). Conclusion: CA was associated with requiring RT, while recanalization with first-line modality alone and first-pass recanalization rates were higher with SR. RT was negatively associated with good outcome. © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. | - |
dc.format.extent | 5 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | BMJ Publishing Group | - |
dc.title | Need for rescue treatment and its implication: Stent retriever versus contact aspiration thrombectomy | - |
dc.type | Article | - |
dc.identifier.doi | 10.1136/neurintsurg-2018-014696 | - |
dc.identifier.bibliographicCitation | Journal of NeuroInterventional Surgery, v.11, no.10, pp 979 - 983 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000487552100007 | - |
dc.identifier.scopusid | 2-s2.0-85062651211 | - |
dc.citation.endPage | 983 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 979 | - |
dc.citation.title | Journal of NeuroInterventional Surgery | - |
dc.citation.volume | 11 | - |
dc.type.docType | Article | - |
dc.publisher.location | 영국 | - |
dc.subject.keywordAuthor | acute stroke | - |
dc.subject.keywordAuthor | rescue treatment | - |
dc.subject.keywordAuthor | thrombectomy | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | INDIVIDUAL PATIENT DATA | - |
dc.subject.keywordPlus | LARGE VESSEL OCCLUSION | - |
dc.subject.keywordPlus | MECHANICAL THROMBECTOMY | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | RECANALIZATION | - |
dc.subject.keywordPlus | THERAPY | - |
dc.subject.keywordPlus | SUCCESS | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Neuroimaging | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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