Carotid Artery Stenting and Intracranial Thrombectomy for Tandem Cervical and Intracranial Artery Occlusions
DC Field | Value | Language |
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dc.contributor.author | Kim B. | - |
dc.contributor.author | Kim B.M. | - |
dc.contributor.author | Bang O.Y. | - |
dc.contributor.author | Baek J.-H. | - |
dc.contributor.author | Heo J.H. | - |
dc.contributor.author | Nam H.S. | - |
dc.contributor.author | Kim Y.D. | - |
dc.contributor.author | Yoo J. | - |
dc.contributor.author | Kim D.J. | - |
dc.contributor.author | Jeon P. | - |
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 | Jeon H.-J. | - |
dc.contributor.author | Kim J.W. | - |
dc.contributor.author | Byun J.S. | - |
dc.contributor.author | Suh S. | - |
dc.contributor.author | Park J.J. | - |
dc.contributor.author | Lee W.J. | - |
dc.contributor.author | Roh J. | - |
dc.contributor.author | Shin B.-S. | - |
dc.date.available | 2020-04-17T03:21:04Z | - |
dc.date.issued | 2020-02 | - |
dc.identifier.issn | 1524-4040 | - |
dc.identifier.issn | 1524-4040 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/38583 | - |
dc.description.abstract | BACKGROUND: It remains controversial whether carotid artery stenting (CAS) is needed in cases of tandem cervical internal carotid artery occlusion (cICAO) and intracranial large vessel occlusion (LVO). OBJECTIVE: To investigate the efficacy and safety of CAS in combination with endovascular thrombectomy (CAS-EVT) in cICAO-LVO patients and to compare its outcomes with those of EVT without CAS (EVT-alone). METHODS: We identified all patients who underwent EVT for tandem cICAO-LVO from the prospectively maintained registries of 17 stroke centers. Patients were classified into 2 groups: CAS-EVT and EVT-alone. Clinical characteristics and procedural and clinical outcomes were compared between 2 groups. We tested whether CAS-EVT strategy was independently associated with recanalization success. RESULTS: Of the 955 patients who underwent EVT, 75 patients (7.9%) had cICAO-LVO. Fifty-six patients underwent CAS-EVT (74.6%), and the remaining 19 patients underwent EVT-alone (25.4%). The recanalization (94.6% vs 63.2%, P = .002) and good outcome rates (64.3% vs 26.3%, P = .007) were significantly higher in the CAS-EVT than in the EVT-alone. Mortality was significantly lower in the CAS-EVT (7.1% vs 21.6%, P = .014). There was no significant difference in the rate of symptomatic intracranial hemorrhage between 2 groups (10.7 vs 15.8%; P = .684) and according to the use of glycoprotein IIb/IIIa inhibitor (10.0% vs 12.3%; P = .999) or antiplatelet medications (10.2% vs 18.8%; P = .392). CAS-EVT strategy remained independently associated with recanalization success (odds ratio: 24.844; 95% confidence interval: 1.445-427.187). CONCLUSION: CAS-EVT strategy seemed to be effective and safe in cases of tandem cICAO-LVO. CAS-EVT strategy was associated with recanalization success, resulting in better clinical outcome. Copyright © 2019 by the Congress of Neurological Surgeons. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | NLM (Medline) | - |
dc.title | Carotid Artery Stenting and Intracranial Thrombectomy for Tandem Cervical and Intracranial Artery Occlusions | - |
dc.type | Article | - |
dc.identifier.doi | 10.1093/neuros/nyz026 | - |
dc.identifier.bibliographicCitation | Neurosurgery, v.86, no.2, pp 213 - 220 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000515122000056 | - |
dc.identifier.scopusid | 2-s2.0-85072717080 | - |
dc.citation.endPage | 220 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 213 | - |
dc.citation.title | Neurosurgery | - |
dc.citation.volume | 86 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Acute stroke | - |
dc.subject.keywordAuthor | Carotid arteries | - |
dc.subject.keywordAuthor | Stent | - |
dc.subject.keywordAuthor | Thrombectomy | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | MECHANICAL THROMBECTOMY | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | RETRIEVER | - |
dc.subject.keywordPlus | THERAPY | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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