Efficacy and Safety of Emergency Extracranial–Intracranial Bypass for Revascularization within 24 Hours in Resolving Large Artery Occlusion with Intracranial Stenosis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Noh, Yun Ho | - |
dc.contributor.author | Chung, Jae Woo | - |
dc.contributor.author | Ko, Jung Ho | - |
dc.contributor.author | Koo, Hae Won | - |
dc.contributor.author | Lee, Ji Young | - |
dc.contributor.author | Yoon, Seok Mann | - |
dc.contributor.author | Song, In-Hag | - |
dc.contributor.author | Lee, Man Ryul | - |
dc.contributor.author | Oh, Jae Sang | - |
dc.date.accessioned | 2021-10-05T04:43:45Z | - |
dc.date.available | 2021-10-05T04:43:45Z | - |
dc.date.issued | 2021-01-01 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.issn | 1878-8769 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19905 | - |
dc.description.abstract | BACKGROUND: Endovascular treatment (EVT) is less effective for intracranial atherosclerosis-induced emergent large vessel occlusion. Extracranialeintracranial (EC-IC) bypass surgery is a possible treatment option to augment cerebral blood flow in the perfusion defect area. We compared the efficacy and safety of EC-IC bypass surgery with those of EVT and maximal medical treatment for acute ischemic stroke. METHODS: The data from 39 patients, for whom vessel revascularization had failed despite mechanical thrombectomy, were retrospectively analyzed. Of the 39 patients, 22 had undergone percutaneous transluminal angioplasty or intracranial stenting (PTA/S), 10 had undergone emergency EC-IC bypass surgery within 24 hours of symptom onset, and 7 had received maximal medical treatment (MMT) only. The patency, perfusion status, and postoperative infarct volume were evaluated. The clinical outcomes were assessed at 6 months postoperatively using the modified Rankin scale. RESULTS: The mean reperfusion time was significantly longer for the EC-IC bypass group (14.9 hours) compared with that in the PTA/S group (4.1 hours) and MMT group (7.5 hours; P < 0.05). The postoperative infarct volume on diffusion-weighted magnetic resonance imaging was significantly lower in the emergency EC-IC bypass group (11.3 cm3) than in the MMT group (68.0 cm(3)) but was not significantly different from that of the PTA/S group (14.0 cm3; P < 0.05). The proportion of patients with a modified Rankin scale score of 0-2 at 6 months after surgery was significantly higher in the ECIC bypass group (80%) than in the PTA/S (59%) and MMT (14%) groups (P < 0.05). CONCLUSIONS: Emergency EC-IC bypass surgery is an effective and safe treatment option for intracranial atherosclerosis-induced acute ischemic stroke for which EVT is inadequate. | - |
dc.publisher | Elsevier BV | - |
dc.title | Efficacy and Safety of Emergency Extracranial–Intracranial Bypass for Revascularization within 24 Hours in Resolving Large Artery Occlusion with Intracranial Stenosis | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1016/j.wneu.2021.07.010 | - |
dc.identifier.scopusid | 2-s2.0-85114090443 | - |
dc.identifier.wosid | 000712803100004 | - |
dc.identifier.bibliographicCitation | World Neurosurgery, v.155, pp E9 - E18 | - |
dc.citation.title | World Neurosurgery | - |
dc.citation.volume | 155 | - |
dc.citation.startPage | E9 | - |
dc.citation.endPage | E18 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | SUPERFICIAL TEMPORAL ARTERY | - |
dc.subject.keywordPlus | HEALTH-CARE PROFESSIONALS | - |
dc.subject.keywordPlus | BLOOD-BRAIN-BARRIER | - |
dc.subject.keywordPlus | CAROTID-ENDARTERECTOMY | - |
dc.subject.keywordPlus | CEREBRAL AUTOREGULATION | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | EARLY MANAGEMENT | - |
dc.subject.keywordPlus | THROMBECTOMY | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordAuthor | Anastomosis | - |
dc.subject.keywordAuthor | Hemodynamics | - |
dc.subject.keywordAuthor | Intracranial arteriosclerosis | - |
dc.subject.keywordAuthor | Stroke | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(31538) 22, Soonchunhyang-ro, Asan-si, Chungcheongnam-do, Republic of Korea+82-41-530-1114
COPYRIGHT 2021 by SOONCHUNHYANG UNIVERSITY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.