Effect on Successful Recanalization of Thrombus Length in Susceptibility-weighted Imaging in Mechanical Thrombectomy with Stent-retrieval
DC Field | Value | Language |
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dc.contributor.author | Lee, Dong Hoon | - |
dc.contributor.author | Sung, Jae Hoon | - |
dc.contributor.author | Yi, Ho Jun | - |
dc.contributor.author | Lee, Min Hyung | - |
dc.contributor.author | Song, Seung Yoon | - |
dc.date.accessioned | 2021-10-05T04:45:24Z | - |
dc.date.available | 2021-10-05T04:45:24Z | - |
dc.date.issued | 2021-01-01 | - |
dc.identifier.issn | 1567-2026 | - |
dc.identifier.issn | 1875-5739 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19994 | - |
dc.description.abstract | Introduction: Susceptibility-Eeighted Imaging (SWI) enables visualization of thrombotic material in acute ischemic stroke. We analyzed the association between thrombus length on SWI and the success rate of recanalization in stent-retriever mechanical thrombectomy. Methods: A retrospective study was performed on 128 patients with Middle Cerebral Artery (M-CA) thrombus on pretreatment SWI. The patients were divided into 2 groups, the successful recanalization and the failed recanalization group. Thrombus visibility and location on SWI were compared to those on Maximum Intensity Projection (MIP) in Computed Tomography (CT) angiography. A comparative analysis was performed in terms of clinical and radiologic outcomes as well as complications with respect to multiple categories. Results: No significant differences were noted in terms of baseline characteristics and clinical outcomes between the 2 groups. However, compared with the successful recanalization group, the failed recanalization group had a larger number of stent-retriever passages and a longer thrombus length (p = 0.027 and 0.014, respectively). Multivariate analyses revealed that a larger mean number of stent-retriever passages was a predictive factor for failure of recanalization (odds ratio [OR] 1.60; 95% confidence Interval [CI] 1.12-2.08; p = 0.04). Thrombus length (OR 9.91; 95% CI 3.89-13.87; p < 0.001) and atrial fibrillation (OR 5.38; 95% CI 1.51-9.58; p = 0.008) were separately associated with more than 3 stent-retriever passages. Conclusion: Thrombus length has been identified as a predictor of recanalization failure in mechanical thrombectomy. A significant decline in the success rate of recanalization was associated with longer thrombus length. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Bentham Science Publishers | - |
dc.title | Effect on Successful Recanalization of Thrombus Length in Susceptibility-weighted Imaging in Mechanical Thrombectomy with Stent-retrieval | - |
dc.type | Article | - |
dc.publisher.location | 아랍에미리트 | - |
dc.identifier.doi | 10.2174/1567202618666210225102029 | - |
dc.identifier.scopusid | 2-s2.0-85113436043 | - |
dc.identifier.wosid | 000687885000005 | - |
dc.identifier.bibliographicCitation | Current Neurovascular Research, v.18, no.1, pp 78 - 84 | - |
dc.citation.title | Current Neurovascular Research | - |
dc.citation.volume | 18 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 78 | - |
dc.citation.endPage | 84 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Neurosciences | - |
dc.subject.keywordPlus | ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | INTRAVENOUS THROMBOLYSIS | - |
dc.subject.keywordPlus | PLASMINOGEN-ACTIVATOR | - |
dc.subject.keywordPlus | VESSEL SIGN | - |
dc.subject.keywordPlus | SEQUENCES | - |
dc.subject.keywordPlus | PREDICTS | - |
dc.subject.keywordPlus | THERAPY | - |
dc.subject.keywordPlus | BURDEN | - |
dc.subject.keywordPlus | ARTERY | - |
dc.subject.keywordPlus | SIZE | - |
dc.subject.keywordAuthor | Mechanical thrombectomy | - |
dc.subject.keywordAuthor | thrombus length | - |
dc.subject.keywordAuthor | susceptibility-weighted imaging | - |
dc.subject.keywordAuthor | failed recanalization | - |
dc.subject.keywordAuthor | 3 stent-retriever passages | - |
dc.subject.keywordAuthor | maximum intensity projection | - |
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