Efficacy of Balloon-Guiding Catheter for Mechanical Thrombectomy in Patients with Anterior Circulation lschemic Stroke
DC Field | Value | Language |
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dc.contributor.author | Oh, Jae-Sang | - |
dc.contributor.author | Yoon, Seok-Mann | - |
dc.contributor.author | Shim, Jai-Joon | - |
dc.contributor.author | Doh, Jae-Won | - |
dc.contributor.author | Bae, Hack-Gun | - |
dc.contributor.author | Lee, Kyeong-Seok | - |
dc.date.accessioned | 2021-08-11T15:24:15Z | - |
dc.date.available | 2021-08-11T15:24:15Z | - |
dc.date.issued | 2017-03 | - |
dc.identifier.issn | 2005-3711 | - |
dc.identifier.issn | 1598-7876 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7737 | - |
dc.description.abstract | Objective: To evaluate the efficacy of balloon guiding catheter (BGC) during thronnbectonny in anterior circulation ischennic stroke. Methods : Sixty-two patients with acute anterior circulation ischemic stroke were treated with thrombectomy using a Solitaire stent from 2011 to 2016. Patients were divided into the BGC group (n=24, 39%) and the non-BGC group (n=38, 61%). The number of retrievals, procedure time, thrombolysis in cerebral infarction (TICI) grade, presence of distal emboli, and clinical outcomes at 3 months were evaluated. Results: Successful recanalization was more frequent in BGC than in non-BGC (83% vs. 66%, p=013). Distal emboli occurred less in BGC than in non-BGC (231% vs. 57.1%, p=0.02). Good clinical outcome was more frequent in BGC than in non-BGC (50% vs. 16%, p=0.03). The multivariate analysis showed that use of BGC was the only independent predictor of good clinical outcome (odds ratio, 519 95% confidence interval, 1.07-25.11). More patients in BGC were successfully recanalized in internal carotid artery (ICA) occlusion with small retrieval numbers (<3) than those in non-BGC (70% vs. 24%, p=0.005). In successfully recanalized ICA occlusion, distal emboli did not occur in BGC, whereas nine patients had distal emboli in non-BGC (0% vs. 75%, p=0.001) and good clinical outcome was superior in BGC than in non-BGC (55.6% vs. 8.3%, p=0.01). Conclusion : A BGC significantly reduces the number of retrievals and the occurrence of distal emboli, thereby resulting in better clinical outcomes in patients with anterior circulation ischemic stroke, particularly | - |
dc.format.extent | 10 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한신경외과학회 | - |
dc.title | Efficacy of Balloon-Guiding Catheter for Mechanical Thrombectomy in Patients with Anterior Circulation lschemic Stroke | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.3340/jkns.2016.0809.003 | - |
dc.identifier.scopusid | 2-s2.0-85015980851 | - |
dc.identifier.wosid | 000397515100005 | - |
dc.identifier.bibliographicCitation | Journal of Korean Neurosurgical Society, v.60, no.2, pp 155 - 164 | - |
dc.citation.title | Journal of Korean Neurosurgical Society | - |
dc.citation.volume | 60 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 155 | - |
dc.citation.endPage | 164 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002198690 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | STENT RETRIEVER THROMBECTOMY | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | REVASCULARIZATION | - |
dc.subject.keywordPlus | OCCLUSION | - |
dc.subject.keywordPlus | DEVICE | - |
dc.subject.keywordPlus | EMBOLI | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | Balloon guiding catheter | - |
dc.subject.keywordAuthor | Anterior circulation | - |
dc.subject.keywordAuthor | Ischemic stroke | - |
dc.subject.keywordAuthor | Thronnbectonny | - |
dc.subject.keywordAuthor | ICA occlusion. | - |
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