Comparison Between Perfusion- and Collateral-Based Triage for Endovascular Thrombectomy in a Late Time Window
DC Field | Value | Language |
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dc.contributor.author | Kim, Byungjun | - |
dc.contributor.author | Jung, Cheolkyu | - |
dc.contributor.author | Nam, Hyo Suk | - |
dc.contributor.author | Kim, Byung Moon | - |
dc.contributor.author | Kim, Young Dae | - |
dc.contributor.author | Heo, Ji Hoe | - |
dc.contributor.author | Kim, Dong Joon | - |
dc.contributor.author | Kim, Jun-Hwee | - |
dc.contributor.author | Han, Kyunghwa | - |
dc.contributor.author | Kim, Jae Hyoung | - |
dc.contributor.author | Kim, Beom Joon | - |
dc.date.accessioned | 2021-08-31T22:56:06Z | - |
dc.date.available | 2021-08-31T22:56:06Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2019-12 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/61507 | - |
dc.description.abstract | Background and Purpose-Perfusion-based triage has proven to be effective and safe for selecting patients who are likely to benefit from endovascular thrombectomy (EVT) in a late time window. We investigated collateral-based triage for EVT in patients presenting beyond 6 hours, in terms of interrater reliability and efficacy in predicting clinical outcome, in comparison to perfusion-based triage. Methods-One hundred and thirty-two patients who underwent both computed tomographic angiography and computed tomography perfusion for anterior circulation large artery occlusion 6 to 24 hours after last seen well were enrolled. Patients were classified into EVT-eligible and EVT-ineligible groups according to perfusion- and collateral-based triages. We evaluated the interrater reliability of collateral-based triage and differences in good outcome rates of patients who received EVT in the EVT-eligible groups based on perfusion- and collateral-based triages. Results-Both computed tomographic angiography and computed tomography perfusion were assessable in 93 patients. Seventy-six patients were eligible for EVT according to perfusion-based triage. Among them, EVT was performed in 58, of whom 32 (55.1%) had good outcome. Sixty-nine patients were eligible for EVT based on collateral-based triage. Among them, EVT was performed in 50 patients, of whom 31 (62.0%) had good outcome. Interrater reliability of collateral-based triage was good (generalized kappa=0.73 [95% CI, 0.59-0.84]). Agreement on EVT eligibility between perfusion- and collateral-based triages was moderate (kappa=0.41 [95% CI, 0.16-0.61]). There was no difference in good outcome rates of patients who underwent EVT in the EVT-eligible groups based on perfusion- and collateral-based triages (55.1% versus 62.0%; P=0.0675). Conclusions-Collateral-based triage showed good interrater reliability and comparable efficacy to that of perfusion-based triage in predicting clinical outcome after EVT in patients presenting beyond 6 hours. Collateral-based triage is a reliable approach for selecting patients for EVT in the extended therapeutic time window. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | ACUTE ISCHEMIC-STROKE | - |
dc.subject | CT ANGIOGRAPHY | - |
dc.subject | SOFTWARE | - |
dc.subject | RECANALIZATION | - |
dc.subject | REPERFUSION | - |
dc.subject | MISMATCH | - |
dc.subject | OUTCOMES | - |
dc.subject | THERAPY | - |
dc.subject | PREDICT | - |
dc.subject | GROWTH | - |
dc.title | Comparison Between Perfusion- and Collateral-Based Triage for Endovascular Thrombectomy in a Late Time Window | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Byungjun | - |
dc.identifier.doi | 10.1161/STROKEAHA.119.027216 | - |
dc.identifier.scopusid | 2-s2.0-85075813980 | - |
dc.identifier.wosid | 000502387600040 | - |
dc.identifier.bibliographicCitation | STROKE, v.50, no.12, pp.3465 - 3470 | - |
dc.relation.isPartOf | STROKE | - |
dc.citation.title | STROKE | - |
dc.citation.volume | 50 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 3465 | - |
dc.citation.endPage | 3470 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | CT ANGIOGRAPHY | - |
dc.subject.keywordPlus | SOFTWARE | - |
dc.subject.keywordPlus | RECANALIZATION | - |
dc.subject.keywordPlus | REPERFUSION | - |
dc.subject.keywordPlus | MISMATCH | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | THERAPY | - |
dc.subject.keywordPlus | PREDICT | - |
dc.subject.keywordPlus | GROWTH | - |
dc.subject.keywordAuthor | computed tomography angiography | - |
dc.subject.keywordAuthor | humans | - |
dc.subject.keywordAuthor | outcome and process assessment (health care) | - |
dc.subject.keywordAuthor | perfusion | - |
dc.subject.keywordAuthor | thrombectomy | - |
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