Need for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy
DC Field | Value | Language |
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dc.contributor.author | Kang, Dong-Hun | - |
dc.contributor.author | Kim, Jin Woo | - |
dc.contributor.author | Kim, Byung Moon | - |
dc.contributor.author | Heo, Ji Hoe | - |
dc.contributor.author | Nam, Hyo Suk | - |
dc.contributor.author | Kim, Young Dae | - |
dc.contributor.author | Hwang, Yang-Ha | - |
dc.contributor.author | Kim, Yong-Won | - |
dc.contributor.author | Baek, Jang-Hyun | - |
dc.contributor.author | Yoo, Joonsang | - |
dc.contributor.author | Kim, Dong Joon | - |
dc.contributor.author | Jeon, Pyoung | - |
dc.contributor.author | Bang, Oh Young | - |
dc.contributor.author | Baik, Seung Kug | - |
dc.contributor.author | Suh, Sang Hyun | - |
dc.contributor.author | Lee, Kyung-Yul | - |
dc.contributor.author | Kwak, Hyo Sung | - |
dc.contributor.author | Roh, Hong Gee | - |
dc.contributor.author | Lee, Young-Jun | - |
dc.contributor.author | Kim, Sang Heum | - |
dc.contributor.author | Ryu, Chang-Woo | - |
dc.contributor.author | Ihn, Yon-Kwon | - |
dc.contributor.author | Kim, Byungjun | - |
dc.contributor.author | Jeon, Hong Jun | - |
dc.contributor.author | Byun, Jun Soo | - |
dc.contributor.author | Suh, Sangil | - |
dc.contributor.author | Park, Jeong Jin | - |
dc.contributor.author | Roh, Jieun | - |
dc.date.accessioned | 2021-09-01T05:08:51Z | - |
dc.date.available | 2021-09-01T05:08:51Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2019-10 | - |
dc.identifier.issn | 1759-8478 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/62757 | - |
dc.description.abstract | Backgroud The need for rescue treatment (RT) may differ depending on first-line modality (stent retriever (SR) or contact aspiration (CA)) in endovascular thrombectomy (EVT). We aimed to investigate whether the type of first-line modality in EVT was associated with the need for RT. Methods We identified all patients who underwent EVT for anterior circulation large-vessel occlusion from prospectively maintained registries of 17 stroke centers. Patients were dichotomized into SR-first and CA-first. RT involved switching to the other device, balloon angioplasty, permanent stenting, thrombolytics, glycoprotein IIb/IIIa antagonist, or any combination of these. We compared clinical characteristics, procedural details, and final recanalization rate between the two groups and assessed whether first-line modality type was associated with RT requirement and if this affected clinical outcome. Results A total of 955 patients underwent EVT using either SR-first (n=526) or CA-first (n=429). No difference occurred in the final recanalization rate between SR-first (82.1%) and CA-first (80.2%). However, recanalization with the first-line modality alone and first-pass recanalization rates were significantly higher in SR-first than in CA-first. CA-first had more device passes and higher RT rate. The RT group had significantly longer puncture-to-recanalization time (93 +/- 48 min versus 53 +/- 28 min). After adjustment, CA-first remained associated with RT (OR, 1.367; 95% CI, 1.019 to 1.834). RT was negatively associated with good outcome (OR, 0.597; 95% CI, 0.410 to 0.870). Conclusion CA was associated with requiring RT, while recanalization with first-line modality alone and first-pass recanalization rates were higher with SR. RT was negatively associated with good outcome. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BMJ PUBLISHING GROUP | - |
dc.subject | ACUTE ISCHEMIC-STROKE | - |
dc.subject | INDIVIDUAL PATIENT DATA | - |
dc.subject | LARGE VESSEL OCCLUSION | - |
dc.subject | MECHANICAL THROMBECTOMY | - |
dc.subject | ENDOVASCULAR TREATMENT | - |
dc.subject | METAANALYSIS | - |
dc.subject | RECANALIZATION | - |
dc.subject | THERAPY | - |
dc.subject | SUCCESS | - |
dc.title | Need for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Byungjun | - |
dc.contributor.affiliatedAuthor | Suh, Sangil | - |
dc.identifier.doi | 10.1136/neurintsurg-2018-014696 | - |
dc.identifier.scopusid | 2-s2.0-85062651211 | - |
dc.identifier.wosid | 000487552100007 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROINTERVENTIONAL SURGERY, v.11, no.10, pp.979 - 983 | - |
dc.relation.isPartOf | JOURNAL OF NEUROINTERVENTIONAL SURGERY | - |
dc.citation.title | JOURNAL OF NEUROINTERVENTIONAL SURGERY | - |
dc.citation.volume | 11 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 979 | - |
dc.citation.endPage | 983 | - |
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 | Surgery | - |
dc.relation.journalWebOfScienceCategory | Neuroimaging | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | INDIVIDUAL PATIENT DATA | - |
dc.subject.keywordPlus | LARGE VESSEL OCCLUSION | - |
dc.subject.keywordPlus | MECHANICAL THROMBECTOMY | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | RECANALIZATION | - |
dc.subject.keywordPlus | THERAPY | - |
dc.subject.keywordPlus | SUCCESS | - |
dc.subject.keywordAuthor | acute stroke | - |
dc.subject.keywordAuthor | thrombectomy | - |
dc.subject.keywordAuthor | rescue treatment | - |
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