Comparision of Mechanical Thrombectomy With Contact Aspiration or Stent Retriever in Patients With Large-vessel Occlusion in Acute Ischemic Stroke.
J Craniofac Surg
; 32(4): e364-e366, 2021 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-33235172
ABSTRACT
OBJECTIVES:
Whether the direct aspiration approach of thrombectomy for recanalization in patients with acute ischemic stroke has a similar efficacy and safety compared to the stent-retriever still remains uncertain.METHODS:
A retrospective data analysis was performed to identify patients with large cerebral artery acute ischemic stroke treated with endovascular thrombectomy. The study was conducted between January 2018 and December 2019 in a single stroke center.RESULTS:
Twenty patients met inclusion criteria for this study with a mean age 66.64â±â17.92 years' old. The symptom occurred on the left side were in 13, and the right side in 7. The location of occlusion was 8 in M1 of the middle cerebral artery of M2, and 6 in internal carotid artery. Nine patients were randomized to first-line treatment with contact aspiration and eleven to first-line treatment with a stent retriever. The mean time from admission time to groin puncture was 55.51â±â31.03âminutes. The average time from groin puncture to maximal revascularizion after mechanical thrombectomy was 50.9â±â22.5âminutes in contact aspiration group, but this time was 71.37â±â25.45âminutes in the group of stent retriever. The overall successful revascularization rate (TICI 2b-3) was 88.9% in contact aspiration (TICI2aâ=â1, TICI 2bâ=â4 patients, TICI 3â=â4 patients), and 90.1% in stent retriever (TICI2aâ=â1, TICI 2bâ=â6 patients, TICI 3â=â4 patients).DISCUSSION:
First-line thrombectomy with contact aspiration did not result in a higher successful revascularization rate at the end of the procedure but had a short time from groin puncture to maximal revascularizion.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Isquemia Encefálica
/
Accidente Cerebrovascular
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Procedimientos Endovasculares
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Accidente Cerebrovascular Isquémico
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Aged
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Aged80
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Humans
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Middle aged
Idioma:
En
Revista:
J Craniofac Surg
Asunto de la revista:
ODONTOLOGIA
Año:
2021
Tipo del documento:
Article