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Outcomes and prognostic factors after emergent carotid artery stenting for hyperacute stroke within 6 hours of symptom onset

DC Field Value Language
dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.date.accessioned2016-02-04T11:02:43Z-
dc.date.available2016-02-04T11:02:43Z-
dc.date.issued2015-
dc.identifier.issn0148-396X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/139539-
dc.description.abstractBACKGROUND: The optimal treatment for hyperacute stroke attributable to cervical internal carotid artery (C-ICA) occlusion remains controversial. OBJECTIVE: This study sought to evaluate clinical outcomes and prognostic factors after carotid artery stenting (CAS) in patients with hyperacute stroke within 6 hours of onset. METHODS: Forty-seven patients with hyperacute stroke attributable to atherosclerotic C-ICA occlusion underwent emergent CAS. Forty-two patients (89.4%) had tandem intracranial artery occlusion (TIO). When patients showed remnant M1 or proximal M2 occlusions after CAS, intracranial recanalization therapy was performed by using pharmacologic thrombolysis and mechanical thrombectomy with a Solitaire stent. Clinical and radiologic data were compared between patients with favorable (modified Rankin scale, 0-2) and unfavorable outcomes. Binary logistic regression analysis was used to find independent prognostic factors. RESULTS: Emergent CAS was successful in all but 1 patient. Seven (16.7%) of 42 patients with TIO did not need further treatment, because thrombolysis in cerebral ischemia ≥2b was achieved immediately after CAS. Of the 35 patients who underwent intracranial recanalization therapy for remnant TIO, thrombolysis in cerebral ischemia ≥2b was achieved in 71.4% (25 of 35). Twenty-six patients (55.3%) had favorable outcomes, and mortality was 6.4% at 3 months. Time from symptom onset to carotid recanalization was inversely and independently associated with a favorable outcome for all patients and for those with TIO (P < .05). CONCLUSION: In our patient group, emergent CAS for hyperacute stroke caused by atherosclerotic C-ICA occlusion seemed to be effective and safe. Time to carotid recanalization was inversely and independently associated with a favorable outcome.-
dc.description.statementOfResponsibilityopen-
dc.format.extent321~329-
dc.relation.isPartOfNEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHCarotid Artery, Internal/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents/adverse effects-
dc.subject.MESHStroke/surgery*-
dc.subject.MESHTime-to-Treatment*-
dc.subject.MESHTreatment Outcome-
dc.titleOutcomes and prognostic factors after emergent carotid artery stenting for hyperacute stroke within 6 hours of symptom onset-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorYoon, Woong-
dc.contributor.googleauthorKim, Byung Moon-
dc.contributor.googleauthorKim, Dong Joon-
dc.contributor.googleauthorKim, Dong Ik-
dc.contributor.googleauthorKim, Seul Kee-
dc.identifier.doi10.1227/NEU.0000000000000610-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.relation.journalcodeJ02366-
dc.identifier.eissn1524-4040-
dc.identifier.pmid25599209-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-201503000-00011&LSLINK=80&D=ovft-
dc.subject.keywordAcute stroke-
dc.subject.keywordCarotid artery disease-
dc.subject.keywordCarotid artery stenting-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.rights.accessRightsnot free-
dc.citation.volume76-
dc.citation.number3-
dc.citation.startPage321-
dc.citation.endPage329-
dc.identifier.bibliographicCitationNEUROSURGERY, Vol.76(3) : 321-329, 2015-
dc.identifier.rimsid56488-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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