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Stenting as a Rescue Treatment After Failure of Mechanical Thrombectomy for Anterior Circulation Large Artery Occlusion

DC FieldValueLanguage
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author남효석-
dc.contributor.author유준상-
dc.contributor.author허지회-
dc.date.accessioned2017-10-26T07:20:58Z-
dc.date.available2017-10-26T07:20:58Z-
dc.date.issued2016-
dc.identifier.issn0039-2499-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151911-
dc.description.abstractBACKGROUND AND PURPOSE: We hypothesized that permanent stenting may be a rescue treatment for stentriever-failed anterior circulation large artery occlusion. We compared the outcomes among patients with permanent stenting and those without stenting after stentriever failure. METHODS: We retrospectively evaluated 208 patients who underwent stentriever thrombectomy for anterior circulation large artery occlusion between September 2010 and September 2015. Modified thrombolysis in cerebral ischemia 2b-3 recanalization was achieved with stentriever alone or in combination with Penumbra device in 155 patients (74.5%). An additional 8 patients (3.8%) obtained modified thrombolysis in cerebral ischemia 2b-3 with urokinase or glycoprotein IIb/IIIa inhibitor infusion. Of the remaining 45 patients (21.6%), 17 underwent stenting (stenting group; mean age, 68 years), whereas 28 did not undergo stenting (nonstenting group; mean age, 72 years). The rate of modified thrombolysis in cerebral ischemia 2b-3 in stenting group was assessed, and clinical outcomes were compared between groups. RESULTS: There were no differences in clinical and laboratory findings, initial National Institute of Health Stroke Scale score, location of anterior circulation large artery occlusion, and onset-to-puncture time between groups. Modified thrombolysis in cerebral ischemia 2b-3 was achieved in 14 members (83.3%) of the stenting group. Stenting group had more favorable outcomes (modified Rankin Scale score 0-2, 35.3%) and less cerebral herniation (11.8%) than nonstenting group (modified Rankin Scale score 0-2, 7.1%; cerebral herniation, 42.9%; P<0.05 for both). Symptomatic intracranial hemorrhage and mortality rates did not differ between stenting group (symptomatic intracranial hemorrhage, 11.8%; mortality, 23.5%) and nonstenting group (symptomatic intracranial hemorrhage, 14.3%; mortality, 39.3%). CONCLUSIONS: Permanent stenting may be a rescue modality for stentriever-failed anterior circulation large artery occlusion. A large prospective study is necessary for confirmation because of the small sample size of this study.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfSTROKE-
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.MESHAngiography, Digital Subtraction-
dc.subject.MESHBrain/diagnostic imaging*-
dc.subject.MESHBrain Ischemia/diagnostic imaging-
dc.subject.MESHBrain Ischemia/drug therapy-
dc.subject.MESHBrain Ischemia/surgery*-
dc.subject.MESHCombined Modality Therapy-
dc.subject.MESHComputed Tomography Angiography-
dc.subject.MESHFemale-
dc.subject.MESHFibrinolytic Agents/therapeutic use-
dc.subject.MESHHumans-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRegistries-
dc.subject.MESHRetreatment-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents*-
dc.subject.MESHStroke/diagnostic imaging-
dc.subject.MESHStroke/drug therapy-
dc.subject.MESHStroke/surgery*-
dc.subject.MESHThrombectomy/methods*-
dc.subject.MESHTreatment Failure-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUrokinase-Type Plasminogen Activator/therapeutic use-
dc.titleStenting as a Rescue Treatment After Failure of Mechanical Thrombectomy for Anterior Circulation Large Artery Occlusion-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Radiology-
dc.contributor.googleauthorJang-Hyun Baek-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorJi Hoe Heo-
dc.contributor.googleauthorHyo Suk Nam-
dc.contributor.googleauthorJoonsang Yoo-
dc.identifier.doi10.1161/STROKEAHA.116.014073-
dc.contributor.localIdA00498-
dc.contributor.localIdA01273-
dc.contributor.localIdA02513-
dc.contributor.localIdA04369-
dc.contributor.localIdA00410-
dc.relation.journalcodeJ02690-
dc.identifier.eissn1524-4628-
dc.identifier.pmid27444259-
dc.identifier.urlhttp://stroke.ahajournals.org/content/47/9/2360-
dc.subject.keywordstents-
dc.subject.keywordstroke-
dc.subject.keywordthrombectomy-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNameNam, Hyo Suk-
dc.contributor.alternativeNameYoo, Joon Sang-
dc.contributor.alternativeNameHeo, Ji Hoe-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorNam, Hyo Suk-
dc.contributor.affiliatedAuthorYoo, Joon Sang-
dc.contributor.affiliatedAuthorHeo, Ji Hoe-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.citation.volume47-
dc.citation.number9-
dc.citation.startPage2360-
dc.citation.endPage2363-
dc.identifier.bibliographicCitationSTROKE, Vol.47(9) : 2360-2363, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers

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