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Need for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy

DC FieldValueLanguage
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author김영대-
dc.contributor.author남효석-
dc.contributor.author서상현-
dc.contributor.author이경열-
dc.contributor.author허지회-
dc.date.accessioned2019-10-28T01:57:13Z-
dc.date.available2019-10-28T01:57:13Z-
dc.date.issued2019-
dc.identifier.issn1759-8478-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/171421-
dc.description.abstractBACKGROUD: 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.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherBMJ Publishing Group-
dc.relation.isPartOfJournal of Neurointerventional Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleNeed for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.googleauthorDong-Hun Kang-
dc.contributor.googleauthorJin Woo Kim-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorJi Hoe Heo-
dc.contributor.googleauthorHyo Suk Nam-
dc.contributor.googleauthorYoung Dae Kim-
dc.contributor.googleauthorYang-Ha Hwang-
dc.contributor.googleauthorYong-Won Kim-
dc.contributor.googleauthorJang-Hyun Baek-
dc.contributor.googleauthorJoonsang Yoo-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorPyoung Jeon-
dc.contributor.googleauthorOh Young Bang-
dc.contributor.googleauthorSeung Kug Baik-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorKyung-Yul Lee-
dc.contributor.googleauthorHyo Sung Kwak-
dc.contributor.googleauthorHong Gee Roh-
dc.contributor.googleauthorYoung-Jun Lee-
dc.contributor.googleauthorSang Heum Kim-
dc.contributor.googleauthorChang-Woo Ryu-
dc.contributor.googleauthorYon-Kwon Ihn-
dc.contributor.googleauthorByungjun Kim-
dc.contributor.googleauthorHong Jun Jeon-
dc.contributor.googleauthorJun Soo Byun-
dc.contributor.googleauthorSangil Suh-
dc.contributor.googleauthorJeong Jin Park-
dc.contributor.googleauthorJieun Roh-
dc.identifier.doi10.1136/neurintsurg-2018-014696-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA00498-
dc.contributor.localIdA00702-
dc.contributor.localIdA00702-
dc.contributor.localIdA01273-
dc.contributor.localIdA01273-
dc.contributor.localIdA01886-
dc.contributor.localIdA01886-
dc.contributor.localIdA02648-
dc.contributor.localIdA02648-
dc.contributor.localIdA04369-
dc.contributor.localIdA04369-
dc.relation.journalcodeJ02880-
dc.identifier.eissn1759-8486-
dc.identifier.pmid30842306-
dc.identifier.urlhttps://jnis.bmj.com/content/11/10/979.long-
dc.subject.keywordacute stroke-
dc.subject.keywordrescue treatment-
dc.subject.keywordthrombectomy-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.affiliatedAuthor김동준-
dc.contributor.affiliatedAuthor김병문-
dc.contributor.affiliatedAuthor김병문-
dc.contributor.affiliatedAuthor김영대-
dc.contributor.affiliatedAuthor김영대-
dc.contributor.affiliatedAuthor남효석-
dc.contributor.affiliatedAuthor남효석-
dc.contributor.affiliatedAuthor서상현-
dc.contributor.affiliatedAuthor서상현-
dc.contributor.affiliatedAuthor이경열-
dc.contributor.affiliatedAuthor이경열-
dc.contributor.affiliatedAuthor허지회-
dc.contributor.affiliatedAuthor허지회-
dc.citation.volume11-
dc.citation.number10-
dc.citation.startPage979-
dc.citation.endPage983-
dc.identifier.bibliographicCitationJournal of Neurointerventional Surgery, Vol.11(10) : 979-983, 2019-
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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