Cited 15 times in
Need for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy
DC Field | Value | Language |
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dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 김영대 | - |
dc.contributor.author | 남효석 | - |
dc.contributor.author | 서상현 | - |
dc.contributor.author | 이경열 | - |
dc.contributor.author | 허지회 | - |
dc.date.accessioned | 2019-10-28T01:57:13Z | - |
dc.date.available | 2019-10-28T01:57:13Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 1759-8478 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/171421 | - |
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.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | BMJ Publishing Group | - |
dc.relation.isPartOf | Journal of Neurointerventional Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Need for rescue treatment and its implication: stent retriever versus contact aspiration thrombectomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Dong-Hun Kang | - |
dc.contributor.googleauthor | Jin Woo Kim | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Hyo Suk Nam | - |
dc.contributor.googleauthor | Young Dae Kim | - |
dc.contributor.googleauthor | Yang-Ha Hwang | - |
dc.contributor.googleauthor | Yong-Won Kim | - |
dc.contributor.googleauthor | Jang-Hyun Baek | - |
dc.contributor.googleauthor | Joonsang Yoo | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Pyoung Jeon | - |
dc.contributor.googleauthor | Oh Young Bang | - |
dc.contributor.googleauthor | Seung Kug Baik | - |
dc.contributor.googleauthor | Sang Hyun Suh | - |
dc.contributor.googleauthor | Kyung-Yul Lee | - |
dc.contributor.googleauthor | Hyo Sung Kwak | - |
dc.contributor.googleauthor | Hong Gee Roh | - |
dc.contributor.googleauthor | Young-Jun Lee | - |
dc.contributor.googleauthor | Sang Heum Kim | - |
dc.contributor.googleauthor | Chang-Woo Ryu | - |
dc.contributor.googleauthor | Yon-Kwon Ihn | - |
dc.contributor.googleauthor | Byungjun Kim | - |
dc.contributor.googleauthor | Hong Jun Jeon | - |
dc.contributor.googleauthor | Jun Soo Byun | - |
dc.contributor.googleauthor | Sangil Suh | - |
dc.contributor.googleauthor | Jeong Jin Park | - |
dc.contributor.googleauthor | Jieun Roh | - |
dc.identifier.doi | 10.1136/neurintsurg-2018-014696 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A00702 | - |
dc.contributor.localId | A01273 | - |
dc.contributor.localId | A01886 | - |
dc.contributor.localId | A02648 | - |
dc.contributor.localId | A04369 | - |
dc.relation.journalcode | J02880 | - |
dc.identifier.eissn | 1759-8486 | - |
dc.identifier.pmid | 30842306 | - |
dc.identifier.url | https://jnis.bmj.com/content/11/10/979.long | - |
dc.subject.keyword | acute stroke | - |
dc.subject.keyword | rescue treatment | - |
dc.subject.keyword | thrombectomy | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | 김동준 | - |
dc.contributor.affiliatedAuthor | 김병문 | - |
dc.contributor.affiliatedAuthor | 김영대 | - |
dc.contributor.affiliatedAuthor | 남효석 | - |
dc.contributor.affiliatedAuthor | 서상현 | - |
dc.contributor.affiliatedAuthor | 이경열 | - |
dc.contributor.affiliatedAuthor | 허지회 | - |
dc.citation.volume | 11 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 979 | - |
dc.citation.endPage | 983 | - |
dc.identifier.bibliographicCitation | Journal of Neurointerventional Surgery, Vol.11(10) : 979-983, 2019 | - |
dc.identifier.rimsid | 63211 | - |
dc.type.rims | ART | - |
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