Cited 22 times in
Comparison Between Perfusion- and Collateral-Based Triage for Endovascular Thrombectomy in a Late Time Window
DC Field | Value | Language |
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dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 김영대 | - |
dc.contributor.author | 김준휘 | - |
dc.contributor.author | 남효석 | - |
dc.contributor.author | 한경화 | - |
dc.contributor.author | 허지회 | - |
dc.date.accessioned | 2020-02-11T06:23:18Z | - |
dc.date.available | 2020-02-11T06:23:18Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/174656 | - |
dc.description.abstract | Background and Purpose- Perfusion-based triage has proven to be effective and safe for selecting patients who are likely to benefit from endovascular thrombectomy (EVT) in a late time window. We investigated collateral-based triage for EVT in patients presenting beyond 6 hours, in terms of interrater reliability and efficacy in predicting clinical outcome, in comparison to perfusion-based triage. Methods- One hundred and thirty-two patients who underwent both computed tomographic angiography and computed tomography perfusion for anterior circulation large artery occlusion 6 to 24 hours after last seen well were enrolled. Patients were classified into EVT-eligible and EVT-ineligible groups according to perfusion- and collateral-based triages. We evaluated the interrater reliability of collateral-based triage and differences in good outcome rates of patients who received EVT in the EVT-eligible groups based on perfusion- and collateral-based triages. Results- Both computed tomographic angiography and computed tomography perfusion were assessable in 93 patients. Seventy-six patients were eligible for EVT according to perfusion-based triage. Among them, EVT was performed in 58, of whom 32 (55.1%) had good outcome. Sixty-nine patients were eligible for EVT based on collateral-based triage. Among them, EVT was performed in 50 patients, of whom 31 (62.0%) had good outcome. Interrater reliability of collateral-based triage was good (generalized κ=0.73 [95% CI, 0.59-0.84]). Agreement on EVT eligibility between perfusion- and collateral-based triages was moderate (κ=0.41 [95% CI, 0.16-0.61]). There was no difference in good outcome rates of patients who underwent EVT in the EVT-eligible groups based on perfusion- and collateral-based triages (55.1% versus 62.0%; P=0.0675). Conclusions- Collateral-based triage showed good interrater reliability and comparable efficacy to that of perfusion-based triage in predicting clinical outcome after EVT in patients presenting beyond 6 hours. Collateral-based triage is a reliable approach for selecting patients for EVT in the extended therapeutic time window. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | STROKE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Comparison Between Perfusion- and Collateral-Based Triage for Endovascular Thrombectomy in a Late Time Window | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Byungjun Kim | - |
dc.contributor.googleauthor | Cheolkyu Jung | - |
dc.contributor.googleauthor | Hyo Suk Nam | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Young Dae Kim | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Jun-Hwee Kim | - |
dc.contributor.googleauthor | Kyunghwa Han | - |
dc.contributor.googleauthor | Jae Hyoung Kim | - |
dc.contributor.googleauthor | Beom Joon Kim | - |
dc.identifier.doi | 10.1161/STROKEAHA.119.027216 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A00702 | - |
dc.contributor.localId | A05754 | - |
dc.contributor.localId | A01273 | - |
dc.contributor.localId | A04267 | - |
dc.contributor.localId | A04369 | - |
dc.relation.journalcode | J02690 | - |
dc.identifier.eissn | 1524-4628 | - |
dc.identifier.pmid | 31665993 | - |
dc.identifier.url | https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.119.027216 | - |
dc.subject.keyword | computed tomography angiography | - |
dc.subject.keyword | humans | - |
dc.subject.keyword | outcome and process assessment (health care) | - |
dc.subject.keyword | perfusion | - |
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 | 김준휘 | - |
dc.contributor.affiliatedAuthor | 남효석 | - |
dc.contributor.affiliatedAuthor | 한경화 | - |
dc.contributor.affiliatedAuthor | 허지회 | - |
dc.citation.volume | 50 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 3465 | - |
dc.citation.endPage | 3470 | - |
dc.identifier.bibliographicCitation | STROKE, Vol.50(12) : 3465-3470, 2019 | - |
dc.identifier.rimsid | 63474 | - |
dc.type.rims | ART | - |
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