Cited 18 times in
Carotid Artery Stenting and Intracranial Thrombectomy for Tandem Cervical and Intracranial Artery Occlusions
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 | 2020-02-26T06:48:30Z | - |
dc.date.available | 2020-02-26T06:48:30Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 0148-396X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175296 | - |
dc.description.abstract | BACKGROUND: It remains controversial whether carotid artery stenting (CAS) is needed in cases of tandem cervical internal carotid artery occlusion (cICAO) and intracranial large vessel occlusion (LVO). OBJECTIVE: To investigate the efficacy and safety of CAS in combination with endovascular thrombectomy (CAS-EVT) in cICAO-LVO patients and to compare its outcomes with those of EVT without CAS (EVT-alone). METHODS: We identified all patients who underwent EVT for tandem cICAO-LVO from the prospectively maintained registries of 17 stroke centers. Patients were classified into 2 groups: CAS-EVT and EVT-alone. Clinical characteristics and procedural and clinical outcomes were compared between 2 groups. We tested whether CAS-EVT strategy was independently associated with recanalization success. RESULTS: Of the 955 patients who underwent EVT, 75 patients (7.9%) had cICAO-LVO. Fifty-six patients underwent CAS-EVT (74.6%), and the remaining 19 patients underwent EVT-alone (25.4%). The recanalization (94.6% vs 63.2%, P = .002) and good outcome rates (64.3% vs 26.3%, P = .007) were significantly higher in the CAS-EVT than in the EVT-alone. Mortality was significantly lower in the CAS-EVT (7.1% vs 21.6%, P = .014). There was no significant difference in the rate of symptomatic intracranial hemorrhage between 2 groups (10.7 vs 15.8%; P = .684) and according to the use of glycoprotein IIb/IIIa inhibitor (10.0% vs 12.3%; P = .999) or antiplatelet medications (10.2% vs 18.8%; P = .392). CAS-EVT strategy remained independently associated with recanalization success (odds ratio: 24.844; 95% confidence interval: 1.445-427.187). CONCLUSION: CAS-EVT strategy seemed to be effective and safe in cases of tandem cICAO-LVO. CAS-EVT strategy was associated with recanalization success, resulting in better clinical outcome. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Carotid Artery Stenting and Intracranial Thrombectomy for Tandem Cervical and Intracranial Artery Occlusions | - |
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 | Byung Moon Kim | - |
dc.contributor.googleauthor | Oh Young Bang | - |
dc.contributor.googleauthor | Jang-Hyun Baek | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Hyo Suk Nam | - |
dc.contributor.googleauthor | Young Dae Kim | - |
dc.contributor.googleauthor | Joonsang Yoo | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Pyoung Jeon | - |
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 | Hong-Jun Jeon | - |
dc.contributor.googleauthor | Jin Woo Kim | - |
dc.contributor.googleauthor | Jun Soo Byun | - |
dc.contributor.googleauthor | Sangil Suh | - |
dc.contributor.googleauthor | Jeong Jin Park | - |
dc.contributor.googleauthor | Woong Jae Lee | - |
dc.contributor.googleauthor | Jieun Roh | - |
dc.contributor.googleauthor | Byoung-soo Shin | - |
dc.identifier.doi | 10.1093/neuros/nyz026 | - |
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 | J02366 | - |
dc.identifier.eissn | 1524-4040 | - |
dc.identifier.pmid | 30848283 | - |
dc.identifier.url | https://academic.oup.com/neurosurgery/article/86/2/213/5372261 | - |
dc.subject.keyword | Acute stroke | - |
dc.subject.keyword | Carotid arteries | - |
dc.subject.keyword | Stent | - |
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 | 86 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 213 | - |
dc.citation.endPage | 220 | - |
dc.identifier.bibliographicCitation | NEUROSURGERY, Vol.86(2) : 213-220, 2020 | - |
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