Cited 32 times in
Emergency Intracranial Stenting in Acute Stroke: Predictors for Poor Outcome and for Complications
DC Field | Value | Language |
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dc.contributor.author | 김병문 | - |
dc.contributor.author | 허지회 | - |
dc.date.accessioned | 2020-06-17T00:31:50Z | - |
dc.date.available | 2020-06-17T00:31:50Z | - |
dc.date.issued | 2020-03 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/176009 | - |
dc.description.abstract | Background Stent-retriever thrombectomy is the first-line therapy in acute stroke with intracranial large vessel occlusion. In case of failure of stent-retriever thrombectomy, rescue stent angioplasty might be the only treatment option to achieve permanent recanalization. This study aims at identifying predictors for poor outcome and complications in a large, multicenter cohort receiving rescue stent angioplasty. Methods and Results We performed a retrospective analysis of patients with large vessel occlusion who were treated with rescue stent angioplasty after stent-retriever thrombectomy between 2012 and 2018 in 7 neurovascular centers. We defined 2 binary outcomes: (1) functional clinical outcome (good modified Rankin Scale, 0-2; and poor modified Rankin Scale, 4-6) and (2) early symptomatic intracerebral hemorrhage. Impacts of clinical, radiological, and interventional parameters on outcomewere assessed in uni- and multivariable logistic regression models. Two hundred ten patients were included with target vessels located within the anterior circulation (136 of 210; 64.8%) and posterior circulation (74 of 210; 35.2%). Symptomatic intracerebral hemorrhage occured in 22 patients, 86.4% (19 of 22) after anterior and 13.6% (3 of 22) after posterior circulation large vessel occlusion. Good functional outcome was observed in 44.8% (73 of 163). A higher National Institutes of Health Stroke Scale on admission (adjusted odds ratio, 1.10; P=0.002), a higher premorbid modified Rankin Scale (adjusted odds ratio, 2.02; P=0.049), and a modified Thrombolysis in Cerebral Infarction score of 0 to 2a after stenting (adjusted odds ratio, 23.24; P<0.001) were independent predictors of poor functional outcome. Conclusions Use of rescue stent angioplasty can be considered for acute intracranial large vessel occlusion in cases after unsuccessful stent-retriever thrombectomy. Likelihood of symptomatic intracerebral hemorrhage is higher in anterior circulation stroke. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Wiley-Blackwell | - |
dc.relation.isPartOf | JOURNAL OF THE AMERICAN HEART ASSOCIATION | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Emergency Intracranial Stenting in Acute Stroke: Predictors for Poor Outcome and for Complications | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Christian Paul Stracke | - |
dc.contributor.googleauthor | Jens Fiehler | - |
dc.contributor.googleauthor | Lukas Meyer | - |
dc.contributor.googleauthor | Götz Thomalla | - |
dc.contributor.googleauthor | Lars Udo Krause | - |
dc.contributor.googleauthor | Stephan Lowens | - |
dc.contributor.googleauthor | Jan Rothaupt | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Leonard L L Yeo | - |
dc.contributor.googleauthor | Tommy Andersson | - |
dc.contributor.googleauthor | Christoph Kabbasch | - |
dc.contributor.googleauthor | Franziska Dorn | - |
dc.contributor.googleauthor | Rene Chapot | - |
dc.contributor.googleauthor | Uta Hanning | - |
dc.identifier.doi | 10.1161/JAHA.119.012795 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A04369 | - |
dc.relation.journalcode | J01774 | - |
dc.identifier.eissn | 2047-9980 | - |
dc.identifier.pmid | 32122218 | - |
dc.subject.keyword | intracranial stenosis | - |
dc.subject.keyword | retriever | - |
dc.subject.keyword | stenting | - |
dc.subject.keyword | thrombectomy | - |
dc.subject.keyword | thrombus | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | 김병문 | - |
dc.contributor.affiliatedAuthor | 허지회 | - |
dc.citation.volume | 9 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | e012795 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE AMERICAN HEART ASSOCIATION, Vol.9(5) : e012795, 2020-03 | - |
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