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Effects of First Pass Recanalization on Outcomes of Contact Aspiration Thrombectomy

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dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author김영대-
dc.contributor.author김준휘-
dc.contributor.author남효석-
dc.contributor.author허지회-
dc.date.accessioned2020-06-17T00:42:09Z-
dc.date.available2020-06-17T00:42:09Z-
dc.date.issued2020-05-
dc.identifier.issn1759-8478-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/176088-
dc.description.abstractBackground: First pass recanalization (FPR, defined as achieving a modified Thrombolysis in Cerebral Ischemia (mTICI) grade 2c/3 with a single pass of a thrombectomy device) effect has not yet been evaluated in contact aspiration thrombectomy (CAT). We evaluated FPR effect on clinical outcomes and FPR predictors in CAT. Methods: All consecutive patients who underwent frontline CAT for anterior circulation large vessel occlusion with recanalization (mTICI 2b-3) were identified from registries at six stroke centers. The patients were dichotomized into FPR and non-FPR groups. Clinical features and outcomes were compared between the groups. Multivariate analyses were performed to determine whether FPR was independently associated with clinical outcomes and to identify predictors of FPR. Results: Of the 429 patients who underwent frontline CAT, recanalization was successful in 344 patients (80.2%; mean age 68.7±11.0 years; M:F ratio 179:165). The FPR group had a higher rate of good outcome (modified Rankin Scale score 0-2) than the non-FPR group. Furthermore, the good outcome rate was higher in the FPR group than in patients who achieved mTICI 2c/3 with multiple passes or rescue treatment. FPR (OR 2.587; 95% CI 1.237 to 5.413) remained independently associated with good outcomes, in addition to age, baseline National Institute Health Stroke Scale, and coronary artery disease. The use of a balloon guide catheter (OR 3.071; 95% CI 1.699 to 5.550) was the only predictor of FPR. Conclusions: Patients in the FPR group had better clinical outcomes than the non-FPR group in CAT. FPR was independently associated with a good outcome. The use of a balloon guide catheter was the only predictor of FPR.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherBMJ Publishing Group-
dc.relation.isPartOfJOURNAL OF NEUROINTERVENTIONAL SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleEffects of First Pass Recanalization on Outcomes of Contact Aspiration Thrombectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.googleauthorDong-Hun Kang-
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.googleauthorDong Joon Kim-
dc.contributor.googleauthorJoon Whi Kim-
dc.contributor.googleauthorJang-Hyun Baek-
dc.contributor.googleauthorYong-Sun Kim-
dc.identifier.doi10.1136/neurintsurg-2019-015221-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA00702-
dc.contributor.localIdA05754-
dc.contributor.localIdA01273-
dc.contributor.localIdA04369-
dc.relation.journalcodeJ02880-
dc.identifier.eissn1759-8486-
dc.identifier.pmid31563889-
dc.identifier.urlhttps://jnis.bmj.com/content/12/5/466.long-
dc.subject.keywordacute stroke-
dc.subject.keywordaspiration-
dc.subject.keywordfirst pass-
dc.subject.keywordoutcome-
dc.subject.keywordthrombectomy-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.affiliatedAuthor김동준-
dc.contributor.affiliatedAuthor김병문-
dc.contributor.affiliatedAuthor김영대-
dc.contributor.affiliatedAuthor김준휘-
dc.contributor.affiliatedAuthor남효석-
dc.contributor.affiliatedAuthor허지회-
dc.citation.volume12-
dc.citation.number5-
dc.citation.startPage466-
dc.citation.endPage470-
dc.identifier.bibliographicCitationJOURNAL OF NEUROINTERVENTIONAL SURGERY, Vol.12(5) : 466-470, 2020-05-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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