Cited 26 times in
Effects of First Pass Recanalization on Outcomes of 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 | 김준휘 | - |
dc.contributor.author | 남효석 | - |
dc.contributor.author | 허지회 | - |
dc.date.accessioned | 2020-06-17T00:42:09Z | - |
dc.date.available | 2020-06-17T00:42:09Z | - |
dc.date.issued | 2020-05 | - |
dc.identifier.issn | 1759-8478 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/176088 | - |
dc.description.abstract | Background: 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.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 | Effects of First Pass Recanalization on Outcomes of 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 | 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 | Dong Joon Kim | - |
dc.contributor.googleauthor | Joon Whi Kim | - |
dc.contributor.googleauthor | Jang-Hyun Baek | - |
dc.contributor.googleauthor | Yong-Sun Kim | - |
dc.identifier.doi | 10.1136/neurintsurg-2019-015221 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A00702 | - |
dc.contributor.localId | A05754 | - |
dc.contributor.localId | A01273 | - |
dc.contributor.localId | A04369 | - |
dc.relation.journalcode | J02880 | - |
dc.identifier.eissn | 1759-8486 | - |
dc.identifier.pmid | 31563889 | - |
dc.identifier.url | https://jnis.bmj.com/content/12/5/466.long | - |
dc.subject.keyword | acute stroke | - |
dc.subject.keyword | aspiration | - |
dc.subject.keyword | first pass | - |
dc.subject.keyword | outcome | - |
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 | 허지회 | - |
dc.citation.volume | 12 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 466 | - |
dc.citation.endPage | 470 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROINTERVENTIONAL SURGERY, Vol.12(5) : 466-470, 2020-05 | - |
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