Cited 15 times in
Significance of angiographic clot meniscus sign in mechanical thrombectomy of basilar artery stroke
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김준휘 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.date.accessioned | 2020-09-28T11:45:47Z | - |
dc.date.available | 2020-09-28T11:45:47Z | - |
dc.date.issued | 2020-05 | - |
dc.identifier.issn | 1759-8478 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/179281 | - |
dc.description.abstract | Introduction: The relationship between the occlusive clot morphology and the efficacy of mechanical thrombectomy (MT) in basilar artery occlusion (BAO) is not well known. Our aim was to evaluate the clinical significance of the clot meniscus sign in patients with acute BAO. Methods: 89 patients with acute BAO who underwent MT were retrospectively analyzed. The clot meniscus sign was defined as meniscoid/tram-track like antegrade side-wall contrast opacification of the thrombus. Patients were assigned to two groups based on the presence of the clot meniscus sign. The treatment and clinical outcomes were compared. Results: The clot meniscus sign was diagnosed in 62.9% (53/89) of the patients. The meniscus sign (+) group showed a shorter procedure time (55 vs 85 min; p=0.045), higher rate of successful recanalization (89.3% vs 63.6%, p=0.004), higher incidence of first pass effect (32.1% vs 6.1%, p=0.004), and lower number of passes (2 vs 3; p=0.042) when compared with the meniscus sign (-) group. The procedure time (OR 0.972, 95% CI 0.962 to 0.992; p=0.003) and clot meniscus sign (OR 7.920, 95% CI 1.769 to 35.452; p=0.007) were independent predictors of successful recanalization. Conclusion: The clot meniscus sign is related to high first pass effect and short procedure time and is a reliable predictor of successful recanalization in patients with acute BAO. | - |
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.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Basilar Artery / diagnostic imaging | - |
dc.subject.MESH | Basilar Artery / surgery* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stroke / diagnostic imaging | - |
dc.subject.MESH | Stroke / surgery* | - |
dc.subject.MESH | Thrombectomy / methods* | - |
dc.subject.MESH | Thrombosis / diagnostic imaging | - |
dc.subject.MESH | Thrombosis / surgery* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Vertebrobasilar Insufficiency / diagnostic imaging | - |
dc.subject.MESH | Vertebrobasilar Insufficiency / surgery* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Significance of angiographic clot meniscus sign in mechanical thrombectomy of basilar artery stroke | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Sung Hyun Baik | - |
dc.contributor.googleauthor | Joon Whi Kim | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.identifier.doi | 10.1136/neurintsurg-2019-015321 | - |
dc.contributor.localId | A05754 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.relation.journalcode | J02880 | - |
dc.identifier.eissn | 1759-8486 | - |
dc.identifier.pmid | 31594799 | - |
dc.identifier.url | https://jnis.bmj.com/content/12/5/477.long | - |
dc.subject.keyword | angiography | - |
dc.subject.keyword | stroke | - |
dc.subject.keyword | thrombectomy | - |
dc.contributor.alternativeName | Kim, Jun-Hwee | - |
dc.contributor.affiliatedAuthor | 김준휘 | - |
dc.contributor.affiliatedAuthor | 김동준 | - |
dc.contributor.affiliatedAuthor | 김병문 | - |
dc.citation.volume | 12 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 477 | - |
dc.citation.endPage | 482 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROINTERVENTIONAL SURGERY, Vol.12(5) : 477-482, 2020-05 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.