1 316

Cited 9 times in

Comparison of stent retriever and intra- arterial fibrinolysis in patients with acute ischaemic stroke

DC FieldValueLanguage
dc.contributor.author남효석-
dc.contributor.author송동범-
dc.contributor.author이혜선-
dc.contributor.author허지회-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author김영대-
dc.contributor.author김진권-
dc.date.accessioned2015-01-06T16:44:24Z-
dc.date.available2015-01-06T16:44:24Z-
dc.date.issued2014-
dc.identifier.issn1351-5101-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98674-
dc.description.abstractBACKGROUND AND PURPOSE: Although the stent retriever (SR) has shown a better reperfusion rate and clinical outcome than the older generation mechanical clot retrieval device, it is uncertain whether the SR is superior to intra-arterial fibrinolysis (IAF). METHODS: Ischaemic stroke patients who were treated with SR or IAF as initial endovascular treatment modality for unilateral arterial occlusion in the anterior circulation were included. Successful reperfusion was defined as Thrombolysis in Cerebral Infarction grade ≥2b. A favourable clinical outcome was defined as a modified Rankin Score ≤2 at 3 months. RESULTS: Between January 2009 and May 2012, 55 patients were treated with SR and 50 patients were treated with IAF. The baseline characteristics were similar between the two groups except for the occlusion site and rescue treatment. In binary logistic regression analysis adjusted for the occlusion site and rescue treatment, SR was independently associated with increased successful reperfusion [82.0% vs. 47.3%; odds ratio (OR) 5.21; 95% confidence interval (CI) 1.92-14.14) and a more favourable clinical outcome at 3 months (54.0% vs. 43.6%; OR 3.40; 95% CI 1.31-8.84). The frequency of symptomatic intracranial haemorrhage and mortality at 3 months was not different between the two groups. CONCLUSIONS: Stent retriever was as safe as and more effective than IAF. Our findings suggest that SR may be considered as an initial modality rather than IAF in acute stroke patients who undergo endovascular treatment.-
dc.description.statementOfResponsibilityopen-
dc.format.extent779~784-
dc.relation.isPartOfEUROPEAN JOURNAL OF NEUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHBrain Ischemia/complications-
dc.subject.MESHFemale-
dc.subject.MESHFibrinolysis-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHReperfusion-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStatistics, Nonparametric-
dc.subject.MESHStents*-
dc.subject.MESHStroke/etiology-
dc.subject.MESHStroke/therapy*-
dc.subject.MESHThrombectomy/methods-
dc.subject.MESHThrombolytic Therapy/methods*-
dc.subject.MESHTomography Scanners, X-Ray Computed-
dc.subject.MESHTreatment Outcome-
dc.titleComparison of stent retriever and intra- arterial fibrinolysis in patients with acute ischaemic stroke-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorD. Song-
dc.contributor.googleauthorB. M. Kim-
dc.contributor.googleauthorD. J. Kim-
dc.contributor.googleauthorY. D. Kim-
dc.contributor.googleauthorJ. Kim-
dc.contributor.googleauthorH. S. Lee-
dc.contributor.googleauthorH. S. Nam-
dc.contributor.googleauthorJ. H. Heo-
dc.identifier.doi10.1111/ene.12391-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01273-
dc.contributor.localIdA02017-
dc.contributor.localIdA04369-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA00702-
dc.contributor.localIdA01012-
dc.contributor.localIdA03312-
dc.relation.journalcodeJ00830-
dc.identifier.eissn1468-1331-
dc.identifier.pmid24612359-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/ene.12391/abstract-
dc.subject.keywordischaemic stroke-
dc.subject.keywordreperfusion-
dc.subject.keywordthrombectomy-
dc.subject.keywordthrombolysis-
dc.contributor.alternativeNameNam, Hyo Suk-
dc.contributor.alternativeNameSong, Dong Beom-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.alternativeNameHeo, Ji Hoe-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNameKim, Young Dae-
dc.contributor.alternativeNameKim, Jin Kwon-
dc.contributor.affiliatedAuthorNam, Hyo Suk-
dc.contributor.affiliatedAuthorSong, Dong Beom-
dc.contributor.affiliatedAuthorHeo, Ji Hoe-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorKim, Young Dae-
dc.contributor.affiliatedAuthorKim, Jin Kwon-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.rights.accessRightsfree-
dc.citation.volume21-
dc.citation.number5-
dc.citation.startPage779-
dc.citation.endPage784-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF NEUROLOGY, Vol.21(5) : 779-784, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.