Impact of carotid tortuosity on outcome after endovascular thrombectomy
| Autor: | B Pukenas, Shaobo Guan, Hosnei Abu El Hasan, Neda I. Sedora-Roman, Ronen R. Leker, David Kung, Omar Choudhry, Robert W. Hurst, John M. Gomori, Preethi Ramchand, Asaf Honig, José E. Cohen, Scott E. Kasner, Tzvika Sacagiu |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Neurology Cerebral infarction business.industry medicine.medical_treatment Dermatology General Medicine Thrombolysis medicine.disease Tortuosity 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Internal medicine medicine Cardiology 030212 general & internal medicine Neurology (clinical) Neurosurgery Catheter placement business Stroke 030217 neurology & neurosurgery Neuroradiology |
| Zdroj: | Neurological Sciences. 42:2347-2351 |
| ISSN: | 1590-3478 1590-1874 |
| DOI: | 10.1007/s10072-020-04813-8 |
| Popis: | Endovascular thrombectomy (EVT) is efficacious in patients with large vessel occlusion stroke (LVO). We explored whether internal carotid (ICA) tortuosity increases the technical difficulty of EVT thereby lowering the chances of successful recanalization and favorable outcomes. Consecutive patients with LVO and patent ICAs who underwent EVT were included. Carotid tortuosity was determined on pre-EVT CTA and classified by raters blinded to outcomes into: type 1—straight ICA trunk and type 2—severe tortuosity potentially impeding adequate catheter placement. Thrombolysis in cerebral infarction (TICI) 2b-3 was considered successful recanalization, and 90-day-modified Rankin Scale ≤ 2 was considered favorable functional outcome. Among 302 patients (mean age 70 ± 15, median NIHSS 17), 53% had type 1, and 47% type 2 tortuosity. Overall, 85% had successful recanalization. Patients with type 2 tortuosity were significantly older (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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