| Autor: |
Mahmoud H. Mohammaden, Hend Abdelhamid, Mohamed R. Dohiem, Stavros G. Matsoukas, Johanna Fifi, Bradley J. Gross, Alhamza R. Al‐Bayati, Marta Olive‐Gadea, Marc Rodrigo‐Gisbert, Andre Monteiro, James M. Siegler, Mudassir Farooqui, Santiago Ortega‐Gutierrez, Gustavo J. Cortez, Ricardo A. Hanel, Ameer E. Hassan, Thanh N. Nguyen, Mohamed A. Salem, Jan‐Karl Burkhardt, Peter Kan, Omar Tanweer, Ali Alaraj, Diogo C. Haussen, Adnan H. Siddiqui, Raul G. Nogueira |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Stroke: Vascular and Interventional Neurology, Vol 3, Iss S2 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2694-5746 |
| DOI: |
10.1161/SVIN.03.suppl_2.233 |
| Popis: |
Introduction Previous studies did not show a difference in terms of safety and efficacy among first‐line stent retriever (SR), contact aspiration (CA), or combined techniques for proximal large vessel occlusion strokes. However, the optimal reperfusion therapy in patients with primary distal medium vessel occlusion (DMVO) strokes is uncertain. We aimed to compare the clinical and procedural outcomes among first‐line SR, CA and combined techniques in patients with primary DMVO. Methods This is a retrospective analysis of a prospectively maintained database from 14 comprehensive stroke centers in the US and Europe. Patients were included if they had a primary DMVO stroke due to MCA‐M3/M4, ACA‐A1/A2‐3, or PCA‐P1/P2‐3 and underwent mechanical thrombectomy with first‐line SR, CA, or combined technique. The primary outcome was FPE defined as eTICI 2c/3 on the first pass. Secondary outcomes included mFPE defined as eTICI 2b/3 on the first pass, successful reperfusion defined as eTICI 2b/3 at the end of the procedure. Clinical outcomes included 90‐day mRS0‐1 and 90‐day mRS0‐2. Safety measures included procedural complications, symptomatic intracranial hemorrhage (sICH), and 90‐day mortality. The secondary analysis aimed to identify the procedural and clinical outcomes in 3 matched cohorts: (SR vs. CA), (SR vs. combined technique), and (CA vs. combined technique). Results A total of 365 patients were eligible for analysis; 38.1% were female, with a mean age of 69.3 years and a median NIHSS score of 11 [7‐18]. The first‐line SR group consisted of n=74 (20.3%), CA group n=142 (38.9%), and combined technique group n=149 (40.8%). Patients with first‐line SR or combined technique had a lower median NIHSS score, less frequent MCA‐M3 segment occlusion, and less usage of the rescue strategy compared to those with first‐line CA, P |
| Databáze: |
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