Comparative efficacy and safety of stent retrievers as a bailout strategy following failed contact aspiration technique in acute stroke thrombectomy.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ezzeldin Mohamad, Hukamdad Mishaal, Abo Kasem Rahim, Ezzeldin Rime, Maier Ilko, Rai Ansaar T, Jabbour Pascal, Kim Joon-Tae, Howard Brian M, Alawieh Ali, Wolfe Stacey Q, Starke Robert M, Psychogios Marios-Nikos, Shaban Amir, Goyal Nitin, Dye Justin, Alaraj Ali, Yoshimura Shinichi, Fiorella David, Tanweer Omar, Romano Daniele G, Navia Pedro, Cuellar Hugo, Fragata Isabel, Polifka Adam, Mascitelli Justin R, Osbun Joshua W, Siddiqui Fazeel, Moss Mark, Limaye Kaustubh, Mokin Maxim, Matouk Charles, Park Min S, Brinjikji Waleed, Daglioglu Ergun, Williamson Richard, Altschul David J, Ogilvy Christopher S, Crosa Roberto Javier, Levitt Michael R, Gory Benjamin, Grandhi Ramesh, Paul Alexandra R, Kan Peter, Casagrande Walter, Chowdhry Shakeel A, Stiefel Michael F, Chaubal Varun, Spiotta Alejandro M
Аннотация
METHODS: EVT patients with failed CA attempts were identified from a large multicenter registry and stratified by rescue technique: CA alone or incorporating SR in the rescue strategy. Outcomes included successful recanalization, 90-day functional outcomes (defined by the modified Rankin Scale (mRS) score), symptomatic intracranial hemorrhage (sICH), and 90-day mortality.
RESULTS: Among 1885 patients with failed CA attempts, conversion to SR was associated with higher recanalization rates (85.2% vs 80.6%; p=0.03), higher rates of second-pass recanalization (31.2% vs 23.4%; p<0.001), and better 90-day outcomes (mRS 0-2: 35.2% vs 29.9%; p=0.04) when compared with repeated CA attempts. Trevo SRs showed higher odds of successful recanalization (adjusted odds ratio (aOR)=1.9; p=0.02), second-pass recanalization (aOR=1.7; p=0.01), and reduced odds of sICH (aOR=0.3; p=0.02). EmboTrap SRs were associated with higher odds of 90-day mortality (aOR=2.6; p=0.004) and sICH (aOR=2.9; p=0.04) and lower odds of recanalization (aOR=0.5; p=0.03).
CONCLUSIONS: Incorporating SR in the rescue strategy after a failed CA improves recanalization rates and functional outcomes. Trevo SRs demonstrated superior efficacy and safety when incorporated into the rescue strategy.