Vascular and endovascular surgery · 2013
Thrombectomy in patients with large cerebral artery occlusion: a single-center experience with a new stent retriever.
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Broussalis Erasmia, Trinka Eugen, Wallner Anna, Hitzl Wolfgang, Killer Monika
Аннотация
INTRODUCTION: The Trevo device, a new stent retriever, may be utilized in patients with large cerebral artery occlusion.
METHODS: Fifty patients with large cerebral artery occlusion and treated with the Trevo device were analyzed. Patients may have received intravenous thrombolysis as a bridging concept in addition to thrombectomy. Outcome and recanalization parameters were documented using the National Institutes of Health Scale, the modified Ranking Scale (mRS) and Thrombolysis in Cerebral Infarction (TICI) score.
RESULTS: In all, 82% (95% confidence interval [CI]: 69%-91%) were documented with TICI 2b and 3. Good clinical outcome after 90 days (mRS ≤ 2) was assessed in 61% (95% CI: 46%-75%). Symptomatic intracerebral hemorrhage occurred in 6 patients (12%, 95% CI: 1%-17%). The overall mortality rate was 14% (95% CI: 6%-27%).
CONCLUSION: Thrombectomy with the new stent retriever device is feasible and effective and has an acceptable risk of intra-cerebral hemorrhage even in combination with pharmacological revascularization techniques.
METHODS: Fifty patients with large cerebral artery occlusion and treated with the Trevo device were analyzed. Patients may have received intravenous thrombolysis as a bridging concept in addition to thrombectomy. Outcome and recanalization parameters were documented using the National Institutes of Health Scale, the modified Ranking Scale (mRS) and Thrombolysis in Cerebral Infarction (TICI) score.
RESULTS: In all, 82% (95% confidence interval [CI]: 69%-91%) were documented with TICI 2b and 3. Good clinical outcome after 90 days (mRS ≤ 2) was assessed in 61% (95% CI: 46%-75%). Symptomatic intracerebral hemorrhage occurred in 6 patients (12%, 95% CI: 1%-17%). The overall mortality rate was 14% (95% CI: 6%-27%).
CONCLUSION: Thrombectomy with the new stent retriever device is feasible and effective and has an acceptable risk of intra-cerebral hemorrhage even in combination with pharmacological revascularization techniques.
Предметные рубрики MeSH
AdultAgedAged, 80 and overAngiography, Digital SubtractionCerebral Arterial DiseasesCerebral HemorrhageCombined Modality TherapyConstriction, PathologicDisability EvaluationFemaleHumansMaleMiddle AgedProsthesis DesignRegistriesRetrospective StudiesStentsThrombectomyThrombolytic TherapyTime FactorsTreatment Outcome