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Mechanical thrombectomy in patients with acute cancer-related stroke: is the stent retriever alone effective?
DC Field | Value | Language |
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dc.contributor.author | Jeon, Yejin | - |
dc.contributor.author | Baik, Sung Hyun | - |
dc.contributor.author | Jung, Cheolkyu | - |
dc.contributor.author | Kim, Jun Yup | - |
dc.contributor.author | Kim, Beom Joon | - |
dc.contributor.author | Kang, Jihoon | - |
dc.contributor.author | Bae, Hee-Joon | - |
dc.contributor.author | Kim, Jae Hyoung | - |
dc.date.accessioned | 2024-08-08T01:24:30Z | - |
dc.date.available | 2024-08-08T01:24:30Z | - |
dc.date.created | 2021-05-26 | - |
dc.date.created | 2021-05-26 | - |
dc.date.issued | 2021-04 | - |
dc.identifier.citation | Journal of NeuroInterventional Surgery, Vol.13 No.4, pp.318-323 | - |
dc.identifier.issn | 1759-8478 | - |
dc.identifier.uri | https://hdl.handle.net/10371/205757 | - |
dc.description.abstract | Background The optimal first-line mechanical thrombectomy (MT) method in cancer-related stroke (CRS) patients with emergent large vessel occlusion (ELVO) remains largely unknown. The aim of this study is to evaluate the efficacy and safety between contact aspiration (CA) first-line thrombectomy and stent retriever (SR) first-line thrombectomy in CRS patients. Methods Sixty-two CRS patients with ELVO, who underwent MT between January 2013 and October 2019 at our institution, were retrospectively analyzed. Patients were divided into two groups based on the first-line MT method and compared: the CA group (n=28), which included those who received CA alone or combined CA with SR, and the SR group (n=34), which included those who received conventional SR alone. Results Overall, reperfusion was successful in 75.8% (47/62) of CRS patients, and a good clinical outcome at 90 days was observed in 17.7%. The CA group showed a higher rate of successful reperfusion (89.3% vs 64.7%, P=0.025) shorter procedure time (22 vs 42 min; P=0.029), higher rate of first pass effect (35.7% vs 11.8%, P=0.025), and lower number of passes (1 vs 3, P=0.023) when compared with the SR group. The procedural and hemorrhagic complication rates were similar between the CA and SR groups. The first-line contact aspiration (OR 11.624, 95% CI 1.041 to 129.752; P=0.046) was an independent predictor of successful reperfusion. Conclusions Among patients with CRS, CA - whether alone or in combination with SR - as first-line MT seems to provide more rapid and successful reperfusion when compared with SR. | - |
dc.language | 영어 | - |
dc.publisher | BMJ Publishing Group | - |
dc.title | Mechanical thrombectomy in patients with acute cancer-related stroke: is the stent retriever alone effective? | - |
dc.type | Article | - |
dc.identifier.doi | 10.1136/neurintsurg-2020-016144 | - |
dc.citation.journaltitle | Journal of NeuroInterventional Surgery | - |
dc.identifier.wosid | 000631883200012 | - |
dc.identifier.scopusid | 2-s2.0-85091751379 | - |
dc.citation.endpage | 323 | - |
dc.citation.number | 4 | - |
dc.citation.startpage | 318 | - |
dc.citation.volume | 13 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Bae, Hee-Joon | - |
dc.contributor.affiliatedAuthor | Kim, Jae Hyoung | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | LARGE VESSEL OCCLUSION | - |
dc.subject.keywordPlus | DIRECT ASPIRATION | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | stroke | - |
dc.subject.keywordAuthor | thrombectomy | - |
dc.subject.keywordAuthor | malignant | - |
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