• Je něco špatně v tomto záznamu ?

Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry

F. Clarençon, F. Baronnet, E. Shotar, V. Degos, C. Rolla-Bigliani, B. Bartolini, E. Veznedaroglu, R. Budzik, J. English, B. Baxter, DS. Liebeskind, A. Krajina, R. Gupta, S. Miralbes, A. Lüttich, RG. Nogueira, Y. Samson, S. Alamowitch, NA. Sourour

. 2020 ; 27 (5) : 787-792. [pub] 20200221

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, multicentrická studie

Perzistentní odkaz   https://www.medvik.cz/link/bmc21020571

Grantová podpora
NCT02040259 Stryker - International

BACKGROUND AND PURPOSE: The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post-market Trevo Registry. METHOD: Amongst the 2008 patients enrolled in the Trevo Registry with acute ischaemic stroke due to large vessel occlusion treated by MT, 22 patients (1.1%) [10 females (45.5%), mean age 66.2 ± 14.3 years (range 28-91)] had a PCA occlusion [17 P1 (77.3%) and five P2 occlusions (22.7%)]. Recanalization after the first Trevo (Stryker, Fremont, CA, USA) pass and at the end of the procedure was rated using the modified Thrombolysis in Cerebral Infarction (mTICI) score. Procedure-related complications (i.e. groin puncture complication, perforation, symptomatic haemorrhage, embolus in a new territory) were also recorded. The modified Rankin Scale at 90 days was assessed. RESULTS: Median National Institutes of Health Stroke Scale at admission was 14 (interquartile range 8-16). Stroke aetiology was cardio-embolic in 68.2% of cases. Half of the patients (11/22) received intravenous tissue plasminogen activator. 54.5% of the patients were treated under general anaesthesia. Reperfusion (i.e. mTICI 2b or 3) after first pass was obtained in 65% of cases. Final mTICI 2b-3 reperfusion was obtained in all cases. Only one (4.5%) procedure-related complication was recorded (puncture site) that resolved after surgery. At 90-day follow-up, modified Rankin Scale 0-2 was obtained in 59% of the patients and 9.1% died within the first 3 months after MT. CONCLUSION: Mechanical thrombectomy for PCA occlusions seems to be safe (<5% procedure-related complications) and effective. Larger repository datasets are needed.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21020571
003      
CZ-PrNML
005      
20210830102221.0
007      
ta
008      
210728s2020 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1111/ene.14154 $2 doi
035    __
$a (PubMed)31997505
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Clarençon, F $u Sorbonne University, Paris, France $u Department of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France
245    10
$a Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry / $c F. Clarençon, F. Baronnet, E. Shotar, V. Degos, C. Rolla-Bigliani, B. Bartolini, E. Veznedaroglu, R. Budzik, J. English, B. Baxter, DS. Liebeskind, A. Krajina, R. Gupta, S. Miralbes, A. Lüttich, RG. Nogueira, Y. Samson, S. Alamowitch, NA. Sourour
520    9_
$a BACKGROUND AND PURPOSE: The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post-market Trevo Registry. METHOD: Amongst the 2008 patients enrolled in the Trevo Registry with acute ischaemic stroke due to large vessel occlusion treated by MT, 22 patients (1.1%) [10 females (45.5%), mean age 66.2 ± 14.3 years (range 28-91)] had a PCA occlusion [17 P1 (77.3%) and five P2 occlusions (22.7%)]. Recanalization after the first Trevo (Stryker, Fremont, CA, USA) pass and at the end of the procedure was rated using the modified Thrombolysis in Cerebral Infarction (mTICI) score. Procedure-related complications (i.e. groin puncture complication, perforation, symptomatic haemorrhage, embolus in a new territory) were also recorded. The modified Rankin Scale at 90 days was assessed. RESULTS: Median National Institutes of Health Stroke Scale at admission was 14 (interquartile range 8-16). Stroke aetiology was cardio-embolic in 68.2% of cases. Half of the patients (11/22) received intravenous tissue plasminogen activator. 54.5% of the patients were treated under general anaesthesia. Reperfusion (i.e. mTICI 2b or 3) after first pass was obtained in 65% of cases. Final mTICI 2b-3 reperfusion was obtained in all cases. Only one (4.5%) procedure-related complication was recorded (puncture site) that resolved after surgery. At 90-day follow-up, modified Rankin Scale 0-2 was obtained in 59% of the patients and 9.1% died within the first 3 months after MT. CONCLUSION: Mechanical thrombectomy for PCA occlusions seems to be safe (<5% procedure-related complications) and effective. Larger repository datasets are needed.
650    _2
$a dospělí $7 D000328
650    _2
$a senioři $7 D000368
650    _2
$a senioři nad 80 let $7 D000369
650    _2
$a arteriální okluzní nemoci $x komplikace $x patologie $x terapie $7 D001157
650    _2
$a ischemie mozku $x komplikace $x terapie $7 D002545
650    _2
$a katetrizace $x metody $7 D002404
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    12
$a internacionalita $7 D038622
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a lidé středního věku $7 D008875
650    _2
$a arteria cerebri posterior $x patologie $7 D020769
650    12
$a registrace $7 D012042
650    _2
$a retrospektivní studie $7 D012189
650    _2
$a stenty $7 D015607
650    _2
$a cévní mozková příhoda $x komplikace $x terapie $7 D020521
650    _2
$a trombektomie $7 D017131
650    _2
$a tkáňový aktivátor plazminogenu $x terapeutické užití $7 D010959
650    _2
$a výsledek terapie $7 D016896
655    _2
$a časopisecké články $7 D016428
655    _2
$a multicentrická studie $7 D016448
700    1_
$a Baronnet, F $u Department of Vascular Neurology, Pitié-Salpêtrière Hospital, Paris, France
700    1_
$a Shotar, E $u Department of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France
700    1_
$a Degos, V $u Sorbonne University, Paris, France $u Department of Anesthesiology, Pitié-Salpêtrière Hospital, Paris, France
700    1_
$a Rolla-Bigliani, C $u Department of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France
700    1_
$a Bartolini, B $u Department of Radiology, Interventional Neuroradiology Unit, Lausanne University Hospital, Lausanne, Switzerland
700    1_
$a Veznedaroglu, E $u Endovascular Neurosurgery, Drexel Neurosciences Institute, Philadelphia, PA, USA
700    1_
$a Budzik, R $u Interventional Neuroradiology, Riverside Methodist Hospital/Ohio Health Research Institute, Columbus, OH, USA
700    1_
$a English, J $u Interventional Neurology, California Pacific Medical Center, San Francisco, CA, USA
700    1_
$a Baxter, B $u Interventional Neuroradiology, Erlanger, Chattanooga, TN, USA
700    1_
$a Liebeskind, D S $u Department of Neurology and Comprehensive Stroke Center, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
700    1_
$a Krajina, A $u Department of Radiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Gupta, R $u Interventional Neurology, Wellstar Health System, Atlanta, GA, USA
700    1_
$a Miralbes, S $u Hospital Universitario Son Espases, Mallorca, España
700    1_
$a Lüttich, A $u Hospital de Donostia, San Sebastian, España
700    1_
$a Nogueira, R G $u Department of Neurology, Marcus Stroke and Neuroscience Center/Grady Memorial Hospital/Emory University, Atlanta, GA, USA
700    1_
$a Samson, Y $u Sorbonne University, Paris, France $u Department of Vascular Neurology, Pitié-Salpêtrière Hospital, Paris, France
700    1_
$a Alamowitch, S $u Sorbonne University, Paris, France $u Department of Vascular Neurology, Saint Antoine University Hospital, Paris, France
700    1_
$a Sourour, N-A $u Department of Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France
773    0_
$w MED00001629 $t European journal of neurology $x 1468-1331 $g Roč. 27, č. 5 (2020), s. 787-792
856    41
$u https://pubmed.ncbi.nlm.nih.gov/31997505 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20210728 $b ABA008
991    __
$a 20210830102221 $b ABA008
999    __
$a ok $b bmc $g 1691195 $s 1141017
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2020 $b 27 $c 5 $d 787-792 $e 20200221 $i 1468-1331 $m European journal of neurology $n Eur J Neurol $x MED00001629
GRA    __
$a NCT02040259 $p Stryker $2 International
LZP    __
$a Pubmed-20210728

Najít záznam

Citační ukazatele

Možnosti archivace