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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Baek, J. M. Yoon, W. Kim, S. K. Jung, M. Y. Park, M. S. Kim, J. T. Kang, H. K. |
Description | Author Affiliation: Baek JM ( From the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).); Yoon W ( From the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.) radyoon@jnu.ac.kr.); Kim SK ( From the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).); Jung MY ( From the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).); Park MS ( Neurology (M.S.P., J.T.K.), Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Republic of Korea.); Kim JT ( Neurology (M.S.P., J.T.K.), Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Republic of Korea.); Kang HK ( From the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).) |
Abstract | BACKGROUND AND PURPOSE: Mechanical thrombectomy with a stent retriever applied shortly after symptom onset could increase good functional outcomes and improve survival in patients with acute basilar artery occlusion, but this has not yet been studied. This study evaluated the efficacy and safety of mechanical thrombectomy with a Solitaire stent within 8 hours of stroke onset in patients with acute basilar artery occlusion. MATERIALS AND METHODS: We analyzed 25 consecutive patients with acute basilar artery occlusion who were treated with mechanical thrombectomy by use of the Solitaire stent within 8 hours of stroke symptom onset. Successful recanalization was defined as TICI grade 2b or 3. Good outcome was defined as mRS score of 0-2 at 3 months. Clinical and radiologic data in patients with good outcomes were compared with those with poor outcomes. RESULTS: Successful recanalization was achieved in 96% (24/25) of patients, and 48% (12/25) of patients had good outcomes. Eighty-eight percent (22/25) of patients survived to 3 months. The median NIHSS score on admission was significantly lower in patients with good outcomes than in those with poor outcomes (9.5 versus 14, P = .005). Procedure-related complications occurred in 2 patients (8%). No symptomatic intracerebral hemorrhages occurred. CONCLUSIONS: The current study suggests that mechanical thrombectomy by use of a Solitaire stent within 8 hours of stroke onset increases good outcomes and improves survival in patients with acute basilar artery occlusion. |
File Format | HTM / HTML |
ISSN | 01956108 |
e-ISSN | 1936959X |
Journal | American Journal of Neuroradiology |
Issue Number | 5 |
Volume Number | 35 |
Language | English |
Publisher | American Journal of Neuroradiology |
Publisher Date | 2014-05-01 |
Publisher Place | United States |
Access Restriction | Open |
Subject Keyword | Discipline Neurology Discipline Radiology Device Removal Instrumentation Mechanical Thrombolysis Stents Stroke Etiology Therapy Vertebrobasilar Insufficiency Complications Blood Vessel Prosthesis Equipment Failure Analysis Prosthesis Design Radiography Controlled Clinical Trial |
Content Type | Text |
Resource Type | Article |
Subject | Radiology, Nuclear Medicine and Imaging Neurology (clinical) |
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