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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.1
- 발행연도
- 2015.1
- 수록면
- 13 - 19 (7page)
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초록· 키워드
오류제보하기
Objective: During mechanical thrombolysis, to reduce procedure-related complications and time, the authors have performed a simple suction thrombectomy technique. In this article, the authors describe the technical details and clinical outcomes of this technique.
Materials and Methods: From January 2013 to December 2013, 14 consecutive acute ischemic stroke (AIS) patients with large cerebral arterial occlusions in the middle cerebral artery (MCA; n= 7), internal cerebral artery (ICA; n = 5), basilar artery (BA; n = 1), and a tandem lesion (ICA and MCA; n = 1) were treated using this technique. The proximal part of the occluding clot was aspirated or captured and retrieved as one piece using a large bored microcatheter by applying negative suction pressure using a 50 mL syringe.
Results: Overall recanalization rate was 85.7% (12 patients). In the 8 patients in whom this technique was used alone, the recanalization rate was 87.5% (7 patients). The median procedural duration was 30 minutes (range 17-112) in these 7 patients. Distal embolism did not occur. Two patients developed post-procedural intracerebral hemorrhages and one was symptomatic. His modified Rankin Scale (mRS) score at 90 days was 4.
Conclusion: This technique is a feasible, fast, and safe method for treatment of AIS.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Penumbra Pivotal Stroke Trial Investigators / 2009 / The penumbra pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease / Stroke 40(8):2761~2768
1995 / Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group / N Engl J Med 333(24):1581~1587
Abou-Chebl A. / 2010 / Endovascular treatment of acute ischemic stroke may be safely performed with no time window limit in appropriately selected patients / Stroke 41(9):1996~2000
Furlan A / 1999 / Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism / JAMA 282(21):2003~2011
Grunwald IQ / 2009 / Revascularization in acute ischaemic stroke using the penumbra system: the first single center experience / Eur J Neurol 16(11):1210~1216
1995 / Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group / N Engl J Med 333(24):1581~1587
Abou-Chebl A. / 2010 / Endovascular treatment of acute ischemic stroke may be safely performed with no time window limit in appropriately selected patients / Stroke 41(9):1996~2000
Furlan A / 1999 / Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism / JAMA 282(21):2003~2011
Grunwald IQ / 2009 / Revascularization in acute ischaemic stroke using the penumbra system: the first single center experience / Eur J Neurol 16(11):1210~1216
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