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Outcome of standard and high-risk patients with acute anterior circulation stroke after stent retriever thrombectomy

Authors :
Kety Hsieh
Heinrich Mattle
Simon Jung
Christoph Zubler
Marcel Arnold
Gerhard Schroth
Pasquale Mordasini
Marie-Luise Mono
Pascal P. Gratz
Urs Fischer
Mirjam Rachel Heldner
Jan Gralla
Source :
Gratz, Pascal P.; Jung, Simon; Schroth, Gerhard; Gralla, Jan; Mordasini, Pasquale; Hsieh, Kety; Heldner, Mirjam Rachel; Mattle, Heinrich P.; Mono, Marie-Luise; Fischer, Urs; Arnold, Marcel; Zubler, Christoph (2014). Outcome of standard and high-risk patients with acute anterior circulation stroke after stent retriever thrombectomy. Stroke, 45(1), pp. 152-158. Lippincott Williams & Wilkins 10.1161/STROKEAHA.113.002591
Publication Year :
2013

Abstract

Background and Purpose— Stent retrievers have become an important tool for the treatment of acute ischemic stroke. The aim of this study was to analyze outcome and complications in a large cohort of patients with stroke treated with the Solitaire stent retriever. The study also included patients who did not meet standard inclusion criteria for endovascular treatment: low or high baseline National Institutes of Health Stroke Scale score, ≥80 years of age, extensive ischemic signs in middle cerebral artery territory, and time from symptom onset to endovascular intervention >8 hours. Methods— Consecutive patients with acute anterior circulation stroke treated with the Solitaire FR were analyzed. Data on characteristics of endovascular interventions, complications, and clinical outcome were collected prospectively. Patients who met standard inclusion criteria were compared with those who did not. Results— A total of 227 patients were included. Mean age was 68.2±14.7 years, and median National Institutes of Health Stroke Scale score on admission was 16 (range, 2–36). Reperfusion was successful (thrombolysis in cerebral infarction, 2b–3) in 70.9%. Outcome was favorable (modified Rankin Scale, 0–2) in 57.7% of patients who met standard inclusion criteria and 30.3% of those who did not. The rates for symptomatic intracranial hemorrhage were 3.7% and 13.1%, for death 11.4% and 33.8%, and for symptomatic intraprocedural complications 2.5% and 4.8%, respectively. Conclusions— Patients

Details

ISSN :
15244628
Volume :
45
Issue :
1
Database :
OpenAIRE
Journal :
Stroke
Accession number :
edsair.doi.dedup.....0affd652bc7f3185b48b4c12ff4294e0
Full Text :
https://doi.org/10.1161/STROKEAHA.113.002591