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A Comparison between Mechanical Thrombectomy and Intra-arterial Fibrinolysis in Acute Basilar Artery Occlusion: Single Center Experiences
- Source :
- Journal of Stroke, Vol 18, Iss 2, Pp 211-219 (2016), Journal of Stroke
- Publication Year :
- 2016
- Publisher :
- Korean Stroke Society, 2016.
-
Abstract
- Background and Purpose Recent advances in intra-arterial techniques and thrombectomy devices lead to high rate of recanalization. However, little is known regarding the effect of the evolvement of endovascular revascularization therapy (ERT) in acute basilar artery occlusion (BAO). We compared the outcome of endovascular mechanical thrombectomy (EMT) versus intra-arterial fibrinolysis (IAF)-based ERT in patients with acute BAO. Methods After retrospectively reviewed a registry of consecutive patients with acute ischemic stroke who underwent ERT from September 2003 to February 2015, 57 patients with acute BAO within 12 hours from stroke onset were enrolled. They were categorized as an IAF group (n=24) and EMT group (n=33) according to the primary technical option. We compared the procedural and clinical outcomes between the groups. Results The time from groin puncture to recanalization was significantly shorter in the EMT group than in the IAF group (48.5 [25.3 to 87.8] vs. 92 [44 to 179] minutes; P=0.02) The rate of complete recanalization was significantly higher in the EMT group than in the IAF group (87.9% vs 41.7%; P
- Subjects :
- lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
medicine.medical_treatment
Single Center
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
medicine.artery
Internal medicine
Fibrinolysis
Intra arterial
Basilar artery
Medicine
basilar artery
In patient
thrombolytic therapy
business.industry
Cerebral infarction
Basilar artery occlusion
cerebral infarction
medicine.disease
Mechanical thrombectomy
thrombectomy
lcsh:RC666-701
Cardiology
Original Article
Neurology (clinical)
Radiology
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 22876405 and 22876391
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Stroke
- Accession number :
- edsair.doi.dedup.....745063db9d6517a32bb49412408997ab