Background and Purpose: In this article, we present our experience with the recanalization of the middle cerebral artery (MCA), we hypothesize that there are higher rates of recanalization with fewer stent retriever passes and better clinical outcomes in patients with division MCA occlusions. A more complex anatomy at the bifurcation may prevent a faster recanalization in main trunk MCA occlusions. Methods: We retrospectively identified consecutive patients admitted with MCA occlusions who underwent mechanical thrombectomy using stent retrievers. We categorized patients into division MCA and main trunk MCA occlusions based on angiography. Variables were compared between the groups. We further analyzed patients with trunk MCA occlusions to identify reasons for delays in recanalization. Results: There were 32 MCA occlusions that underwent mechanical thrombectomy and eligible for the analysis during the study period. Of those, 11 were main trunk MCA occlusions. Univariate analysis disclosed a trend toward a lower GP-to-recanalization time (p = 0.05) and a lower number of passes required for recanalization in division MCA occlusions. However, there was a significantly better outcome in patients with division MCA occlusion after multivariate analysis. Analyzing main trunk MCA occlusion data, we found that the need for more than one pass to achieve recanalization led to a trend toward a longer GP-to-recanalization time and a worse outcome. When the stent was placed in the dominant division, the chances of recanalization were significantly higher. Conclusions: Division MCA occlusions have higher recanalization rates with fewer stent retriever passes and better clinical outcomes than main trunk MCA occlusions, likely due to a more favorable anatomy. Measures like placing the stent retriever in the dominant division may decrease recanalization times and improve clinical outcomes in main trunk MCA occlusions.
Intervent Neurol 2015;4:83-89
from #Medicine via ola Kala on Inoreader http://ift.tt/1NsR7aG
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
►
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
- ► Ιανουαρίου (5592)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
►
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
- ► Φεβρουαρίου (793)
-
▼
2015
(2119)
-
▼
Δεκεμβρίου
(940)
-
▼
Δεκ 18
(50)
- Cortical trajectories during adolescence in preter...
- Viruses, Vol. 7, Pages 6739-6754: Ebola Virus Infe...
- Sensors, Vol. 15, Pages 31987-31998: Synthesis and...
- Energies, Vol. 8, Pages 14407-14426: Life is Short...
- Materials, Vol. 8, Pages 8860-8867: Efficiency Enh...
- An optimized and validated 1H NMR method for the q...
- New approach to the fast screening of plant oil sa...
- Upconversion luminescence tracking of gene deliver...
- Magnetic solid-phase extraction of phthalate ester...
- A handheld laser-induced fluorescence detector for...
- Novel molecularly-imprinted solid-phase microextra...
- Enhancement of Cognitive Functions by Aronia melan...
- Synthetic High-Density Lipoprotein-Like Nanocarrie...
- Tunable Microfibers Suppress Fibrotic Encapsulatio...
- Tissue Engineering for Pediatric Applications
- Delivery of a Cell Patch of Cocultured Endothelial...
- 2015 Lifetime Achievement Award of Tissue Engineer...
- A heterotrimer model of the complete Microprocesso...
- Tunable Microfibers Suppress Fibrotic Encapsulatio...
- Tissue Engineering for Pediatric Applications
- Neonatal Transcutaneous Carbon Dioxide Monitoring—...
- The Role of Mean Platelet Volume in Chronic Obstru...
- Asthma Control Assessment Tools
- Effects of Inspiratory Muscle Training and Calisth...
- Circumstances When Arterial Blood Gas Analysis Can...
- Cough Augmentation in Subjects With Duchenne Muscu...
- Supramolecular recognition control of polyethylene...
- Study of Molecular Adsorption of Cationic Surfacta...
- Development of a novel bacteriophage based biomagn...
- Measuring Global Brain Atrophy with the Brain Volu...
- The Uluzzian technology of Grotta di Fumane and it...
- Editorial Board
- Main Trunk and Division Middle Cerebral Artery Occ...
- JDB, Vol. 3, Pages 177-192: Role of Chondrocytes i...
- Education Sciences, Vol. 5, Pages 413-439: Reading...
- Highly CO2 sensitive extruded fluorescent plastic ...
- Remote Sensing, Vol. 7, Pages 17234-17245: Validat...
- Metals, Vol. 5, Pages 2413-2427: Direct Aqueous Mi...
- Healthcare, Vol. 3, Pages 1271-1283: Psychosocial ...
- Viruses, Vol. 7, Pages 6716-6729: Mechanisms of He...
- Marine Drugs, Vol. 13, Pages 7446-7462: Low-Molecu...
- Information, Vol. 6, Pages 880-894: An Interval-Va...
- Cancers, Vol. 7, Pages 2466-2485: Oncogenic MicroR...
- IJGI, Vol. 4, Pages 2842-2889: Applications of 3D ...
- IJERPH, Vol. 12, Pages 16043-16059: Effectiveness ...
- Religions, Vol. 6, Pages 1411-1432: The Catholic B...
- Veterinary Sciences, Vol. 2, Pages 456-476: Effica...
- Nanomaterials, Vol. 5, Pages 2348-2358: Size Effec...
- Water, Vol. 7, Pages 7066-7077: Reducing Agricultu...
- Nanomaterials, Vol. 5, Pages 2335-2347: Facile and...
-
▼
Δεκ 18
(50)
-
▼
Δεκεμβρίου
(940)
Αναζήτηση αυτού του ιστολογίου
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
Alimentary Pharmacology &Therapeutics, EarlyView. https://ift.tt/2qECBIJ
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.