지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Background and Purpose The goal of stent retriever–based thrombectomy is removal of embolic clots in patients with intracranial large artery occlusion. However, outcomes of stent retrieval may differ between acute arterial occlusions due to intracranial atherosclerotic disease (IAD) and those due to embolism. This case series describes the outcomes of stent retriever–based thrombectomy and rescue treatments in 9 patients with IAD-related occlusion.
Methods Among patients who underwent endovascular treatment for acute intracranial large artery occlusion, those in whom stent retrieval was attempted as first-line treatment were included in this review. IAD was defined as significant fixed focal stenosis at the occlusion site, which was evident on final angiographic assessment or observed during endovascular treatment.
Results Median number of stent retriever passes was 2 (range, 1-3), and temporary bypass was seen in all patients. Immediate partial recanalization (arterial occlusive lesion grade 2-3) was observed in 7 patients. Immediate modified thrombolysis in cerebral infarction grade 2b-3 was seen in 6 patients, but the lesions often required rescue treatment due to reocclusion or flow insufficiency. In terms of rescue treatments, angioplasty and intra-arterial tirofiban infusion seemed to be effective.
Conclusions Our findings suggest that stent retrieval can effectively remove thrombi from stenotic lesions and achieve partial recanalization despite the tendency toward reocclusion in most patients with IAD-related occlusion. Further research into the use of rescue treatments, such as tirofiban infusion and angioplasty, is warranted.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group / 1995 / Tissue plasminogen activator for acute ischemic stroke / N Engl J Med 333:1581~1587
Hacke W / 2008 / Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke / N Engl J Med 359:1317~1329
Bhatia R / 2010 / Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke : Real-world experience and a call for action / Stroke 41:2254~2258
Heo JH / 2003 / Immediate reocclusion following a successful thrombolysis in acute stroke : a pilot study / Neurology 60:1684~1687
김종성 / 2014 / Research on Intracranial Atherosclerosis from the East and West: Why Are the Results Different? / 대한뇌졸중학회지 16(3):105~113
Hacke W / 2008 / Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke / N Engl J Med 359:1317~1329
Bhatia R / 2010 / Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke : Real-world experience and a call for action / Stroke 41:2254~2258
Heo JH / 2003 / Immediate reocclusion following a successful thrombolysis in acute stroke : a pilot study / Neurology 60:1684~1687
김종성 / 2014 / Research on Intracranial Atherosclerosis from the East and West: Why Are the Results Different? / 대한뇌졸중학회지 16(3):105~113
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Angioplasty, Stenting and Other Potential Treatments of Atherosclerotic Stenosis of the Intracranial Arteries: Past, Present and Future
대한뇌졸중학회지
2017 .01
-
Causes and Solutions of Endovascular Treatment Failure
대한뇌졸중학회지
2017 .01
-
Intracranial Stenting; the Current Landscape
Neurointervention
2021 .01
-
Intracranial Artery Stenting May Not Improve Cognitive Function: A Preliminary Study
대한뇌졸중학회지
2016 .01
-
Bench-Top Comparison of Three Different Types of Stents Used for Treatment of Intracranial Atherosclerotic Stenosis
Neurointervention
2020 .01
-
Prognosis of Acute Intracranial Atherosclerosis- Related Occlusion after Endovascular Treatment
대한뇌졸중학회지
2018 .01
-
Intraarterial therapy for middle cerebral artery dissection with intramural hematoma detection on susceptibilityweighted imaging
Journal of Neurocritical Care
2019 .01
-
Mechanisms of Biliary Plastic Stent Occlusion and Efforts at Prevention
Clinical Endoscopy
2016 .01
-
Intracranial stenting compared to medical treatment alone for intracranial atherosclerosis patients: An updated meta-analysis
Journal of Cerebrovascular and Endovascular Neurosurgery
2024 .07
-
Wingspan Stenting for Symptomatic Severe In-Stent Stenosis of a Closed-Cell Stent after Stent-Assisted Coiling of a Ruptured Intracranial Aneurysm
Yonsei Medical Journal
2021 .01
-
Endovascular Management of Intracranial Aneurysms: Advances in Stenting Techniques and Technology
Journal of Cerebrovascular and Endovascular Neurosurgery
2015 .01
-
Cerebral Arterial Calcification Is an Imaging Prognostic Marker for Revascularization Treatment of Acute Middle Cerebral Arterial Occlusion
대한뇌졸중학회지
2015 .01
-
Angiographic and Clinical Factors Related with Good Functional Outcome after Mechanical Thrombectomy in Acute Cerebral Artery Occlusion
대한신경외과학회지
2015 .01
-
Endovascular Thrombectomy for Distal Occlusion Using a Semi-Deployed Stentriever: Report of 2 Cases and Technical Note
Neurointervention
2019 .01
-
Analysis of trends and prospects regarding stents for human blood vessels
생체재료학회지
2018 .03
-
Prospective Multicenter Study of the Challenges Inherent in Using Large Cell-Type Stents for Bilateral Stent-in-Stent Placement in Patients with Inoperable Malignant Hilar Biliary Obstruction
Gut and Liver
2018 .01
-
Coronary Stent Infection Presented as Recurrent Stent Thrombosis
Yonsei Medical Journal
2017 .01
-
Comparative Analysis of Endovascular Stroke Therapy Using Urokinase, Penumbra System and Retrievable (Solitare) Stent
대한신경외과학회지
2015 .01
-
Clinical Outcomes of Mechanical Thrombectomy in Stroke Tandem Lesions According to Intracranial Occlusion Location
대한뇌졸중학회지
2021 .01
-
Comparison of Angiographic Outcomes of Side Branch Ostium at Bifurcation Coronary Lesion between Two-stent and One-stent Techniques
Journal of Korean Medical Science
2015 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0