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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 352 - 356 (5page)
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초록· 키워드
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Objective : The efficacy and safety of manual aspiration thrombectomy using Penumbra in an acute occlusion of large intracranial arteries has been proven in many previous studies. Our study aimed to retrospectively assess the efficacy and safety of manual aspiration thrombectomy using Penumbra in patients with small vessel occlusions (M2 segment of the MCA). Methods : We conducted a retrospective review of 32 patients who underwent manual aspiration thrombectomy using the Penumbra 4 MAX Reperfusion Catheter for treatment of an M2 occlusion between January 2013 and November 2014. We evaluated immediate angiographic results and clinical outcomes through review of patient electronic medical records. Results : There were slightly more men in this study (M : F=18 : 14) and the median age was 72.5 (age range : 41-90). The rate of successful recanalization (TICI grade ${\geq}2b$) was 84% (27/32). NIHSS at discharge and favorable clinical outcomes at 3 months were significantly improved than baseline. Median initial NIHSS score was 10 (range : 4-25) and was 4 (range : 0-14) at discharge. Favorable clinical outcomes (mRS score ${\leq}2$ at 3 months) were seen in 25 out of 32 patients (78%). There were no procedure-related symptomatic intracerebral hemorrhages. One patient expired after discharge due to a cardiac problem. Conclusion : Manual aspiration thrombectomy might be safe and is capable of achieving a high rate of successful recanalization and favorable clinical outcomes in patients with distal cerebral vessel occlusion (M2).
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등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Broderick JP / 2013 / Endovascular therapy after intravenous t-PA versus t-PA alone for stroke / N Engl J Med 368:893~903
Flores A / 2015 / Endovascular treatment for M2 occlusions in the era of stentrievers : a descriptive multicenter experience / J Neurointerv Surg 7:234~237
Hacke W / 2008 / Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke / N Engl J Med 359:1317~1329
2007 / IMS II Trial Investigators : The Interventional Management of Stroke (IMS) II Study / Stroke 38:2127~2135
Jankowitz B / 2012 / Manual aspiration thrombectomy : adjunctive endovascular recanalization technique in acute stroke interventions / Stroke 43:1408~1411
Flores A / 2015 / Endovascular treatment for M2 occlusions in the era of stentrievers : a descriptive multicenter experience / J Neurointerv Surg 7:234~237
Hacke W / 2008 / Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke / N Engl J Med 359:1317~1329
2007 / IMS II Trial Investigators : The Interventional Management of Stroke (IMS) II Study / Stroke 38:2127~2135
Jankowitz B / 2012 / Manual aspiration thrombectomy : adjunctive endovascular recanalization technique in acute stroke interventions / Stroke 43:1408~1411
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