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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.20 No.3
- 발행연도
- 2018.1
- 수록면
- 168 - 175 (8page)
이용수
초록· 키워드
오류제보하기
Objective : Protocols for posterior circulation ischemic stroke have not been established by randomized clinical trials. Mechanical endovascular thrombectomy (MET) devices are evolving, and many of these devices already developed or in development are suitable for posterior circulation MET. Materials and Methods : We investigated the medical records of patients who underwent MET for posterior circulation ischemic stroke from January 2012 to August 2016. Fifteen patients were included. MET was performed in patients with or without injected intravenous tissue plasminogen activator. MET was considered in patients with a National Institute of Health Stroke Scale score of 4 or more, older than 18 years, with definite occlusion of the basilar artery or posterior cerebral artery (PCA), and who arrived at the hospital within 24 hours from onset. Results : The direct catheter aspiration technique was used in five cases, and the stent retrieval technique was used in seven cases. The stent retrieval technique with the direct aspiration technique was used in three cases. Recanalization failed in two cases. Basilar occlusion without PCA involvement is the only effective factor of successful recanalization (p = 0.03). Successful recanalization (p = 0.005) and the presence of a posterior communicating artery (p = 0.005) affected the good outcome at discharge. Conclusion : An early diagnosis and active MET may improve the patient outcome. MET may help recanalization and good flow restoration and the potential for a good outcome.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Albers GW / 2018 / Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging / N Engl J Med 378(8):708~718
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372(1):11~20
Campbell BC / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372(11):1009~1018
Chalela JA / 2000 / Magnetic resonance perfusion imaging in acute ischemic stroke using continuous arterial spin labeling / Stroke 31(3):680~687
Cross DT 3rd / 1998 / Collateral circulation and outcome after basilar artery thrombolysis / AJNR Am J Neuroradiol 19(8):1557~1563
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372(1):11~20
Campbell BC / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372(11):1009~1018
Chalela JA / 2000 / Magnetic resonance perfusion imaging in acute ischemic stroke using continuous arterial spin labeling / Stroke 31(3):680~687
Cross DT 3rd / 1998 / Collateral circulation and outcome after basilar artery thrombolysis / AJNR Am J Neuroradiol 19(8):1557~1563
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