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Intermediate Catheters Reduce The Length Of Mechanical Thrombectomy Procedures In Acute Basilar Artery Occlusions

R. Mühl-Benninghaus, H. Körner, A. Simgen, W. Reith, U. Yilmaz
Published 2014 · Medicine

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Background and PurposeIn the past years, technical developments have raised recanalization rates of endovascular treatments of intracerebral artery occlusions in acute ischemic stroke. By using stent retrievers, several prospective trials have reported recanalization rates up to 79 % as well as good neurological outcome in up to 58 % of the cases. The degree of the recanalization and the length of the procedure are factors known to influence the clinical outcome of patients treated endovascularly. Yet, still little is known about factors influencing the angiographic results of thrombectomy procedures. The purpose of this study was to investigate whether the use of intermediate catheters affects the angiographic results of thrombectomy procedures in basilar artery occlusions.Materials and MethodsA total of 47 consecutive patients with acute basilar artery occlusions who underwent endovascular treatment with stent retrievers in our department were retrospectively identified. We analyzed the angiographic data regarding the use of intermediate catheters, the lengths of the procedures, the number of passes of the stent retrievers, the angiographic results, and the site of access to the basilar artery.ResultsRecanalization with modified thrombolysis in cerebral infarction (mTICI) ≥ 2b was achieved in 74.5 %. Intermediate catheters were used in 13 cases. The mean length of the procedures was significantly shorter when intermediate catheters were used (44.8 ± 27.6 vs. 70.7 ± 41.4 min, P = .043). There were no significant differences in the number of passes or in the final mTICI scores.ConclusionsThe use of intermediate catheters significantly reduces the length of mechanical thrombectomy procedures in acute basilar artery occlusions.
This paper references
10.1161/01.STR.19.10.1216
Intra-arterial thrombolytic therapy improves outcome in patients with acute vertebrobasilar occlusive disease.
W. Hacke (1988)
10.1161/01.STR.27.5.875
Thrombolytic therapy of acute basilar artery occlusion. Variables affecting recanalization and outcome.
T. Brandt (1996)
10.1159/000063722
Endovascular Therapy of Acute Vertebrobasilar Occlusion: Early Treatment Onset as the Most Important Factor
B. Eckert (2002)
Outcome of acute vertebrobasilar occlusions treated with intra-arterial fibrinolysis in 180 patients.
G. Schulte-Altedorneburg (2006)
10.3174/ajnr.A0843
Revascularization Results in the Interventional Management of Stroke II Trial
T. Tomsick (2008)
10.1212/WNL.0b013e3181b9c847
Good clinical outcome after ischemic stroke with successful revascularization is time-dependent
P. Khatri (2009)
10.1016/S1474-4422(11)70229-0
Basilar artery occlusion
H. Mattle (2011)
10.1016/S0140-6736(12)61299-9
Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO 2): a randomised trial
R. Nogueira (2012)
10.3174/ajnr.A2896
Diagnosis of Recanalization of the Intracranial Artery Has Poor Inter-Rater Reliability
M. Bar (2012)
10.1016/S0140-6736(12)61384-1
Solitaire flow restoration device versus the Merci Retriever in patients with acute ischaemic stroke (SWIFT): a randomised, parallel-group, non-inferiority trial
J. Saver (2012)
10.1136/neurintsurg-2012-010629
Mechanical thrombectomy with the Solitaire device in acute basilar artery occlusion
I. Mourand (2013)
10.1159/000353990
Neurothrombectomy for the Treatment of Acute Ischemic Stroke: Results from the TREVO Study
O. Jansen (2013)
10.1161/STROKEAHA.113.001232
Prospective, Multicenter, Single-Arm Study of Mechanical Thrombectomy Using Solitaire Flow Restoration in Acute Ischemic Stroke
V. Pereira (2013)
10.3174/ajnr.A3202
Microcatheter to Recanalization (Procedure Time) Predicts Outcomes in Endovascular Treatment in Patients with Acute Ischemic Stroke: When Do We Stop?
A. Hassan (2013)
10.3174/ajnr.A3168
Technical Feasibility and Application of Mechanical Thrombectomy with the Solitaire FR Revascularization Device in Acute Basilar Artery Occlusion
P. Mordasini (2013)
10.3174/ajnr.A3329
Treatment of Acute Vertebrobasilar Occlusion Using Thrombectomy with Stent Retrievers: Initial Experience with 18 Patients
M. Espinosa de Rueda (2013)
10.3174/ajnr.A3796
Mechanical Thrombectomy with Stent Retrievers in Acute Basilar Artery Occlusion
M. Möhlenbruch (2014)



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