Title :

Thrombectomy in acute stroke with tandem occlusions from dissection versus atherosclerotic cause

Author(s) :

Gory, Benjamin [Auteur]
Piotin, Michel [Auteur]
Haussen, Diogo C. [Auteur]
Steglich-Arnholm, Henrik [Auteur]
Holtmannspotter, Markus [Auteur]
Labreuche, Julien [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Taschner, Christian [Auteur]
Eiden, Sebastian [Auteur]
Nogueira, Raul G. [Auteur]
Papanagiotou, Panagiotis [Auteur]
Boutchakova, Maria [Auteur]
Siddiqui, Adnan H. [Auteur]
Lapergue, Bertrand [Auteur]
Dorn, Franziska [Auteur]
Cognard, Christophe [Auteur]
Killer-Oberpfalzer, Monika [Auteur]
Mangiafico, Salvatore [Auteur]
Ribo, Marc [Auteur]
Behme, Daniel [Auteur]
Spiotta, Alejandro M. [Auteur]
Mazighi, Mikael [Auteur]
Turjman, Francis [Auteur]

Journal title :

Stroke

Abbreviated title :

Stroke

Volume number :

48

Pages :

3145-+

Publication date :

2017-11-01

ISSN :

0039-2499

English keyword(s) :

stents
atherosclerosis
carotid
dissection
thrombectomy
stroke

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Tandem steno-occlusive lesions were poorly represented in randomized trials and represent a major challenge for endovascular thrombectomy in acute anterior circulation strokes. The impact of the cervical carotid lesion ...
Show more >Tandem steno-occlusive lesions were poorly represented in randomized trials and represent a major challenge for endovascular thrombectomy in acute anterior circulation strokes. The impact of the cervical carotid lesion cause (ie, atherosclerotic versus dissection) on outcome of tandem patients endovascularly treated remains to be assessed. We retrospectively analyzed individual data of prospectively collected consecutive tandem patients treated with endovascular thrombectomy. The primary outcome was favorable outcome at 90 days (modified Rankin Scale score of 0-2). Secondary efficacy outcomes included successful reperfusion (modified Thrombolysis in Cerebrovascular Infarction scores of 2b-3), time to reperfusion, and safety outcomes encompassed procedural complications, symptomatic intracerebral hemorrhage, and 90-day mortality. Among the 295 included patients, 65 had cervical carotid dissection and 230 had cervical carotid atherosclerotic cause. The rate of favorable outcome was 56.3% in the dissection group versus 47.6% in the atherosclerotic arm (center-, age-, and admission National Institutes of Health Stroke Scale-adjusted odds ratio, 1.08; 95% confidence interval, 0.50-2.30; PPPPP We found no differences in the outcomes of patients with anterior circulation tandem atherosclerotic and dissection lesions treated with endovascular thrombectomy. Further studies are warranted.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T18:17:22Z