دورية أكاديمية
Primary Stenting for Acute Ischemic Stroke Using the Enterprise Intracranial Stent: 2-Year Results of a Phase-I Trial.
| العنوان: | Primary Stenting for Acute Ischemic Stroke Using the Enterprise Intracranial Stent: 2-Year Results of a Phase-I Trial. |
|---|---|
| المؤلفون: | Natarajan SK; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA., Sonig A; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA., Mocco J; Departments of Neurological Surgery and Radiology and Radiological Sciences, Mount Sinai Health System, New York City, NY, USA., Dumont TM; Division of Neurosurgery, Department of Surgery, The University of Arizona, Tucson, AZ, USA., Thind H; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA., Hartney ML; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA., Snyder KV; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA ; Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA., Hopkins LN; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA ; Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA ; Jacobs Institute, Buffalo, NY, USA., Siddiqui AH; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA ; Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA ; Jacobs Institute, Buffalo, NY, USA., Levy EI; Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Department of Neurosurgery, Gates Vascular Institute/Kaleida Health, Buffalo, NY, USA ; Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA ; Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, Buffalo, NY, USA. |
| المصدر: | Journal of vascular and interventional neurology [J Vasc Interv Neurol] 2015 Jul; Vol. 8 (3), pp. 62-7. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Zeenat Qureshi Stroke Research Center Country of Publication: United States NLM ID: 101511381 Publication Model: Print Cited Medium: Print ISSN: 1941-5893 (Print) Linking ISSN: 19415893 NLM ISO Abbreviation: J Vasc Interv Neurol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Minneapolis, MN : Zeenat Qureshi Stroke Research Center, ©2008- |
| مستخلص: | Background: The preliminary results of a prospective consecutive series of 20 patients who underwent Enterprise-assisted recanalization for acute ischemic stroke were recently reported. Recanalization to thrombolysis in myocardial infarction (TIMI) grade 2 (n = 6) or 3 (n = 12) flow was achieved in 18 patients (90% revascularization rate). Good outcome (modified Rankin Scale [mRS] score of ≤2) was obtained in 10 patients (50%) at 30 days. Here, we report the 2-year clinical follow-up data for patients enrolled in that prospective study. Methods: Study patients were scheduled for examinations 2 years postprocedure at which time mRS and Barthel indices were obtained. Results: Among 12 survivors at 2 years, 11 of the 20 (55%) study patients improved to mRS score ≤2 and 1 (5%) patient was disabled with an mRS 4. Of the 11 patients with mRS 0-2 scores, 10 patients had a Barthel index of 100, and the 11th had a Barthel index of 95. One patient improved from mRS 3 to 2 during the interval between the 6- and 12-month postintervention evaluations after intervention. Eight of 13 (62%) survivors underwent follow-up imaging at 6 months without evidence of instent stenosis or thrombosis. Conclusion: At 2 years of follow-up, improvement in quality of life after acute stroke intervention was sustained; and 11 of 12 (92%) survivors had an excellent functional outcome. Improvement in functional status can occur even up to 1 year after stroke intervention. These results 2 years after acute stroke intervention demonstrate sustained benefit from acute intervention. Abbreviations: AISacute ischemic strokeCTcomputed tomographicFDAFood and Drug AdministrationIVintravenousMCAmiddle cerebral arterymRSmodified Rankin ScaleNIHSSNational Institutes of Health Stroke Scale ScoreSWIFTSolitaire FR With the Intention For Thrombectomy (SWIFT)TIMIthrombolysis in myocardial infarctiontPAtissue plasminogen activatorTREVOThrombectomy REvascularization of large Vessel Occlusions. |
| References: | Stroke. 2009 Nov;40(11):3552-6. (PMID: 19696415) N Engl J Med. 2013 Mar 7;368(10 ):914-23. (PMID: 23394476) Stroke. 2008 Jun;39(6):1770-3. (PMID: 18388338) J Neurointerv Surg. 2015 Jan;7(1):2-7. (PMID: 24385554) Neuroradiology. 2013 May;55(5):629-38. (PMID: 23386222) Neurosurgery. 2014 Sep;75(3):215-9; discussion 219. (PMID: 24818784) N Engl J Med. 2013 Mar 7;368(10):893-903. (PMID: 23390923) JAMA. 1999 Dec 1;282(21):2003-11. (PMID: 10591382) Neurosurgery. 2011 Aug;69(2):369-75. (PMID: 21499154) Stroke. 2010 Aug;41(8):1836-40. (PMID: 20538693) Neurosurgery. 2011 Oct;69(4):908-13; discussion 913-4. (PMID: 21670718) Lancet. 2012 Oct 6;380(9849):1241-9. (PMID: 22932715) AJNR Am J Neuroradiol. 2009 Sep;30(8):1532-3. (PMID: 19279279) N Engl J Med. 2015 Jan 1;372(1):11-20. (PMID: 25517348) Lancet. 2012 Oct 6;380(9849):1231-40. (PMID: 22932714) J Neurointerv Surg. 2010 Mar;2(1):16-22. (PMID: 21990553) Stroke. 2007 Oct;38(10):2633-9. (PMID: 17702958) AJNR Am J Neuroradiol. 2008 Aug;29(7):1409-13. (PMID: 18499798) N Engl J Med. 2013 Mar 7;368(10):904-13. (PMID: 23387822) J Neurointerv Surg. 2014 Jun;6(5):363-72. (PMID: 23821672) Neurosurgery. 2011 Oct;69(4):915-20; discussion 920. (PMID: 21552168) Neurosurgery. 2012 Jan;70(1):245-52; discussion 252. (PMID: 21788918) |
| فهرسة مساهمة: | Keywords: Enterprise; acute ischemic stroke; intracranial stent; large vessel occlusion; prospective study; revascularization; thrombectomy |
| تواريخ الأحداث: | Date Created: 20150825 Date Completed: 20150824 Latest Revision: 20200928 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4535596 |
| PMID: | 26301034 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5893 |
|---|