E-001 Comparison of Clinical Outcomes in Patients with Anterior Circulation Acute Ischemic Strokes Treated with Mechanical Thrombectomy using the ADAPT Technique Only versus ADAPT with Solumbra Salvage
| العنوان: | E-001 Comparison of Clinical Outcomes in Patients with Anterior Circulation Acute Ischemic Strokes Treated with Mechanical Thrombectomy using the ADAPT Technique Only versus ADAPT with Solumbra Salvage |
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| المؤلفون: | M Young, A Milner, Maximilian Mulder, T Hehr, R Tarrel, Yasha Kayan, J Delgado Almandoz, Jill M Scholz, P Roohani, Jennifer L Fease |
| المصدر: | Journal of NeuroInterventional Surgery. 8:A44-A45 |
| بيانات النشر: | BMJ, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Ischemic strokes, Penumbra, General Medicine, Neurovascular bundle, Surgery, Mechanical thrombectomy, Modified Rankin Scale, Radiological weapon, Cohort, Medicine, In patient, Neurology (clinical), business |
| الوصف: | Purpose To compare procedural and clinical outcomes in patients with anterior circulation acute ischemic strokes treated with mechanical thrombectomy using ADAPT technique only or ADAPT with Solumbra salvage. Materials and methods We restrospectively reviewed a consecutive cohort of patients with anterior circulation acute ischemic strokes treated with mechanical thrombectomy using ADAPT technique only or ADAPT with Solumbra salvage at our institution between March 11th, 2013 and December 31st, 2015. Baseline clinical and radiological characteristics and procedural variables were recorded. Clinical outcomes at 90 days were recorded using the modified Rankin Scale (mRS). Results Fifty-nine patients were included, 33 male (56%). Mean age 67.1 years, mean admission NIHSS 19.1. Forty-six patients were treated with ADAPT only (78%) and 13 with ADAPT with Solumbra salvage (22%). Table 1 summarizes baseline clinical and radiological characteristics. There was a trend towards a higher proportion of patients with ICA terminus thrombi in the ADAPT with Solumbra salvage group (69.2%, p-value 0.054). Table 2 summarizes the procedural variables. There was a significantly-lower mean time from puncture to reperfusion in the ADAPT only group (29.5 minutes) compared to the ADAPT with Solumbra salvage group (85.1 minutes, p-value Conclusion Among patients treated with mechanical thrombectomy using an ADAPT-first approach, those requiring Solumbra salvage had significantly-higher rates of unfavorable clinical outcome and death at 90 days. Disclosures J. Delgado Almandoz: 2; C; Medtronic Neurovascular, Penumbra, Inc. Y. Kayan: 2; C; Medtronic Neurovascular, Penumbra, Inc. M. Young: None. J. Fease: None. J. Scholz: None. A. Milner: None. P. Roohani: None. T. Hehr: None. M. Mulder: None. R. Tarrel: None. |
| تدمد: | 1759-8486 1759-8478 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::d6fd6b6bb54a4fec31fb340c35b1fbb4 https://doi.org/10.1136/neurintsurg-2016-012589.73 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........d6fd6b6bb54a4fec31fb340c35b1fbb4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17598486 17598478 |
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