دورية أكاديمية

Japan Trevo Registry: Real-world Registry of Stent Retriever Alone or in Combined Therapy with Aspiration Catheter for Acute Ischemic Stroke in Japan

التفاصيل البيبلوغرافية
العنوان: Japan Trevo Registry: Real-world Registry of Stent Retriever Alone or in Combined Therapy with Aspiration Catheter for Acute Ischemic Stroke in Japan
المؤلفون: Kazutaka UCHIDA, Nobuyuki SAKAI, Hiroshi YAMAGAMI, Kohei UEMURA, Hirotoshi IMAMURA, Masataka TAKEUCHI, Manabu SHIRAKAWA, Fumihiro SAKAKIBARA, Koichi HARAGUCHI, Naoto KIMURA, Kentaro SUZUKI, Junichi AYABE, Daisuke YAMAMOTO, Seigo SHINDO, Atsushi KIMOTO, Kenichi MORITA, Yoshinori AKIYAMA, Hidesato TAKEZAWA, Shingo TOYOTA, Kanta TANAKA, Shigen KASAKURA, Eisuke TSUKAGOSHI, Toshihiro UEDA, Shinichi YOSHIMURA, Japan Trevo Registry Investigators
المصدر: Neurologia Medico-Chirurgica, Vol 63, Iss 11, Pp 503-511 (2023)
بيانات النشر: The Japan Neurosurgical Society, 2023.
سنة النشر: 2023
المجموعة: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
مصطلحات موضوعية: large vessel occlusion, trevo retriever, intracranial hemorrhage, endovascular therapy, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Endovascular therapy (EVT) for real-world patients after extended time frames is associated with concerns about its efficacy and safety. We conducted a prospective registry at 77 centers between November 2019 and October 2020. The registry criteria included patients treated with Trevo Retriever alone or in combined therapy with an aspiration catheter. The primary outcome was effective reperfusion (thrombolysis in cerebral infarction grade 2b), the secondary outcome was a modified Rankin scale 0-2 at 90 days, and the safety outcomes were worsening of neurologic symptoms within 24 h postoperatively, intracranial hemorrhage (ICH) within 24 h after EVT and mortality. We also exlpored the difference between patients whose last known well time (LKWT) to a puncture was less than 6 h (0-6 h) and those whose LKWT was 6 h or more but less than 24 h (6-24 h). Among the 1041 patients registered, 1025 patients were analyzed. The mean age was 76.9 years, and 53.6% of the participants were males. The 6-24 h group was 206/998 (20.6%), the median National Institute of Health Stroke Scale (NIHSS) score at admission was 18, and the median Alberta Stroke Program Early CT score was 8. Combined technique as the first pass was used on 817 (79.7%) patients. The primary outcome was 934 (91.1%). The secondary outcome was 433/1021 (42.4%). Symptomatic ICH, any ICH, and mortality were 10/1019 (1.0%), 311/1019 (30.5%), and 75 (7.3%). In the subanalysis, the 6-24 h group was lower in NIHSS (median;18 vs 16), and the secondary outcome was not significantly different in the
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1349-8029
Relation: https://www.jstage.jst.go.jp/article/nmc/63/11/63_2023-0069/_pdf/-char/en; https://doaj.org/toc/1349-8029
DOI: 10.2176/jns-nmc.2023-0069
URL الوصول: https://doaj.org/article/f78de34a2937465983b74792e408ab2e
رقم الأكسشن: edsdoj.f78de34a2937465983b74792e408ab2e
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:13498029
DOI:10.2176/jns-nmc.2023-0069