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Predictors of Catastrophic Outcome after Endovascular Thrombectomy in Elderly Patients with Acute Anterior Circulation Stroke

Ahn Y, Kim SK, Baek BH, Lee YY, Lee HJ, Yoon W

OBJECTIVE: Avoiding a catastrophic outcome may be a more realistic goal than achieving functional independence in the treatment of acute stroke in octogenarians. This study aimed to investigate predictors of...
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Emergency management of stroke in the era of mechanical thrombectomy

Brandler E, Baksh N

Emergency management of stroke has been directed at the delivery of recombinant tissue plasminogen activator (tPA) in a timely fashion. Because of the many limitations attached to the delivery of...
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Endovascular Thrombectomy for Distal Occlusion Using a Semi-Deployed Stentriever: Report of 2 Cases and Technical Note

Wan Y, Yang IH, Orru E, Krings T, Tsang AC

Distal intracranial occlusions can sometimes cause significant neurological deficits. Endovascular thrombectomy in these vessels may improve outcome but carry a higher risk of haemorrhagic complications due to the small calibre...
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Efficacy of Combining Proximal Balloon Guiding Catheter and Distal Access Catheter in Thrombectomy with Stent Retriever for Anterior Circulation Ischemic Stroke

Kim SH, Choi JH, Kang MJ, Cha JK, Kim DH, Nah HW, Park HS, Kim SH, Huh JT

OBJECTIVE: We evaluated efficacy of combining proximal balloon guiding catheter (antegrade flow arrest) and distal access catheter (aspiration at the site of occlusion) in thrombectomy for anterior circulation ischemic stroke. METHODS:...
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The Effects of Balloon-Guide Catheters on Outcomes after Mechanical Thrombectomy in Acute Ischemic Strokes: A Meta-Analysis

Ahn JH, Cho SS, Kim SE, Kim HC, Jeon JP

OBJECTIVE: Mechanical thrombectomies with balloon-guide catheters (BGC) are thought to improve successful recanalization rates and to decrease the incidence of distal emboli compared to thrombectomies without BGC. We aimed to...
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The Clinical Benefit and Care Burden of Extending the Window of Endovascular Thrombectomy for Stroke in the Emergency Room

Yang W, Kang DW, Gook HS, Ha S, Lee SH

BACKGROUND AND PURPOSE: The recent successes of the DAWN and DEFUSE 3 trials have extended the therapeutic time window for endovascular treatment (EVT). Accordingly, an increased care burden and clinical...
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Successful Mechanical Thrombectomy Using Solumbra Technique In a 35-year-old Man With Achondroplasia: a case report

Cho JS, Kim SU, Kim HJ, Yang JH, Lee IW, Lee HJ

BACKGROUND: Achondroplasia is one of the most common types of dwarfism and is inherited as an autosomal dominant disease. The patients with achondroplasia suffer from various complications such as craniofacial,...
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Recanalization before Thrombectomy in Tenecteplase vs. Alteplase-Treated Drip-and-Ship Patients

Seners P, Caroff J, Chausson N, Turc G, Denier C, Piotin M, Aghasaryan M, Alecu C, Chassin O, Lapergue B, Naggara O, Ferrigno M, Arquizan C, Cho TH, Narata AP, Richard S, Bricout N, Mazighi M, Costalat V, Gory B, Debiais S, Consoli A, Bracard S, Oppenheim , Mas JL, Smadja D, Spelle L, Baron JC

No abstract available.
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Does Clot Burden Score on Baseline T2*-MRI Impact Clinical Outcome in Acute Ischemic Stroke Treated with Mechanical Thrombectomy?

Derraz I, Bourcier R, Soudant M, Soize S, Hassen WB, Hossu G, Clarencon , Derelle AL, Tisserand , Raoult H, Legrand L, Bracard S, Oppenheim , Naggara O

BACKGROUND AND PURPOSE: A long clot, defined by a low (0-6) clot burden score (CBS) assessed by T2*-MR sequence, is associated with worse clinical outcome after intravenous thrombolysis (IVT) for...
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Estimation of Acute Infarct Volume with Reference Maps: A Simple Visual Tool for Decision Making in Thrombectomy Cases

Kim DE, Ryu WS, Schellingerhout D, Jeong H, Kim P, Jeong SW, Park MS, Choi KH, Kim JT, Kim BJ, Han MK, Lee J, Cha JK, Kim DH, Nah HW, Lee SJ, Kim JG, Hong KS, Cho YJ, Park HK, Lee BC, Yu KH, Oh MS, Park JM, Kang K, Lee KB, Park TH, Park SS, Lee YS, Bae HJ

BACKGROUND AND PURPOSE: Thrombectomy within 24 hours can improve outcomes in selected patients with a clinical-infarct mismatch. We devised an easy-to-use visual estimation tool that allows infarct volume estimation in...
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The Aspirations of Direct Aspiration for Thrombectomy in Ischemic Stroke: A Critical Analysis

Andersson , Wiesmann M, Nikoubashman O, Gopinathan A, Bhogal P, Yeo LL

The treatment of acute ischemic stroke by mechanical thrombectomy has been revolutionary, however most of the clinical trials were done with the use a stent retriever. At the same time,...
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Intravenous Thrombolysis Prior to Mechanical Thrombectomy in Acute Ischemic Stroke: Silver Bullet or Useless Bystander?

Di Maria F, Mazighi M, Kyheng M, Labreuche , Rodesch G, Consoli A, Coskun O, Gory B, Lapergue B, on behalf of the ETIS (Endovascular Treatment in Ischemic Stroke) Study Group

BACKGROUND AND PURPOSE: Recent single-center series and meta-analyses suggest that mechanical thrombectomy (MT) without prior intravenous thrombolysis (IVT) might be equally effective to bridging therapy. We analyzed, within the Endovascular...
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Higher Blood Pressure during Endovascular Thrombectomy in Anterior Circulation Stroke Is Associated with Better Outcomes

Pikija S, Trkulja V, Ramesmayer C, Mutzenbach JS, Killer-Oberpfalzer M, Hecker C, Bubel N, Füssel MU, Sellner J

BACKGROUND AND PURPOSE: Reports investigating the relationship between in-procedure blood pressure (BP) and outcomes in patients undergoing endovascular thrombectomy (EVT) due to anterior circulation stroke are sparse and contradictory. METHODS: Consecutive...
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Contact Aspiration versus Stent-Retriever Thrombectomy for Distal Middle Cerebral Artery Occlusions in Acute Ischemic Stroke: Meta-Analysis

Phan K, Maingard J, Kok HK, Dmytriw AA, Goyal S, Chandra R, Brooks DM, Thijs V, Asadi H

PURPOSE: The evidence for endovascular therapy and choice of technique in distal middle cerebral artery (MCA) M2 segment occlusions in acute ischemic stroke remains controversial. We aimed to conduct a...
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Implications of Mechanical Endovascular Thrombectomy for Acute Basilar and Posterior Cerebral Artery Occlusion

Lee HN, Kim BT, Im SB, Hwang SC, Jeong JH, Chung MY, Park JH, Shin DS

OBJECTIVE: Protocols for posterior circulation ischemic stroke have not been established by randomized clinical trials. Mechanical endovascular thrombectomy (MET) devices are evolving, and many of these devices already developed or...
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Mechanical Thrombectomy for Acute Ischemic Stroke with Middle Cerebral Artery Occlusion in 11-year-old Patient

Ryu JC, Kwon JH, Kwon SC, Kim WJ

No abstract available.
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Mechanical Thrombectomy in Strokes with Large-Vessel Occlusion Beyond 6 Hours: A Pooled Analysis of Randomized Trials

Vidale S, Longoni M, Valvassori L, Agostoni E

BACKGROUND AND PURPOSE: Mechanical thrombectomy with or without intravenous thrombolysis is indicated in the acute treatment of ischemic strokes caused by an emergent large-vessel occlusion (ELVO) within 6 hours from...
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Successful Endovascular Thrombectomy in a Patient with Monocular Blindness Due to Thrombus of the Ophthalmic Artery Orifice

Jang SH, Sohn SI, Yoo J, Hong JH

BACKGROUND: Retinal artery occlusion can lead to sudden visual loss without pain. The acute management of retinal artery occlusion remains unresolved. CASE REPORT: A 65-year-old male was hospitalized to an emergency...
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Nationwide Estimation of Eligibility for Endovascular Thrombectomy Based on the DAWN Trial

Lee KJ, Kim BJ, Kim DE, Ryu WS, Han MK, Kim JT, Choi KH, Cho KH, Cha JK, Kim DH, Nah HW, Park JM, Kang K, Lee SJ, Kim JG, Oh MS, Yu KH, Lee BC, Hong KS, Cho YJ, Park TH, Lee KB, Lee J, Lee JS, Lee J, Bae HJ, Clinical Research Collaboration for Stroke in Korea (CRCS-K) Investigators

No abstract available.
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Cell free DNA: A Novel Predictor of Neurological Outcome after Intravenous Thrombolysis and/or Mechanical Thrombectomy in Acute Ischemic Stroke Patients

Vajpeyee A, Wijatmiko , Vajpeyee M, Taywade O

PURPOSE: Several blood markers have been evaluated in stroke patients, but their role remains limited in clinical practice. This study was designed to evaluate the utility of cell free DNA...
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