論文

国際誌
2021年11月

A Direct Aspiration First Pass Technique for Vertebra-Basilar Occlusion: A Retrospective Comparison to Stent Retriever.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
  • Koki Onodera
  • ,
  • Kota Kurisu
  • ,
  • Juro Sakurai
  • ,
  • Hajime Wada
  • ,
  • Seiji Takebayashi
  • ,
  • Tohru Kobayashi
  • ,
  • Rina Kobayshi
  • ,
  • Shuho Gotoh
  • ,
  • Katsumi Takizawa

30
11
開始ページ
106069
終了ページ
106069
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jstrokecerebrovasdis.2021.106069

OBJECTIVES: This study aimed to assess the clinical usefulness of a direct aspiration first pass technique as a first-line strategy for mechanical thrombectomy in posterior circulation. MATERIALS AND METHODS: We examined 34 consecutive patients treated with mechanical thrombectomy for acute vertebrobasilar artery occlusion. Procedural and clinical outcomes were assessed and compared between patients treated with a direct aspiration first pass technique first-line strategy (ADAPT group) and stent retriever system first-line strategy (stent retriever group). RESULTS: Overall, successful reperfusion, complete reperfusion, and first-pass effects were achieved in 94.1%, 61.8%, and 50% of patients with acute ischemic stroke in vertebra-basilar artery occlusion treated with mechanical thrombectomy, respectively. The ADAPT group required a significantly shorter procedural time (p=.015) and fewer attempts (p=.0498) to achieve successful recanalization than the stent retriever group. The ADAPT group also tended to show better recanalization rates and first-pass effects than the stent retriever group. The rates of favorable outcomes seemed to be better, although insignificant, in the ADAPT group than in the stent retriever group (52.2% vs. 27.3%, p=.217). However, a significant correlation between the time required for reperfusion and clinical outcome was detected, and this will serve as the rationale for encouraging a direct aspiration first pass technique as a first-line strategy in the acute vertebra-basilar artery. CONCLUSIONS: The a direct aspiration first pass technique first-line strategy for mechanical thrombectomy in posterior circulation may achieve successful recanalization with fewer attempts and shorter durations than the stent retriever first-line strategy.

リンク情報
DOI
https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106069
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34461445
ID情報
  • DOI : 10.1016/j.jstrokecerebrovasdis.2021.106069
  • PubMed ID : 34461445

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