Matches in SemOpenAlex for { <https://semopenalex.org/work/W3170623218> ?p ?o ?g. }
Showing items 1 to 100 of
100
with 100 items per page.
- W3170623218 endingPage "e0252641" @default.
- W3170623218 startingPage "e0252641" @default.
- W3170623218 abstract "Mechanical thrombectomy using the stent-retriever in conjunction with the distal access catheter may improve the rates of successful revascularization and clinical outcomes in patients with acute stroke. We aimed to compare two different thrombectomy techniques, according to the position of the distal access catheter tip in the combined stent-retriever and aspiration approach.In this retrospective study, patients with middle cerebral artery occlusion treated with the combined technique were divided into two groups based on the tip position of the distal access catheter: distal group (catheter placed adjacent to the thrombus) and proximal group (catheter placed in the cavernous segment of the internal carotid artery below the ophthalmic artery). Baseline characteristics, angiographic results, and clinical outcomes were compared.Eighty-three patients (distal group, n = 45; proximal group, n = 38) were included. Higher complete reperfusion was observed in the distal group (unweighted analysis: 66.7% vs. 42.1%, p = 0.025; weighted analysis: 74.0% vs. 28.8%; p = 0.002). In the multivariate analysis, the distal tip position was independently associated with complete reperfusion (unweighted analysis: aOR, 4.10; 95% CI, 1.40-11.98; p = 0.01; weighted analysis: aOR, 5.20; 95% CI, 1.72-15.78; p = 0.004). The distal group also showed more favorable clinical outcomes and early neurological improvement (unweighted analysis: 62.2% vs. 55.3%; p = 0.521, 60% vs. 50%; p = 0.361, respectively; weighted analysis: 62.7% vs. 61.1%; p = 0.877, 66% vs. 45.7%; p = 0.062, respectively). However, more arterial dissections were observed in the distal group (8.9%, n = 4 vs. 2.6%, n = 1; p = 0.36). In the distal group, one patient with vascular injury died due to complications. No cases of emboli in new territory were observed.Distal tip position of the distal access catheter has a significant impact on reperfusion in patients with acute ischemic stroke. However, there was also a higher rate of vascular injury as the catheter was advanced further. If advancement to the target lesion is too difficult, placing it in the cavernous internal carotid artery may be a viable method without complications." @default.
- W3170623218 created "2021-06-22" @default.
- W3170623218 creator A5005487766 @default.
- W3170623218 creator A5007209680 @default.
- W3170623218 creator A5011346551 @default.
- W3170623218 creator A5016241392 @default.
- W3170623218 creator A5049406746 @default.
- W3170623218 creator A5091326410 @default.
- W3170623218 date "2021-06-10" @default.
- W3170623218 modified "2023-10-11" @default.
- W3170623218 title "Effect of distal access catheter tip position on angiographic and clinical outcomes following thrombectomy using the combined stent-retriever and aspiration approach" @default.
- W3170623218 cites W1969661146 @default.
- W3170623218 cites W2037399775 @default.
- W3170623218 cites W2050880768 @default.
- W3170623218 cites W2076139593 @default.
- W3170623218 cites W2098032054 @default.
- W3170623218 cites W2098121633 @default.
- W3170623218 cites W2114007800 @default.
- W3170623218 cites W2119542322 @default.
- W3170623218 cites W2134066226 @default.
- W3170623218 cites W2139621750 @default.
- W3170623218 cites W2143237216 @default.
- W3170623218 cites W2144861982 @default.
- W3170623218 cites W2170887792 @default.
- W3170623218 cites W2171058244 @default.
- W3170623218 cites W2336633840 @default.
- W3170623218 cites W2415230383 @default.
- W3170623218 cites W2620784760 @default.
- W3170623218 cites W2743337594 @default.
- W3170623218 cites W2755673174 @default.
- W3170623218 cites W2773582251 @default.
- W3170623218 cites W2791187944 @default.
- W3170623218 cites W2798084407 @default.
- W3170623218 cites W2883947385 @default.
- W3170623218 cites W2891389754 @default.
- W3170623218 cites W2900357547 @default.
- W3170623218 cites W2913673820 @default.
- W3170623218 cites W2936271879 @default.
- W3170623218 cites W2943444806 @default.
- W3170623218 cites W2986335210 @default.
- W3170623218 doi "https://doi.org/10.1371/journal.pone.0252641" @default.
- W3170623218 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8192018" @default.
- W3170623218 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34111176" @default.
- W3170623218 hasPublicationYear "2021" @default.
- W3170623218 type Work @default.
- W3170623218 sameAs 3170623218 @default.
- W3170623218 citedByCount "7" @default.
- W3170623218 countsByYear W31706232182022 @default.
- W3170623218 countsByYear W31706232182023 @default.
- W3170623218 crossrefType "journal-article" @default.
- W3170623218 hasAuthorship W3170623218A5005487766 @default.
- W3170623218 hasAuthorship W3170623218A5007209680 @default.
- W3170623218 hasAuthorship W3170623218A5011346551 @default.
- W3170623218 hasAuthorship W3170623218A5016241392 @default.
- W3170623218 hasAuthorship W3170623218A5049406746 @default.
- W3170623218 hasAuthorship W3170623218A5091326410 @default.
- W3170623218 hasBestOaLocation W31706232181 @default.
- W3170623218 hasConcept C126322002 @default.
- W3170623218 hasConcept C127413603 @default.
- W3170623218 hasConcept C141071460 @default.
- W3170623218 hasConcept C2776268601 @default.
- W3170623218 hasConcept C2778583881 @default.
- W3170623218 hasConcept C2780645631 @default.
- W3170623218 hasConcept C2781267111 @default.
- W3170623218 hasConcept C2781362458 @default.
- W3170623218 hasConcept C71924100 @default.
- W3170623218 hasConcept C78519656 @default.
- W3170623218 hasConceptScore W3170623218C126322002 @default.
- W3170623218 hasConceptScore W3170623218C127413603 @default.
- W3170623218 hasConceptScore W3170623218C141071460 @default.
- W3170623218 hasConceptScore W3170623218C2776268601 @default.
- W3170623218 hasConceptScore W3170623218C2778583881 @default.
- W3170623218 hasConceptScore W3170623218C2780645631 @default.
- W3170623218 hasConceptScore W3170623218C2781267111 @default.
- W3170623218 hasConceptScore W3170623218C2781362458 @default.
- W3170623218 hasConceptScore W3170623218C71924100 @default.
- W3170623218 hasConceptScore W3170623218C78519656 @default.
- W3170623218 hasIssue "6" @default.
- W3170623218 hasLocation W31706232181 @default.
- W3170623218 hasLocation W31706232182 @default.
- W3170623218 hasLocation W31706232183 @default.
- W3170623218 hasOpenAccess W3170623218 @default.
- W3170623218 hasPrimaryLocation W31706232181 @default.
- W3170623218 hasRelatedWork W1586374228 @default.
- W3170623218 hasRelatedWork W2003938723 @default.
- W3170623218 hasRelatedWork W2047967234 @default.
- W3170623218 hasRelatedWork W2118496982 @default.
- W3170623218 hasRelatedWork W2364998975 @default.
- W3170623218 hasRelatedWork W2369162477 @default.
- W3170623218 hasRelatedWork W2439875401 @default.
- W3170623218 hasRelatedWork W3081436973 @default.
- W3170623218 hasRelatedWork W4238867864 @default.
- W3170623218 hasRelatedWork W2525756941 @default.
- W3170623218 hasVolume "16" @default.
- W3170623218 isParatext "false" @default.
- W3170623218 isRetracted "false" @default.
- W3170623218 magId "3170623218" @default.
- W3170623218 workType "article" @default.