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21 May 2021: Clinical Research

Aspiration Thrombectomy in Patients with Large Vessel Occlusion and Mild Stroke: A Single-Center Experience

Jozef Haring 12ABEF , Miroslav Mako 13BC , Ján Haršány 24BC , Georgi Krastev 1ADF , Matúš Hoferica 4BCD , Andrej Klepanec 4ADEF*

DOI: 10.12659/MSM.930014

Med Sci Monit 2021; 27:e930014

Table 2 Radiological findings, logistics, outcome measures.

All patients, n=27Anterior circulation, n=19Posterior circulation, n=8P value
Occlusion site, n (%)
 Carotid T, distal ICA1 (3.7)1 (3.7)
 Tandem ICA+MCA3 (11.1)3 (11.1)
 M1 MCA6 (22.2)6 (22.2)
 M2 MCA9 (33.3)9 (33.3)
 PCA5 (18.5)5 (18.5)
 Basilar3 (11.1)3 (11.1)
Intravenous tPA, n (%)13 (48.1)8 (42.1)5 (62.5)0.34
Door-to-needle time, min, mean±SD61.7±36.451.4±3882.25±25.50.047
Door-to-image time, min, mean±SD20.9±26.224.2±29.410.8±6.70.22
Door-to-groin puncture time, min, mean±SD137±82.3129.8±84.4154.7±82.60.49
Groin-to-recanalization time, min, mean±SD20.6±10.119.8±8.722.4±13.10.55
Mothership, n (%)17 (63)13 (68.4)4 (50)0.38
Drip-and-ship, n (%)10 (37)6 (31.6)4 (50)0.38
TICI 2b-3 recanalization, n (%)25 (92.6)17 (89.5)8 (100)0.35
sICH - ECASS 3, n (%)1 (3.7)0 (0)1 (12.5)0.12
ADAPT, n (%)25 (92.6)18 (94.7)7 (87.5)0.52
Rescue stentumbra, n (%)2 (7.4)1 (5.3)1 (12.5)0.52
PTA periprocedural, n (%)1 (3.7)1 (5.3)0 (0)0.51
No. of attempts, mean±SD1.4±0.61.3±0.61.5±0.530.42
Periprocedural stenting, n (%)2 (7.4)2 (10.5)0 (0)0.35
Good outcome (mRs score 0–2), n (%)21 (77.8)15 (78.9)6 (75)0.83
Excellent outcome (mRs score 0–1), n (%)18 (66.7)14 (73.7)4 (50)0.24
Mortality, n (%)2 (7.4)1 (5.3)1 (12.5)0.52
ICA – internal carotid artery; MCA – middle cerebral artery; M1 MCA – M1 segment of the middle cerebral artery; M2 MCA – M2 segment of the middle cerebral artery; PCA – posterior cerebral artery; tPA – tissue plasminogen activator; SD – standard deviation; TICI – thrombolysis in cerebral infarction; sICH – symptomatic intracranial hemorrhage; ECASS 3 – European Cooperative Acute Stroke Study grade III; ADAPT – a direct aspiration first pass technique; PTA – percutaneous transluminal angioplasty; mRs – modified Ranking scale.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750