21 May 2021 : Clinical Research
Aspiration Thrombectomy in Patients with Large Vessel Occlusion and Mild Stroke: A Single-Center Experience
Jozef Haring12ABEF, Miroslav Mako13BC, Ján Haršány24BC, Georgi Krastev1ADF, Matúš Hoferica4BCD, Andrej Klepanec4ADEF*DOI: 10.12659/MSM.930014
Med Sci Monit 2021; 27:e930014
Table 2 Radiological findings, logistics, outcome measures.
| All patients, n=27 | Anterior circulation, n=19 | Posterior circulation, n=8 | P value | |
|---|---|---|---|---|
| Occlusion site, n (%) | ||||
| Carotid T, distal ICA | 1 (3.7) | 1 (3.7) | ||
| Tandem ICA+MCA | 3 (11.1) | 3 (11.1) | ||
| M1 MCA | 6 (22.2) | 6 (22.2) | ||
| M2 MCA | 9 (33.3) | 9 (33.3) | ||
| PCA | 5 (18.5) | 5 (18.5) | ||
| Basilar | 3 (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±SD | 61.7±36.4 | 51.4±38 | 82.25±25.5 | 0.047 |
| Door-to-image time, min, mean±SD | 20.9±26.2 | 24.2±29.4 | 10.8±6.7 | 0.22 |
| Door-to-groin puncture time, min, mean±SD | 137±82.3 | 129.8±84.4 | 154.7±82.6 | 0.49 |
| Groin-to-recanalization time, min, mean±SD | 20.6±10.1 | 19.8±8.7 | 22.4±13.1 | 0.55 |
| 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±SD | 1.4±0.6 | 1.3±0.6 | 1.5±0.53 | 0.42 |
| 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. | ||||