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Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study

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Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study. / Hesse, Amélie Carolina; Behme, Daniel; Kemmling, André; Zapf, Antonia; Große Hokamp, Nils; Frischmuth, Isabelle; Maier, Ilko; Liman, Jan; Tsogkas, Ioannis; Buhk, Jan-Hendrik; Tran, Julia; Fiehler, Jens; Mpotsaris, Anastasios; Schramm, Peter; Berlis, Ansgar; Knauth, Michael; Psychogios, Marios-Nikos.

in: J NEUROINTERV SURG, Jahrgang 10, Nr. 6, 06.2018, S. 525-529.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Hesse, AC, Behme, D, Kemmling, A, Zapf, A, Große Hokamp, N, Frischmuth, I, Maier, I, Liman, J, Tsogkas, I, Buhk, J-H, Tran, J, Fiehler, J, Mpotsaris, A, Schramm, P, Berlis, A, Knauth, M & Psychogios, M-N 2018, 'Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study', J NEUROINTERV SURG, Jg. 10, Nr. 6, S. 525-529. https://doi.org/10.1136/neurintsurg-2017-013394

APA

Hesse, A. C., Behme, D., Kemmling, A., Zapf, A., Große Hokamp, N., Frischmuth, I., Maier, I., Liman, J., Tsogkas, I., Buhk, J-H., Tran, J., Fiehler, J., Mpotsaris, A., Schramm, P., Berlis, A., Knauth, M., & Psychogios, M-N. (2018). Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study. J NEUROINTERV SURG, 10(6), 525-529. https://doi.org/10.1136/neurintsurg-2017-013394

Vancouver

Hesse AC, Behme D, Kemmling A, Zapf A, Große Hokamp N, Frischmuth I et al. Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study. J NEUROINTERV SURG. 2018 Jun;10(6):525-529. https://doi.org/10.1136/neurintsurg-2017-013394

Bibtex

@article{dae5ac29d7764630be423c073367e5c3,
title = "Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study",
abstract = "BACKGROUND AND PURPOSE: Thrombectomy has become the standard of care for acute ischaemic stroke due to large vessel occlusion. Aim of this study was to compare the radiological outcomes and time metrics of the various thrombectomy techniques.METHODS: In this retrospective, multicenter study we analysed the data of 450 patients with occlusion of the anterior circulation, treated in five high-volume center from 2013 to 2016. The treatment techniques were divided in three categories: first-pass use of a large-bore aspiration-catheter; first-pass use of a stent-retriever; and primary combined approach (PCA) of an aspiration-catheter and stent-retriever. Primary endpoints were successful reperfusion and groin to reperfusion time. Secondary endpoints were the number of attempts and occurrence of emboli in new territory (ENT). The primary analysis was based on the intention to treat groups (ITT).RESULTS: The ITT-analysis showed significantly higher reperfusion rates, with 86% of successful reperfusion in the PCA-group compared with 73% in the aspiration group and 65% in the stent-retriever group. There was no significant difference in groin to reperfusion time regarding the used technique. The secondary analysis showed an impact of the technique on the number of attempts and the occurrence of ENTs. Lowest ENT rates and attempts were reported with the combined approach.CONCLUSIONS: The combined first-pass deployment of a stent-retriever and an aspiration-catheter was the most effective technique for reperfusion of anterior circulation large vessel occlusion. Our results correlate with the latest single-centrere studies, reporting very high reperfusion rates with PCA variations.",
keywords = "Journal Article",
author = "Hesse, {Am{\'e}lie Carolina} and Daniel Behme and Andr{\'e} Kemmling and Antonia Zapf and {Gro{\ss}e Hokamp}, Nils and Isabelle Frischmuth and Ilko Maier and Jan Liman and Ioannis Tsogkas and Jan-Hendrik Buhk and Julia Tran and Jens Fiehler and Anastasios Mpotsaris and Peter Schramm and Ansgar Berlis and Michael Knauth and Marios-Nikos Psychogios",
note = "{\textcopyright} Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.",
year = "2018",
month = jun,
doi = "10.1136/neurintsurg-2017-013394",
language = "English",
volume = "10",
pages = "525--529",
journal = "J NEUROINTERV SURG",
issn = "1759-8478",
publisher = "BMJ PUBLISHING GROUP",
number = "6",

}

RIS

TY - JOUR

T1 - Comparing different thrombectomy techniques in five large-volume Centers: a 'real world' observational study

AU - Hesse, Amélie Carolina

AU - Behme, Daniel

AU - Kemmling, André

AU - Zapf, Antonia

AU - Große Hokamp, Nils

AU - Frischmuth, Isabelle

AU - Maier, Ilko

AU - Liman, Jan

AU - Tsogkas, Ioannis

AU - Buhk, Jan-Hendrik

AU - Tran, Julia

AU - Fiehler, Jens

AU - Mpotsaris, Anastasios

AU - Schramm, Peter

AU - Berlis, Ansgar

AU - Knauth, Michael

AU - Psychogios, Marios-Nikos

N1 - © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

PY - 2018/6

Y1 - 2018/6

N2 - BACKGROUND AND PURPOSE: Thrombectomy has become the standard of care for acute ischaemic stroke due to large vessel occlusion. Aim of this study was to compare the radiological outcomes and time metrics of the various thrombectomy techniques.METHODS: In this retrospective, multicenter study we analysed the data of 450 patients with occlusion of the anterior circulation, treated in five high-volume center from 2013 to 2016. The treatment techniques were divided in three categories: first-pass use of a large-bore aspiration-catheter; first-pass use of a stent-retriever; and primary combined approach (PCA) of an aspiration-catheter and stent-retriever. Primary endpoints were successful reperfusion and groin to reperfusion time. Secondary endpoints were the number of attempts and occurrence of emboli in new territory (ENT). The primary analysis was based on the intention to treat groups (ITT).RESULTS: The ITT-analysis showed significantly higher reperfusion rates, with 86% of successful reperfusion in the PCA-group compared with 73% in the aspiration group and 65% in the stent-retriever group. There was no significant difference in groin to reperfusion time regarding the used technique. The secondary analysis showed an impact of the technique on the number of attempts and the occurrence of ENTs. Lowest ENT rates and attempts were reported with the combined approach.CONCLUSIONS: The combined first-pass deployment of a stent-retriever and an aspiration-catheter was the most effective technique for reperfusion of anterior circulation large vessel occlusion. Our results correlate with the latest single-centrere studies, reporting very high reperfusion rates with PCA variations.

AB - BACKGROUND AND PURPOSE: Thrombectomy has become the standard of care for acute ischaemic stroke due to large vessel occlusion. Aim of this study was to compare the radiological outcomes and time metrics of the various thrombectomy techniques.METHODS: In this retrospective, multicenter study we analysed the data of 450 patients with occlusion of the anterior circulation, treated in five high-volume center from 2013 to 2016. The treatment techniques were divided in three categories: first-pass use of a large-bore aspiration-catheter; first-pass use of a stent-retriever; and primary combined approach (PCA) of an aspiration-catheter and stent-retriever. Primary endpoints were successful reperfusion and groin to reperfusion time. Secondary endpoints were the number of attempts and occurrence of emboli in new territory (ENT). The primary analysis was based on the intention to treat groups (ITT).RESULTS: The ITT-analysis showed significantly higher reperfusion rates, with 86% of successful reperfusion in the PCA-group compared with 73% in the aspiration group and 65% in the stent-retriever group. There was no significant difference in groin to reperfusion time regarding the used technique. The secondary analysis showed an impact of the technique on the number of attempts and the occurrence of ENTs. Lowest ENT rates and attempts were reported with the combined approach.CONCLUSIONS: The combined first-pass deployment of a stent-retriever and an aspiration-catheter was the most effective technique for reperfusion of anterior circulation large vessel occlusion. Our results correlate with the latest single-centrere studies, reporting very high reperfusion rates with PCA variations.

KW - Journal Article

U2 - 10.1136/neurintsurg-2017-013394

DO - 10.1136/neurintsurg-2017-013394

M3 - SCORING: Journal article

C2 - 28963362

VL - 10

SP - 525

EP - 529

JO - J NEUROINTERV SURG

JF - J NEUROINTERV SURG

SN - 1759-8478

IS - 6

ER -