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Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature

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Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature. / Styczen, Hanna; Maegerlein, Christian; Yeo, Leonard Ll; Clajus, Christin; Kastrup, Andreas; Abdullayev, Nuran; Behme, Daniel; Maurer, Christoph Johannes; Meyer, Lukas; Goertz, Lukas; Ikenberg, Benno; Tan, Benjamin Y Q; Lobsien, Donald; Papanagiotou, Panagiotis; Kabbasch, Christoph; Hesse, Amelie Carolina; Berlis, Ansgar; Fiehler, Jens; Fischer, Sebastian; Forsting, Michael; Maus, Volker.

in: J NEUROINTERV SURG, Jahrgang 12, Nr. 12, 12.2020, S. 1186-1193.

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

Harvard

Styczen, H, Maegerlein, C, Yeo, LL, Clajus, C, Kastrup, A, Abdullayev, N, Behme, D, Maurer, CJ, Meyer, L, Goertz, L, Ikenberg, B, Tan, BYQ, Lobsien, D, Papanagiotou, P, Kabbasch, C, Hesse, AC, Berlis, A, Fiehler, J, Fischer, S, Forsting, M & Maus, V 2020, 'Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature', J NEUROINTERV SURG, Jg. 12, Nr. 12, S. 1186-1193. https://doi.org/10.1136/neurintsurg-2020-015938

APA

Styczen, H., Maegerlein, C., Yeo, L. L., Clajus, C., Kastrup, A., Abdullayev, N., Behme, D., Maurer, C. J., Meyer, L., Goertz, L., Ikenberg, B., Tan, B. Y. Q., Lobsien, D., Papanagiotou, P., Kabbasch, C., Hesse, A. C., Berlis, A., Fiehler, J., Fischer, S., ... Maus, V. (2020). Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature. J NEUROINTERV SURG, 12(12), 1186-1193. https://doi.org/10.1136/neurintsurg-2020-015938

Vancouver

Styczen H, Maegerlein C, Yeo LL, Clajus C, Kastrup A, Abdullayev N et al. Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature. J NEUROINTERV SURG. 2020 Dez;12(12):1186-1193. https://doi.org/10.1136/neurintsurg-2020-015938

Bibtex

@article{dc1ff75a2ac7464289e0c1f2b32d17ff,
title = "Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature",
abstract = "BACKGROUND: Data on the frequency and outcome of repeated mechanical thrombectomy (MT) in patients with short-term re-occlusion of intracranial vessels is limited. Addressing this subject, we report our multicenter experience with a systematic review of the literature.METHODS: A retrospective analysis was conducted of consecutive acute stroke patients treated with MT repeatedly within 30 days at 10 tertiary care centers between January 2007 and January 2020. Baseline demographics, etiology of stroke, angiographic outcome and clinical outcome evaluated by the modified Rankin Scale (mRS) at 90 days were noted. Additionally, a systematic review of reports with repeated MT due to large vessel occlusion (LVO) recurrence was performed.RESULTS: We identified 30 out of 7844 (0.4%) patients who received two thrombectomy procedures within 30 days due to recurrent LVO. Through systematic review, three publications of 28 participants met the criteria for inclusion. Combined, a total of 58 participants were analyzed: cardioembolic events were the most common etiology for the first (65.5%) and second LVO (60.3%), respectively. Median baseline NIHSS (National Institutes of Health Stroke Scale) was 13 (IQR 8-16) before the first MT and 15 (IQR 11-19) before the second MT (p=0.031). Successful reperfusion was achieved in 91.4% after the first MT and in 86.2% patients after the second MT (p=0.377). The rate of functional independence (mRS 0-2) was 46% at 90 days after the second procedure.CONCLUSION: Repeated MT in short-term recurrent LVO is a rarity but appears to be safe and effective. The second thrombectomy should be pursued with the same extensive effort as the first procedure as these patients may achieve similar good outcomes.",
author = "Hanna Styczen and Christian Maegerlein and Yeo, {Leonard Ll} and Christin Clajus and Andreas Kastrup and Nuran Abdullayev and Daniel Behme and Maurer, {Christoph Johannes} and Lukas Meyer and Lukas Goertz and Benno Ikenberg and Tan, {Benjamin Y Q} and Donald Lobsien and Panagiotis Papanagiotou and Christoph Kabbasch and Hesse, {Amelie Carolina} and Ansgar Berlis and Jens Fiehler and Sebastian Fischer and Michael Forsting and Volker Maus",
note = "{\textcopyright} Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2020",
month = dec,
doi = "10.1136/neurintsurg-2020-015938",
language = "English",
volume = "12",
pages = "1186--1193",
journal = "J NEUROINTERV SURG",
issn = "1759-8478",
publisher = "BMJ PUBLISHING GROUP",
number = "12",

}

RIS

TY - JOUR

T1 - Repeated mechanical thrombectomy in short-term large vessel occlusion recurrence: multicenter study and systematic review of the literature

AU - Styczen, Hanna

AU - Maegerlein, Christian

AU - Yeo, Leonard Ll

AU - Clajus, Christin

AU - Kastrup, Andreas

AU - Abdullayev, Nuran

AU - Behme, Daniel

AU - Maurer, Christoph Johannes

AU - Meyer, Lukas

AU - Goertz, Lukas

AU - Ikenberg, Benno

AU - Tan, Benjamin Y Q

AU - Lobsien, Donald

AU - Papanagiotou, Panagiotis

AU - Kabbasch, Christoph

AU - Hesse, Amelie Carolina

AU - Berlis, Ansgar

AU - Fiehler, Jens

AU - Fischer, Sebastian

AU - Forsting, Michael

AU - Maus, Volker

N1 - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2020/12

Y1 - 2020/12

N2 - BACKGROUND: Data on the frequency and outcome of repeated mechanical thrombectomy (MT) in patients with short-term re-occlusion of intracranial vessels is limited. Addressing this subject, we report our multicenter experience with a systematic review of the literature.METHODS: A retrospective analysis was conducted of consecutive acute stroke patients treated with MT repeatedly within 30 days at 10 tertiary care centers between January 2007 and January 2020. Baseline demographics, etiology of stroke, angiographic outcome and clinical outcome evaluated by the modified Rankin Scale (mRS) at 90 days were noted. Additionally, a systematic review of reports with repeated MT due to large vessel occlusion (LVO) recurrence was performed.RESULTS: We identified 30 out of 7844 (0.4%) patients who received two thrombectomy procedures within 30 days due to recurrent LVO. Through systematic review, three publications of 28 participants met the criteria for inclusion. Combined, a total of 58 participants were analyzed: cardioembolic events were the most common etiology for the first (65.5%) and second LVO (60.3%), respectively. Median baseline NIHSS (National Institutes of Health Stroke Scale) was 13 (IQR 8-16) before the first MT and 15 (IQR 11-19) before the second MT (p=0.031). Successful reperfusion was achieved in 91.4% after the first MT and in 86.2% patients after the second MT (p=0.377). The rate of functional independence (mRS 0-2) was 46% at 90 days after the second procedure.CONCLUSION: Repeated MT in short-term recurrent LVO is a rarity but appears to be safe and effective. The second thrombectomy should be pursued with the same extensive effort as the first procedure as these patients may achieve similar good outcomes.

AB - BACKGROUND: Data on the frequency and outcome of repeated mechanical thrombectomy (MT) in patients with short-term re-occlusion of intracranial vessels is limited. Addressing this subject, we report our multicenter experience with a systematic review of the literature.METHODS: A retrospective analysis was conducted of consecutive acute stroke patients treated with MT repeatedly within 30 days at 10 tertiary care centers between January 2007 and January 2020. Baseline demographics, etiology of stroke, angiographic outcome and clinical outcome evaluated by the modified Rankin Scale (mRS) at 90 days were noted. Additionally, a systematic review of reports with repeated MT due to large vessel occlusion (LVO) recurrence was performed.RESULTS: We identified 30 out of 7844 (0.4%) patients who received two thrombectomy procedures within 30 days due to recurrent LVO. Through systematic review, three publications of 28 participants met the criteria for inclusion. Combined, a total of 58 participants were analyzed: cardioembolic events were the most common etiology for the first (65.5%) and second LVO (60.3%), respectively. Median baseline NIHSS (National Institutes of Health Stroke Scale) was 13 (IQR 8-16) before the first MT and 15 (IQR 11-19) before the second MT (p=0.031). Successful reperfusion was achieved in 91.4% after the first MT and in 86.2% patients after the second MT (p=0.377). The rate of functional independence (mRS 0-2) was 46% at 90 days after the second procedure.CONCLUSION: Repeated MT in short-term recurrent LVO is a rarity but appears to be safe and effective. The second thrombectomy should be pursued with the same extensive effort as the first procedure as these patients may achieve similar good outcomes.

U2 - 10.1136/neurintsurg-2020-015938

DO - 10.1136/neurintsurg-2020-015938

M3 - SCORING: Journal article

C2 - 32376657

VL - 12

SP - 1186

EP - 1193

JO - J NEUROINTERV SURG

JF - J NEUROINTERV SURG

SN - 1759-8478

IS - 12

ER -