Manual Aspiration Thrombectomy Using Penumbra Catheter in Patients with Acute M2 Occlusion : A Single-Center Analysis
Journal of Korean Neurosurgical Society
; : 352-356, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-45415
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
The efficacy and safety of manual aspiration thrombectomy using Penumbra in an acute occlusion of large intracranial arteries has been proven in many previous studies. Our study aimed to retrospectively assess the efficacy and safety of manual aspiration thrombectomy using Penumbra in patients with small vessel occlusions (M2 segment of the MCA).METHODS:
We conducted a retrospective review of 32 patients who underwent manual aspiration thrombectomy using the Penumbra 4 MAX Reperfusion Catheter for treatment of an M2 occlusion between January 2013 and November 2014. We evaluated immediate angiographic results and clinical outcomes through review of patient electronic medical records.RESULTS:
There were slightly more men in this study (M F=18 14) and the median age was 72.5 (age range 41-90). The rate of successful recanalization (TICI grade ≥2b) was 84% (27/32). NIHSS at discharge and favorable clinical outcomes at 3 months were significantly improved than baseline. Median initial NIHSS score was 10 (range 4-25) and was 4 (range 0-14) at discharge. Favorable clinical outcomes (mRS score ≤2 at 3 months) were seen in 25 out of 32 patients (78%). There were no procedure-related symptomatic intracerebral hemorrhages. One patient expired after discharge due to a cardiac problem.CONCLUSION:
Manual aspiration thrombectomy might be safe and is capable of achieving a high rate of successful recanalization and favorable clinical outcomes in patients with distal cerebral vessel occlusion (M2).
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 6: Information systems for health
Database:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Reperfusion
/
Cerebral Hemorrhage
/
Retrospective Studies
/
Thrombectomy
/
Middle Cerebral Artery
/
Stroke
/
Electronic Health Records
/
Catheters
Type of study:
Practice guideline
/
Observational study
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2016
Document type:
Article