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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 78(3)

Treatment protocol based on assessment of clot quality during endovascular thrombectomy for acute ischemic stroke using the Trevo stent retriever

https://doi.org/10.18999/nagjms.78.3.255
https://doi.org/10.18999/nagjms.78.3.255
9bb316ff-dc36-4471-ba67-3e59ff476545
名前 / ファイル ライセンス アクション
13_Ishikawa.pdf 13_Ishikawa.pdf (11.5 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-09-09
タイトル
タイトル Treatment protocol based on assessment of clot quality during endovascular thrombectomy for acute ischemic stroke using the Trevo stent retriever
著者 Ishikawa, Kojiro

× Ishikawa, Kojiro

WEKO 66714

Ishikawa, Kojiro

Search repository
Ohshima, Tomotaka

× Ohshima, Tomotaka

WEKO 66715

Ohshima, Tomotaka

Search repository
Nishihori, Masahiro

× Nishihori, Masahiro

WEKO 66716

Nishihori, Masahiro

Search repository
Imai, Tasuku

× Imai, Tasuku

WEKO 66717

Imai, Tasuku

Search repository
Goto, Shunsaku

× Goto, Shunsaku

WEKO 66718

Goto, Shunsaku

Search repository
Yamamoto, Taiki

× Yamamoto, Taiki

WEKO 66719

Yamamoto, Taiki

Search repository
Nishizawa, Toshihisa

× Nishizawa, Toshihisa

WEKO 66720

Nishizawa, Toshihisa

Search repository
Shimato, Shinji

× Shimato, Shinji

WEKO 66721

Shimato, Shinji

Search repository
Kato, Kyozo

× Kato, Kyozo

WEKO 66722

Kato, Kyozo

Search repository
キーワード
主題Scheme Other
主題 acute ischemic stroke
キーワード
主題Scheme Other
主題 endovascular clot retrieval
キーワード
主題Scheme Other
主題 thrombus
抄録
内容記述 The optional endovascular approach for acute ischemic stroke is unclear. The Trevo stent retriever can be used as first-line treatment for fast mechanical recanalization. The authors developed a treatment protocol for acute ischemic stroke based on the assessment of clot quality during clot removal with the Trevo. This prospective single-center study included all patients admitted for acute ischemic stroke between July 2014 and February 2015, who underwent emergency endovascular treatment. According to the protocol, the Trevo was used for first-line treatment. Immediately after the Trevo was deployed, the stent delivery wire was pushed to open the stent by force (ACAPT technique). Clot quality was assessed on the basis of the perfusion status after deployment of the Trevo; continued occlusion or immediate reopening either reoccluded or maintained after the stent retriever had been in place for 5 min. If there was no obvious clot removal after the first pass with the Trevo, according to the quality of the clot, either a second pass was performed or another endovascular device was selected. Twelve consecutive patients with acute major cerebral artery occlusion were analyzed. Thrombolysis in cerebral infarction score 2b and 3 was achieved in 11 patients (91.7%) and 9 (75%) had a good clinical outcome after 90 days based on a modified Rankin scale score ≤ 2. Symptomatic intracranial hemorrhage occurred in 1 patient (8.3%). The overall mortality rate was 8.3%. Endovascular thrombectomy using the Trevo stent retriever for first-line treatment is feasible and effective.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.78.3.255
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 78, 号 3, p. 255-265, 発行日 2016-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/783.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/24811
識別子タイプ HDL
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