当前位置： SCI文献检索 > Journal of Korean Neurosurgical Society期刊下所有文献 > Efficacy of Proximal Aspiration Thrombectomy for Using Balloon-Tipped Guide Catheter in Acute Intracranial Internal Carotid Artery Occlusion.

Efficacy of Proximal Aspiration Thrombectomy for Using Balloon-Tipped Guide Catheter in Acute Intracranial Internal Carotid Artery Occlusion.

Abstract：

OBJECTIVE:Mechanical thrombectomy (MT) for acute intracranial internal carotid artery (ICA) occlusion is often complicated by difficult revascularization and non-involved territory embolization possibly related with larger clot-burden. This study aims to evaluate the efficacy of proximal aspiration thrombectomy (PAT) using a balloon-tipped guide catheter for clot-burden reduction in such cases with period-to-period analysis (period 1 : standard MT without PAT; period 2 : PAT first, then standard MT for the remaining occlusion). METHODS:Eighty-six patients who underwent MT for acute intracranial ICA occlusion were included in this analysis from the prospectively maintained stroke registry (33 patients in period 1 and 53 in period 2). In period 2, 'responder' was defined as a case where some amount of clot was retrieved by PAT and the following angiography showed partial or full recanalization. RESULTS:Fifteen of fifty-three patients in period 2 (28.3%) were 'responders' to PAT. There was a significantly higher incidence of atrial fibrillation in the 'responder' subgroup. Period 2 showed a significantly shorter puncture-to-reperfusion time (94.5 minutes vs. 56.0 minutes; p=0.002), a significantly higher Thrombolysis in Cerebral Infarction of 2b-3 reperfusion (45.5% vs. 73.6%; p=0.009), but only a trend for better 3-month favorable outcome (mRS 0-2; 36.4% vs. 54.7%; p=0.097). There was no increase in the incidence of procedure-related complications or intracranial hemorrhage in period 2. CONCLUSION:A strategy of PAT before standard MT may result in shorter puncture-to-reperfusion time and better angiographic outcome than a strategy of standard MT for acute intracranial ICA occlusion.

journal_name

J Korean Neurosurg Soc

journal_title

Journal of Korean Neurosurgical Society

authors

Kim YW,Kang DH,Hwang YH,Park J,Kim YS

doi

10.3340/jkns.2016.59.4.379

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

379-84

issue

4

eissn

2005-3711

issn

1598-7876

journal_volume

59

pub_type

杂志文章

相关文献

Journal of Korean Neurosurgical Society文献大全
  • Angiographic and Clinical Factors Related with Good Functional Outcome after Mechanical Thrombectomy in Acute Cerebral Artery Occlusion.

    abstract：OBJECTIVE:The aim of this study is to investigate good prognostic factors for an acute occlusion of a major cerebral artery using mechanical thrombectomy. METHODS:Between January 2013 to December 2014, 37 consecutive patients with acute occlusion of a major cerebral artery treated by mechanical thrombectomy with stent...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2015.58.3.192

    authors： Park JH,Han YM,Jang KS,Yoon WS,Jang DK,Park SK

    更新日期：2015-09-01 00:00:00

  • Extended Pneumocephalus after Drainage of Chronic Subdural Hematoma Associated with Intracranial Hypotension : Case Report with Pathophysiologic Consideration.

    abstract：:Chronic subdural hematoma (SDH) is a well-known disease entity and is traditionally managed with surgery. However, when associated with spontaneous intracranial hypotension (SIH), the treatment strategy ought to be modified, as classical treatment could lead to unwanted consequences. A 59-year-old man presented with a...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type：

    doi：10.3340/jkns.2016.59.1.69

    authors： Shin HS,Lee SH,Ko HC,Koh JS

    更新日期：2016-01-01 00:00:00

  • Natural course of initially non-operated cases of acute subdural hematoma : the risk factors of hematoma progression.

    abstract：OBJECTIVE:The objectives of the present study were to characterize the natural course of initially non-operated traumatic acute subdural hematoma (ASDH) and to identify the risk factors of hematoma progression. METHODS:Retrospective analysis was performed using sequential computed tomography (CT) images maintained in ...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2013.54.3.211

    authors： Son S,Yoo CJ,Lee SG,Kim EY,Park CW,Kim WK

    更新日期：2013-09-01 00:00:00

  • Spinal schwannoma; analysis of 40 cases.

    abstract：OBJECTIVE:This study is to report our experience of 40 cases of spinal schwannoma. METHODS:From 1995 to 2006, medical records were retrospectively reviewed in 40 cases of spinal schwannoma. RESULTS:We treated 40 spinal schwannomas in 38 (22 male and 16 female) patients. The mean age was 50.2. Four cases were sited in...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2008.43.3.135

    authors： Jeon JH,Hwang HS,Jeong JH,Park SH,Moon JG,Kim CH

    更新日期：2008-03-01 00:00:00

  • Physiological Changes and Clinical Implications of Syndromic Craniosynostosis.

    abstract：:Syndromic craniosynostosis has severe cranial stenosis and deformity, combined with hypoplastic maxillary bone and other developmental skeletal lesions. Among these various lesions, upper air way obstruction by hypoplastic maxillary bone could be the first life-threatening condition after birth. Aggressive cranial vau...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章,评审

    doi：10.3340/jkns.2016.59.3.204

    authors： Sakamoto H,Matsusaka Y,Kunihiro N,Imai K

    更新日期：2016-05-01 00:00:00

  • The VR1-Positive Primary Afferent-Mediated Expression of pERK in the Lumbosacral Neurons in Response to Mechanical and Chemical Stimulation of the Urinary Bladder in Rats.

    abstract：OBJECTIVE:This study characterized the neurons in the lumbosacral cord that express phospho ERK (pERK) after distension or irritation of the bladder, and their relation to the vanilloid receptor 1 (VR1) positive primary afferents. METHODS:Mechanical distension and chemical irritation of the bladder were induced by int...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2007.42.6.462

    authors： Yoo CJ,Hwang SJ

    更新日期：2007-12-01 00:00:00

  • Thoracic intramedullary schwannoma accompanying by extramedullary beads-like daughter schwanommas.

    abstract：:Thoracic intramedullary schwannomas are rare spinal cord tumors. Most of these tumors have been reported as a single lesion in the spinal cord. The authors report the first case of intramedullary schwannoma accompanying by extramedullary beads-like daughter masses of the thoracic spine. A 68-year-old male presented wi...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type：

    doi：10.3340/jkns.2011.49.5.302

    authors： Ryu KS,Lee KY,Lee HJ,Park CK

    更新日期：2011-05-01 00:00:00

  • Experience with 5-aminolevulinic Acid in fluorescence-guided resection of a deep sylvian meningioma.

    abstract：:The 5-aminolevulinic acid (5-ALA)-induced tumor fluorescence is a useful intraoperative marker for the diagnosis and the detection of various malignancies, but its use in meningioma is only reported infrequently. In meningioma, a complete resection of the tumor mass is crucial for the prevention of recurrence and post...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type：

    doi：10.3340/jkns.2012.52.6.558

    authors： Chae MP,Song SW,Park SH,Park CK

    更新日期：2012-12-01 00:00:00

  • Initial Experience of ACE68 Reperfusion Catheter in Patients with Acute Ischemic Stroke Related to Internal Carotid Artery Occlusion.

    abstract：OBJECTIVE:Penumbra ACE68 reperfusion catheter is a new large bore aspiration catheter used for reperfusion of large vessel occlusion. The objective of this study was to investigate the efficacy of this catheter in comparison to that of previous Penumbra catheters in patients with acute ischemic stroke related to intern...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2019.0108

    authors： Jang HG,Park JS,Lee JM,Kwak HS

    更新日期：2019-09-01 00:00:00

  • Indocyanine green videoangiography for confirmation of bypass graft patency.

    abstract：OBJECTIVE:The aim of the study is to determine the efficacy of indocyanine green (ICG) videoangiography for confirmation of vascular anastomosis patency in both extracranial-intracranial and intracranial-intracranial bypasses. METHODS:Intraoperative ICG videoangiography was used as a surgical adjunct for 56 bypasses i...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2011.50.1.23

    authors： Schuette AJ,Dannenbaum MJ,Cawley CM,Barrow DL

    更新日期：2011-07-01 00:00:00

  • Gamma knife radiosurgery for brainstem metastasis.

    abstract：OBJECTIVE:Brainstem metastases are rarely operable and generally unresponsive to conventional radiation therapy or chemotherapy. Recently, Gamma Knife Radiosurgery (GKRS) was used as feasible treatment option for brainstem metastasis. The present study evaluated our experience of brainstem metastasis which was treated ...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2011.50.4.299

    authors： Yoo TW,Park ES,Kwon DH,Kim CJ

    更新日期：2011-10-01 00:00:00

  • Mortality and real cause of death from the nonlesional intracerebral hemorrhage.

    abstract：OBJECTIVE:The case fatality rate of nonlesional intracerebral hemorrhage (n-ICH) was high and not changed. Knowing the causes is important to their prevention; however, the reasons have not been studied. The aims of this study were to determine the cause of death, to improve the clinical outcomes. METHODS:We retrospec...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2014.55.1.1

    authors： Kim KD,Chang CH,Choi BY,Jung YJ

    更新日期：2014-01-01 00:00:00

  • Surgical treatment of craniovertebral junction instability : clinical outcomes and effectiveness in personal experience.

    abstract：OBJECTIVE:Craniovertebral junction (CVJ) consists of the occipital bone that surrounds the foramen magnum, the atlas and the axis vertebrae. The mortality and morbidity is high for irreducible CVJ lesion with cervico-medullary compression. In a clinical retrospective study, the authors reviewed clinical and radiographi...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2010.48.1.37

    authors： Song GC,Cho KS,Yoo DS,Huh PW,Lee SB

    更新日期：2010-07-01 00:00:00

  • Sacral Insufficiency Fractures : How to Classify?

    abstract：OBJECTIVE:The diagnosis of insufficiency fractures of the sacrum in an elder population increases annually. Fractures show very different morphology. We aimed to classify sacral insufficiency fractures according to the position of cortical break and possible need for intervention. METHODS:Between January 1, 2008 and D...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2017.0188

    authors： Bakker G,Hattingen J,Stuetzer H,Isenberg J

    更新日期：2018-03-01 00:00:00

  • Protocols and Results of Resident Neurosurgeon's Transfemoral Catheter Angiography Training Supervised by Neuroendovascular Specialists.

    abstract：OBJECTIVE:Transfemoral catheter angiography (TFCA) is a basic procedure in neurovascular surgery with increasing importance in surgical and non-invasive treatments. Unfortunately, resident neurosurgeons have relatively few opportunities to perform TFCA in most institutions. We report a method developed in our hospital ...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2013.54.2.81

    authors： Shin DS,Yeo DK,Hwang SC,Park SQ,Kim BT

    更新日期：2013-08-01 00:00:00

  • Analysis of failed spinal cord stimulation trials in the treatment of intractable chronic pain.

    abstract：OBJECTIVE:The purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal cord stimulation (SCS) trial. METHODS:A retrospective review of the failed trials (44 patients, 36.1%) among the patients (n=122) who underwent...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2008.43.2.85

    authors： Jang HD,Kim MS,Chang CH,Kim SW,Kim OL,Kim SH

    更新日期：2008-02-01 00:00:00

  • Remifentanil-propofol sedation as an ambulatory anesthesia for carpal tunnel release.

    abstract：OBJECTIVE:This prospective study evaluated the use of continuous sedation using propofol and remifentanil when carpal tunnel release (CTR) was performed under local anesthesia. METHODS:We sedated 60 patients undergoing CTR using local anesthesia with remifentanil at loading and continuous doses of 0.5 µg kg(-1) and 0....

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2010.48.5.429

    authors： Lee JJ,Hwang SM,Jang JS,Lim SY,Heo DH,Cho YJ

    更新日期：2010-11-01 00:00:00

  • The Effects of Spinopelvic Parameters and Paraspinal Muscle Degeneration on S1 Screw Loosening.

    abstract：OBJECTIVE:To investigate risk factors for S1 screw loosening after lumbosacral fusion, including spinopelvic parameters and paraspinal muscles. METHODS:We studied with 156 patients with degenerative lumbar disease who underwent lumbosacral interbody fusion and pedicle screw fixation including the level of L5-S1 betwee...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2015.58.4.357

    authors： Kim JB,Park SW,Lee YS,Nam TK,Park YS,Kim YB

    更新日期：2015-10-01 00:00:00

  • Usefulness of Dexmedetomidine during Intracerebral Aneurysm Coiling.

    abstract：OBJECTIVE:General anesthesia is often preferred for endovascular coiling of intracranial aneurysm at most centers. But in the authors' hospital, it is performed under monitored anesthesia care (MAC) using dexmedetomidine. To determine the feasibility and safety of this approach, the authors reviewed our initial experie...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2014.55.4.185

    authors： Lee HH,Jung YJ,Choi BY,Chang CH

    更新日期：2014-04-01 00:00:00

  • The role of computed tomography in the presurgical diagnosis of foraminal entrapment of lumbosacral junction.

    abstract：OBJECTIVE:On the basis of preoperative computed tomography (CT) scans, we studied the change of the size of anterior primary division (APD) of the L5 spinal root in the presence of foraminal/extraforaminal entrapment of the L5 spinal root. METHODS:Two independent radiologists retrospectively reviewed the preoperative ...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2010.47.1.1

    authors： Moon KH,Jang JS,Lee SH,Lee SC,Lee HY

    更新日期：2010-01-01 00:00:00

  • Intracranial Fusiform Aneurysms: It's Pathogenesis, Clinical Characteristics and Managements.

    abstract：OBJECTIVE:The objective of this study is to investigate clinical characteristics, management methods and possible causes of intracranial fusiform aneurysm. METHODS:Out of a series of 2,458 intracranial aneurysms treated surgically or endovascularly, 22 patients were identified who had discrete fusiform aneurysms. Clin...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2008.44.3.116

    authors： Park SH,Yim MB,Lee CY,Kim E,Son EI

    更新日期：2008-09-01 00:00:00

  • Transcortical Endoscopic Surgery for Intraventricular Lesions.

    abstract：:To review recent advances in endoscopic techniques for treating intraventricular lesions via transcortical passage. Articles in PubMed published since 2000 were searched using the keywords 'endoscopy,' 'endoscopic,' and 'neuroendoscopic.' Of these articles, those describing intraventricular lesions were reviewed. Supr...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章,评审

    doi：10.3340/jkns.2017.0101.008

    authors： Kim MH

    更新日期：2017-05-01 00:00:00

  • Neuromyelitis optica mimicking intramedullary tumor.

    abstract：:Neuromyelitis optica (NMO) is considered to be a rarer autoimmune disease than multiple sclerosis. It is very difficult to make a diagnosis of MNO for doctors who are not familiar with its clinical features and diagnostic criteria. We report a case of a young female patient who had been suffering motor weakness and ra...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type：

    doi：10.3340/jkns.2013.53.5.316

    authors： Oh SH,Yoon KW,Kim YJ,Lee SK

    更新日期：2013-05-01 00:00:00

  • Comparative Analysis between Total Disc Replacement and Posterior Foraminotomy for Posterolateral Soft Disc Herniation with Unilateral Radiculopathy : Clinical and Biomechanical Results of a Minimum 5 Years Follow-up.

    abstract：OBJECTIVE:To compare the clinical outcomes and biomechanical effects of total disc replacement (TDR) and posterior cervical foraminotomy (PCF) and to propose relative inclusion criteria. METHODS:Thirty-five patients who underwent surgery between 2006 and 2008 were included. All patients had single-level disease and on...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2015.0506.004

    authors： Kim KT,Cho DC,Sung JK,Kim YB,Kim DH

    更新日期：2017-01-01 00:00:00

  • Clinical features and treatment outcome of chordoid meningiomas in a single institute.

    abstract：OBJECTIVE:Meningioma is the second most common primary central nervous system neoplasm. In contrast, chordoid meningioma is rare; due to the paucity of cases, little is known about its clinical features or treatment outcomes. The objectives of this study were to describe the clinical characteristics and outcomes for pa...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2014.56.3.194

    authors： Jee TK,Jo KI,Seol HJ,Kong DS,Lee JI,Shin HJ

    更新日期：2014-09-01 00:00:00

  • Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma.

    abstract：:We report two rare cases of spinal intraosseous schwannoma (SIS) with sustained myelopathy symptoms and provide an updated review regarding SIS in the literature. A 71-year-old man experienced right lumbocrural pain and gait disturbance accompanied with paresthesia and right leg weakness. Imaging examinations revealed...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type：

    doi：10.3340/jkns.2015.57.6.478

    authors： Zhang F,Lu F,Jiang J,Wang H

    更新日期：2015-06-01 00:00:00

  • Clinical Neuropathological Analysis of 10 Cases of Cerebral Amyloid Angiopathy-Related Cerebral Lobar Hemorrhage.

    abstract：OBJECTIVE:The clinical and pathological characteristics of 10 cases of cerebral amyloid angiopathy (CAA)-related cerebral lobar hemorrhage (CLH) that was diagnosed at autopsy were investigated to facilitate the diagnosis of this condition. METHODS:The clinical characteristics of 10 cases of CAA-related CLH were retros...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2015.58.1.30

    authors： Li XQ,Su DF,Chen HS,Fang Q

    更新日期：2015-07-01 00:00:00

  • A case of intradural-extramedullary form of primary spinal cysticercosis misdiagnosed as an arachnoid cyst.

    abstract：:We describe a rare case of intradural-extramedullary primary spinal cysticercosis. A 42-year-old man visited our institute for lower back pain. He denied having consumed raw meet. Magnetic resonance (MR) images revealed an intradural pure cystic mass at the L3-L4 level. A radiologic diagnosis of spinal arachnoid cyst ...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type：

    doi：10.3340/jkns.2014.55.4.226

    authors： Yoo M,Lee CH,Kim KJ,Kim HJ

    更新日期：2014-04-01 00:00:00

  • Long Term Efficacy of Posterior Lumbar Interbody Fusion with Standard Cages alone in Lumbar Disc Diseases Combined with Modic Changes.

    abstract：OBJECTIVE:Posterior lumbar interbody fusion (PLIF) is considered to have the best theoretical potential in promoting bony fusion of unstable vertebral segments by way of a load sharing effect of the anterior column. This study was undertaken to investigate the efficacy of PLIF with cages in chronic degenerative disc di...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2009.46.4.322

    authors： Kwon YM,Chin DK,Jin BH,Kim KS,Cho YE,Kuh SU

    更新日期：2009-10-01 00:00:00

  • The obturator guiding technique in percutaneous endoscopic lumbar discectomy.

    abstract：:In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an ...

    journal_title：Journal of Korean Neurosurgical Society

    pub_type： 杂志文章

    doi：10.3340/jkns.2012.51.3.182

    authors： Han IH,Choi BK,Cho WH,Nam KH

    更新日期：2012-03-01 00:00:00