Abstract:
PURPOSE:Since the incidental discovery and systematic introduction of mechanical endovascular stroke treatment in 2015 there are few reports about the real-life situation in daily clinical practice. The aim of this study was to evaluate the mechanical thrombectomy data documented in the quality assurance database of the German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR) and the German Society of Neuroradiology (DGNR) in 2019. METHODS:We retrospectively analyzed the clinical and procedural data of all mechanical thrombectomies that were entered into the voluntary nationwide database in 2019. The information of each procedure was provided on a standardized web-based data sheet. Data were exported and analyzed by a group of experts on behalf of the DGNR. RESULTS:A total of 13,840 data sets from 158 participating centers could be analyzed. Mean age of the patients was 74 ± 13 years; 53.9% were female. Vessel occlusion was located in the anterior circulation in 87.4%, in the posterior circulation in 10.7%. On hospital admission, the median National Institutes of Health Stroke Scale (NIHSS) was 14 (lower/upper quartile 10/19); at hospital discharge, median NIHSS had dropped to 9 (lower/upper quartile 2/12; p < 0.001). Recanalization of the occluded vessel segment was successful (TICI 2b + 3) in 88.4%. The reported complication rate was 7.3%, with subarachnoid hemorrhage as the most frequent complication (3.4%), followed by parenchymal hemorrhage (1.7%) and embolization in new territories (1.2%). Overall, the median time interval from symptom onset to hospital admission was 94 min (quartiles 59/180 min), the median time from hospital admission to groin puncture was 74 min (lower/upper quartile 47/103 min), and the median duration of the procedure 43 min (lower/upper quartile 25.2/73.2 min). A comparison between primary and secondary referral revealed a significant faster symptom-to-intervention time for primary referrals, whereas in-house workflows showed no significant difference. CONCLUSION:The analysis represents the largest documented cohort of acute stroke patients treated by thrombectomy. The documentation allows for a detailed evaluation of procedural, clinical, logistic and radiation exposure data and might be used for monitoring the quality of the treatment on a nationwide scale.
journal_name
Clin Neuroradioljournal_title
Clinical neuroradiologyauthors
Rohde S,Weber W,Berlis A,Urbach H,Reimer P,Schramm P,German Society of interventional Radiology and minimal invasive Therapy.,German Society of Interventional Radiology and Minimal Invasive Therapy (DeGIR) and the German Society of Neuroradoi
10.1007/s00062-020-00989-wsubject
Has Abstractpub_date
2021-01-22 00:00:00eissn
1869-1439issn
1869-1447pii
10.1007/s00062-020-00989-wpub_type
杂志文章abstract:OBJECTIVE:To illustrate the added value of flat-detector computed tomography angiography with intravenous contrast media injection (intravenous FDCTA) in the evaluation of complex A1/A2/AcomA aneurysms. PATIENTS AND METHODS:We retrospectively reviewed 15 patients with ruptured aneurysms. In each patient, an intravenou...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0592-x
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:Acute major stroke with high-grade stenosis or occlusion of the extracranial internal carotid artery (ICA) and additional intracranial large artery occlusion is increasingly treated with a mechanical endovascular approach by extracranial stenting and intracranial thrombectomy due to poor response to systemic th...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-014-0318-2
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Temporary balloon test occlusion (BTO) might be performed prior to procedures in which occlusion of the internal carotid artery (ICA) might be necessary. We tested the hypothesis that parametric color coding (PCC) of angiographic series (digital subtraction angiography (DSA)) along with the assessment of cer...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-013-0208-z
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:Knowledge about the localization and outcome of iatrogenic dissection (ID) during endovascular treatment of acute ischemic stroke (AIS) is limited. We aimed to determine the frequency, clinical aspects and morphology of ID in endovascular AIS treatment and to identify predictors of this complication. METHODS:D...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0639-z
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare vertebral failure loads, predicted from finite element (FE) analysis of patients with and without osteoporotic vertebral fractures (OVF) at virtually reduced dose levels, compared to standard-dose exposure from multidetector computed tomography (MDCT) imaging and evaluate wh...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0722-0
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Diffusion-weighted imaging (DWI) produces contrast among different kinds of tissues according to their diffusibility characteristics. The purpose of our study was to evaluate the role of DWI including measurement of apparent diffusion coefficient (ADC) values in recognizing benignancy or malignancy of orbi...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0234-x
更新日期:2014-06-01 00:00:00
abstract::Temporal bone microanatomy is a common source of consternation for radiologists. Serpentine foramina, branching cranial nerves, and bony canals containing often clinically relevant but often miniscule arterial branches may all cause confusion, even among radiologists familiar with temporal bone imaging. In some cases,...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-019-00864-3
更新日期:2020-06-01 00:00:00
abstract::The report concerns a 44-year-old female patient with incidental left middle cerebral artery aneurysm. After endovascular therapy by coiling, a hemiparesis was observed following extubation. Disturbance of speech and disorientation added later. An infarct of the lenticular nucleus was found. The angiography showed an ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0007-8
更新日期:2010-06-01 00:00:00
abstract::Correction to: Clin Neuroradiol 2019 https://doi.org/10.1007/s00062-019-00793-1The original version of this article unfortunately contained some mistakes. The Institutional Review Board number was given wrongly in the Methods/Participants section and in the Compliance with ethical guidelines/Ethical. ...
journal_title:Clinical neuroradiology
pub_type: 已发布勘误
doi:10.1007/s00062-020-00877-3
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:Evaluation of a new postprocessing method for postoperative control of cochlear implants (CI) based on a single flat detector computed tomography (FD-CT) run and volume rendering of 3D models of the inner ear. METHODS:The FD-CT datasets of CIs were selected and postprocessed to generate both standard multiplan...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00832-x
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:Brain arteriovenous malformations (bAVM) are the main cause of pediatric intracerebral hemorrhage (pICH). Embolization with Onyx (ev3, Irvine, CA, USA) in children with ruptured bAVM has been infrequently reported. The aim of this study was to assess the safety and efficacy profile of Onyx embolization as first...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00861-6
更新日期:2019-12-04 00:00:00
abstract:BACKGROUND AND PURPOSE:Several studies have shown that thrombectomy is safe and effective in occlusions of the M2 segment of the middle cerebral artery. This retrospective study compared superior and inferior division occlusions regarding radiological and clinical outcomes. METHODS:Between 2009 and 2017, patients trea...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00767-3
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Mechanical thrombectomy is an effective recanalization technique in acute ischemic stroke patients with large vessel occlusions; however, it is unclear to what extent stent retriever thrombectomy may be applicable to occlusions of smaller peripheral cerebral vessels. The outcome of patients with ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0739-4
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:Little is known about catheter-based endovascular treatment of vertebrobasilar artery branch occlusion (VEBABO) in acute ischemic stroke (AIS). Nonetheless, the experience of mechanical thrombectomy (MT) in distal small sized arteries of the anterior circulation seems promising in AIS. In this multicenter study...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-020-00970-7
更新日期:2020-10-27 00:00:00
abstract:PURPOSE:The purpose of this study was to determine potential effects of isometric non-machine-based training on the cross-sectional area (CSA) of the paravertebral muscles in volunteers who were participants in a prevention program. An increase in the CSA of back muscles after various machine-based exercises have been ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0104-3
更新日期:2011-11-01 00:00:00
abstract::The technology available for the endovascular treatment of intracranial aneurysms is rapidly evolving. Both current and future devices are described. This includes, among others, UNO for parent vessel occlusion, the Medina device for saccular filling, the Comaneci device for remodeling, pCONus for assisted coil occlus...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0403-1
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:Stroke is a rising cause of mortality in human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) populations. The etiology of stroke remains at the core of the decision-making process to treat and prevent recurrent events. In this population HIV vasculopathy (HIV-V) and varicella zoster...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0087-0
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The GestSure system is an Food and Drugs Administration (FDA)-registered depth-sensing infrared device initially developed for touchless image navigation during open surgery. The goal of this study was to explore the feasibility of this technology with medical students, residents, fellows and sta...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00829-6
更新日期:2019-11-06 00:00:00
abstract:PURPOSE:The aim of this study was to compare the diagnostic accuracy of 3D time-of-flight (TOF-MRA) and contrast-enhanced (CE-MRA) magnetic resonance angiography at 3 T for detection and quantification of proximal high-grade stenosis using multidetector computed tomography angiography (MDCTA) as reference standard. ME...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0279-x
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:The overlapping symptoms of Parkinson's disease (PD) and progressive supranuclear palsy-Richardson's syndrome (PSP-RS) often make a correct clinical diagnosis difficult. The volume of subcortical brain structures derived from high-resolution T1-weighted magnetic resonance imaging (MRI) datasets is frequently...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0727-8
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:Isolated posterior inferior cerebellar artery dissecting aneurysms are rare lesions. Their underlying pathology, presentation, and natural history are poorly understood. Their treatment is controversial, and few data are available regarding the best treatment. We conducted the first study comparing selective co...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0247-5
更新日期:2014-09-01 00:00:00
abstract:OBJECT:The anterior choroidal artery (AChoA) is a rare location for intracranial aneurysms. The treatment of these aneurysms may be challenging due to the risk of occlusion of such a small and eloquent artery as the AChoA. We aimed to evaluate the risk factors for complications in AChoA aneurysm treatment. METHODS:We ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0575-y
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extracranial internal carotid artery (ICA) dissection is an important cause of ischemic stroke in younger adults. The optimal medical and surgical strategies for managing these lesions have not been well established. We report a case series of extracranial ICA reconstruction using overlapping flo...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0707-z
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:The authors investigated the potential of a 32-channel (32ch) receiving head coil for functional magnetic resonance imaging (fMRI) compared to a standard eight-channel (8ch) coil using a motor task. MATERIAL AND METHODS:Brain activation was analyzed in 14 healthy right-handed subjects performing finger tapping...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0029-2
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:We aimed to compare images obtained with an Enhanced 3D multi-echo GRE T2*-weighted angiography (ESWAN) sequence with those obtained with a susceptibility-weighted imaging-spoiled gradient-recalled echo (SWI-SPGR) sequence and a two-dimensional (2D) T2*-weighted gradient-recalled echo (GRE) sequence for the des...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0185-7
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:Carotid artery stenting (CAS) has been proven to decrease the risk of stroke in symptomatic patients with moderate/high-grade carotid stenosis; however, there is an increased periprocedural risk of stroke with CAS compared to carotid endarterectomy. The goal of this article is to report the utilization of endov...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00799-9
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:Angiographic assessment of carotid cavernous fistulas (CCFs) can be complex. Our purpose was to examine whether the use of parametric color coding in the postprocessing of DSA series is advantageous in the evaluation of CCFs. METHODS:We enrolled 16 patients with angiographically proven CCFs. Endovascular treat...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0184-8
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:Patients with transient global amnesia (TGA) present with a characteristic clinical syndrome although other differential diagnoses have to be considered. Diffusion-weighted imaging (DWI) represents a highly specific diagnostic tool in the context of TGA; however, standard clinical DWI often fails to detect the ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0140-7
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:Against the background of the increasing dilemma in the scientific community regarding protected versus unprotected carotid artery stent (CAS) placement and the disputed points in interpreting the results of scientific studies as well as the difficulty in conducting such randomized controlled studies, this arti...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0057-6
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:Tinnitus is defined as an imaginary subjective perception in the absence of an external sound. Convergent evidence proposes that tinnitus perception includes auditory, attentional and emotional components. The aim of this study was to investigate the thalamic, auditory and limbic interactions associated with ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-015-0473-0
更新日期:2017-06-01 00:00:00