Abstract:
BACKGROUND:While multiple new larger-bore aspiration catheters have been introduced for stroke thrombectomy, sizeable cohort outcome studies are lacking along with meaningful comparative studies to evaluate whether they represent a clinically relevant improvement compared to predecessors. OBJECTIVE:To evaluate comparative angiographic and clinical outcomes between an 071 and 068 aspiration catheter. METHODS:The authors reviewed an institutional thrombectomy database extracting the first 150 consecutive cases utilizing React 71 (Medtronic, Dublin, Ireland) with a comparison of background/demographic, procedural, angiographic, and clinical outcome variables to a cohort of patients treated with our previously most frequently utilized 0.068-inch aspiration catheter. RESULTS:In our React 71 cohort, successful reperfusion (thrombolysis in cerebral infarction [TICI] 2b-3) was achieved in 95% of cases. In comparison to a prior cohort of 96 patients treated with a 0.068-inch catheter, there was no statistically significant difference in rates of successful reperfusion (TICI 2b-3), initial disposition, and 90-d outcome. However, the frequency of single pass cases was significantly higher in the React 71 cohort (47% vs 35%, P = .019 on multivariate analysis) along with the rate of TICI 2c-3 reperfusion after the first pass (26% vs 14%, P = .019 on multivariate analysis), and final TICI 2c-3 reperfusion (39% vs 28%, P = .04 on multivariate analysis). CONCLUSION:While rates of TICI 2b-3 reperfusion and clinical outcome results were similar, our study suggests that a newer, larger bore aspiration catheter may be associated with a greater frequency of single pass cases and higher quality reperfusion, judged as TICI 2c-3 frequency after the first and final pass.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Gross BA,Hudson JS,Tonetti DA,Desai SM,Lang MJ,Jadhav AP,Jankowitz BT,Jovin TGdoi
10.1093/neuros/nyaa498subject
Has Abstractpub_date
2020-12-28 00:00:00eissn
0148-396Xissn
1524-4040pii
6054552pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract::Pyogenic brain stem abscess is rare. A case of spontaneous abscess of the medulla oblongata is reported in which the diagnosis was made preoperatively by computed tomography. Surgical drainage resulted in good functional recovery and radiological resolution of the lesion. This is the first reported case of survival in...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198603000-00024
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Although real-time localization of gliomas has improved with intraoperative image guidance systems, these tools are limited by brain shift, surgical cavity deformation, and expense. OBJECTIVE:To propose a novel method to perform near-infrared (NIR) imaging during glioma resections based on preclinical and c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001450
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:Basilar cranial fractures have been associated with injury to the carotid artery. We sought to determine whether fracture through the carotid canal was a significant risk factor for carotid injury. METHODS:A retrospective chart review was performed, and 230 patients with basilar cranial fractures were identi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199706000-00012
更新日期:1997-06-01 00:00:00
abstract::Four cases of intracerebral hemorrhage remote from the site of the initial neurosurgical procedure are presented. Two of the four patients had preoperative hypertension. Possible mechanisms are discussed, and labile hypertension and unstable blood pressure during the perisurgical period may be contributory. Clinical a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198312000-00008
更新日期:1983-12-01 00:00:00
abstract::Localization of the placental form of glutathione S-transferase (GST-pi) messenger ribonucleic acid (mRNA) in three human glioma cell lines (A172, T98G, and Tc77) was studied by in situ hybridization with digoxigenin-labeled GST-pi complementary DNA followed by immunocytochemistry with antidigoxigenin antibody. A172 g...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199307000-00016
更新日期:1993-07-01 00:00:00
abstract::There is general agreement that aggressive management and monitoring of the patient with closed head injury with control of intracranial pressure (ICP) will improve patient survival and eventual outcome. Conversely, there is little agreement on the value of surgical craniectomy for increasing intracranial volume and s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198810000-00002
更新日期:1988-10-01 00:00:00
abstract::Computed tomography has proven useful in children with craniosynostosis for the evaluation of deformity of the skull base, calvarium, and parenchymal brain structures. A retrospective analysis of 24 children seen during a 4-year period who had adequate preoperative, postoperative, and follow-up scans was carried out. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198110000-00003
更新日期:1981-10-01 00:00:00
abstract:OBJECTIVE:Dural replacements are used in cranial surgery when primary closure of native dura is not possible. The goal is to recreate a watertight barrier to prevent cerebrospinal fluid leakage with few associated complications. We reviewed a single-institution experience with a variety of dural substitutes in posterio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000334414.79963.59
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:The recent successful development of chronic stimulation of the motor cortex as a treatment for neuropathic and central pain does not exclude the possibility of eventual side effects, such as epileptic seizure or a lowering of the epileptic threshold. This study evaluates the behavioral and electroencephalogr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199908000-00030
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:An approach to transnasal transsphenoidal debulking of pituitary tumors using endoscopic guidance is presented. METHODS:Technical details of this approach using an endoscope inserted through one nostril and operating instruments inserted through a submucosal tunnel created via the other nostril are discussed...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199607000-00046
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The International Study of Intracranial Aneurysms found that for patients with no previous history of subarachnoid hemorrhage, small (< 7 mm) anterior circulation and posterior circulation aneurysms had a 0% and 2.5% risk of subarachnoid hemorrhage over 5 years, respectively. OBJECTIVE:To determine whether ...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0b013e3181ff357c
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:In Asian populations, moyamoya disease has a well-defined phenotype including a bimodal age of presentation with children typically presenting with ischemic phenomena and adults presenting with hemorrhage. Studies have provided evidence that moyamoya disease in the United States may exhibit a different pheno...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318253ab8e
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Vertebrobasilar insufficiency resulting from disease of the subclavian artery is well recognized. Usually, this occurs as the "subclavian steal" syndrome in the context of chronic subclavian stenosis and is consequently well tolerated because of collateralization. Acute disruption of the hemody...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:The postangioplasty evaluation of a stenotic vessel is often conducted by studying serial angiograms to determine the anatomic reduction in stenosis. In flow-limiting stenosis, the hemodynamic change that accompanies these anatomic changes is of great importance in evaluating the success of the angioplasty. T...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract::The problem of gastric secretory and mucosal injury response was evaluated in 19 patients who had suffered a severe head injury. Fifteen of 19 patients had some evidence of gastrointestinal hemorrhage. In 7 cases, this was marked. The mean volume of gastric secretions ranged from 36.4 ml/hour on Day 1 to 47.6 ml/hour ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198302000-00007
更新日期:1983-02-01 00:00:00
abstract::Spinal cord and subcortical brain stem evoked potentials had an amplitude at least 2 times higher when the cauda equina rather than bilateral peripheral nerves was stimulated. Cauda equina stimulation is indicated when potentials to peripheral nerve stimulation are absent or are too low in amplitude to permit reliable...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract:OBJECTIVE:To evaluate diffusion tensor imaging (DTI)-based functional neuronavigation in surgery of cerebral gliomas with pyramidal tract (PT) involvement with respect to both perioperative assessment and follow-up outcome. METHODS:A prospective, randomized controlled study was conducted between 2001 and 2005. A conse...
journal_title:Neurosurgery
pub_type: 杂志文章,随机对照试验
doi:10.1227/01.neu.0000303189.80049.ab
更新日期:2007-11-01 00:00:00
abstract::A very rare case of Petriellidium boydii pachymeningitis is described. Rarer still is the stabilization of this case for a prolonged period. Miconazole and ketaconazole both seemed useful in the treatment, and their role is discussed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198402000-00019
更新日期:1984-02-01 00:00:00
abstract::Negative findings on four-vessel angiography after a subarachnoid hemorrhage are seen in 5 to 30% of patients. A previously silent lesion in the spinal canal may be responsible for the ictus in a small percentage of this group. The etiological factors include tumors and arteriovenous malformations; however, investigat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199010000-00022
更新日期:1990-10-01 00:00:00
abstract:BACKGROUND:Skull base osteosarcomas are aggressive neoplasms characterized by bony invasion and extracompartmental/extra-osseous soft tissue extension that pose obstacles to achieving complete resection. Management is further complicated by the paucity of data regarding the efficacy of surgery within the treatment para...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz360
更新日期:2020-01-01 00:00:00
abstract::The failure of most available treatment modalities to improve the survival time and the quality of survival in patients with gliomas calls for the intense biological analysis of glial neoplasia. The untimely activation of cellular protooncogenes is often related to the process of neoplasia. Several protein growth fact...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-198911000-00001
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVE:This study investigated the effects of a combination therapy of marrow stromal cells (MSCs) and statins (atorvastatin) after traumatic brain injury in rats. METHODS:Thirty-two female Wistar rats were injured by controlled cortical impact and divided into four groups. Group I was injected with MSCs (1 x 10(6)...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255346.25959.99
更新日期:2007-03-01 00:00:00
abstract::The closure of myelorachischisis defects has been difficult and at times complicated. Over the past 2 decades, the use of rotational advancement flaps has been increasingly popular, but can be attended by instances of skin ischemia and necrosis. The development of the myocutaneous and muscle flap concept has aided rec...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198209000-00015
更新日期:1982-09-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:We report an extremely rare case with mirror-site spinal dural arteriovenous fistulas (DAVFs) at the craniocervical junction. Although multiple spinal DAVFs have been reported in the literature, complete mirror-site lesions with fistulas and feeding arteries in the symmetric position have not ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e318223bab5
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Identification of rupture sites in patients with multiple intracranial aneurysms is largely based on aneurysm size, location, and shape. Finding circumferential enhancement along the aneurysm wall (CEAW) on magnetic resonance (MR) vessel wall imaging was recently shown to be indicative of ruptured aneurysm. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx267
更新日期:2018-05-01 00:00:00
abstract::Experience with 120 patients who incurred a gunshot wound to the head with dural penetration is presented. All of the patients were managed by a standard resuscitation protocol and assigned a clinical grade based on their level of consciousness both at the time of presentation and at 2 to 4 months after injury. Fifty ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199107000-00011
更新日期:1991-07-01 00:00:00
abstract::Currently, only presumptive diagnosis of chronic traumatic encephalopathy (CTE) can be made in living patients. We present a modality that may be instrumental to the definitive diagnosis of CTE in living patients based on brain autopsy confirmation of [F-18]FDDNP-PET findings in an American football player with CTE. [...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx536
更新日期:2018-02-01 00:00:00
abstract:STANDARDS:Prophylactic treatment of thromboembolism in patients with severe motor deficits due to spinal cord injury is recommended. The use of low-molecular-weight heparins, rotating beds, adjusted dose heparin, or a combination of modalities is recommended as a prophylactic treatment strategy. Low-dose heparin in com...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-200203001-00014
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:While the utilization of neurophysiologic intraoperative monitoring with motor evoked potentials (MEPs) has become widespread in surgery for traumatic spine fractures and spinal cord injury (SCI), clinical validation of its diagnostic and therapeutic benefit has been limited. OBJECTIVE:To describe the use o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx320
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To assess acute and chronic histopathological changes observed in a swine arteriovenous malformation model after endovascular delivery of Embolyx E (Micro Therapeutics Inc., San Clemente, CA) and its organic solvent dimethyl sulfoxide (DMSO). To develop standard endovascular delivery techniques of Embolyx thr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199811000-00081
更新日期:1998-11-01 00:00:00