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::During a 34-month period, 12 cases of delayed traumatic intracerebral hematoma (DTICH) were diagnosed among 162 consecutive prospectively studied patients admitted to the Medical College of Virginia with severe closed head injuries. All patients were unresponsive to command and unable to utter formed words at the time...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1979-09-01 00:00:00
abstract::This study investigated the spinal evoked response to focal electrical stimulation of the sensorimotor cortex in 32 rats. The results demonstrate a long-latency response (beginning at 8 milliseconds) elicited by electrical stimulation, which is distinct from the short-latency motor evoked potential previously reported...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199104000-00011
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:The objective of this work is to present the preliminary clinical experience we acquired in using the new PoleStar generation, N20 (Medtronic Navigation, Louisville, CO), in a modified conventional operating room. METHODS:PoleStar N20 is a 0.15-T, intraoperative scanner combined with both an integrated optic...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000317376.38067.8e
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:The Thoracolumbar Injury Classification and Severity Score (TLICS) has been shown to be a valid tool for assessing the need for surgical intervention in adult patients. There is limited insight into its usefulness in children. OBJECTIVE:To assess the validity of the TLICS system in pediatric patients. METH...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy408
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Lymphocytic hypophysitis is being recognized with increasing frequency, but the long-term course is not well known. Recurrence of lymphocytic hypophysitis after a long interval has never been reported. CLINICAL PRESENTATION:A 53-year-old woman presented with central diabetes insipidus. Magneti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199709000-00037
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:We measured cerebrospinal fluid flow velocity by use of cine phase contrast magnetic resonance imaging to quantitate the effectiveness of surgical decompression in patients with cervical myelopathy. METHODS:Forty-seven patients with cervical myelopathy attributable to either spondylosis or ossification of th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200204000-00020
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Resection of cerebellopontine angle (CPA) meningiomas may result in significant neurological morbidity. Radiosurgery offers a minimally invasive alternative to surgery. OBJECTIVE:To evaluate, in a multicenter cohort study, the outcomes of patients harboring CPA meningiomas who underwent Gamma Knife radiosur...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000000480
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Cerebral vasospasm is an independent predictor of poor outcome after subarachnoid hemorrhage (SAH). The nitric oxide-cyclic guanosine monophosphate (NO-cGMP) vasodilatory pathway is strongly implicated in its pathophysiology. Preliminary studies suggest that phosphodiesterase 5 (PDE5), an enzyme that degrade...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31822ec2b0
更新日期:2012-01-01 00:00:00
abstract::Image guidance (IG) and robotics systems are becoming more widespread in their utilization and can be invaluable intraoperative adjuncts during spine surgery. Both are highly reliant upon stereotaxy and either pre- or intraoperative radiographic imaging. While user-operated IG systems have been commercially available ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyy630
更新日期:2019-06-01 00:00:00
abstract::The effect of dexamethasone on the delivery of monoclonal antibody L6 IgG to intracerebral and subcutaneous LX-1 small cell lung carcinoma xenografts was evaluated in nude rats (n = 157). Dexamethasone (0, 8, or 24 mg/m2) was given 18 hours before infusion of L6 IgG, with or without osmotic disruption of the blood-bra...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199309000-00018
更新日期:1993-09-01 00:00:00
abstract:BACKGROUND:Free radicals and lipid peroxidation are thought to be related to the vasospasm generation after subarachnoid hemorrhage (SAH). Plasma platelet-activating factor-acetyl hydrolase (PAF-AH) degrades phospholipids with an oxidatively modified fatty acyl chain. OBJECTIVE:To compare plasma PAF-AH activity and fr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182333c69
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Spinal extradural arteriovenous fistula (SEDAVF) with parenchymal drainage (type A) is a rare clinical entity that causes venous congestive myelopathy. Treatment includes endovascular and open microsurgical interventions. We reviewed the clinical records of patients treated for a type A SEDAVF...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000189
更新日期:2013-12-01 00:00:00
abstract::In four patients, shunt obstruction was accompanied by severe resting tremor involving principally the head, the jaw, the tongue, and the right upper extremity. Shunt revision resulted in improvement in each patient. Five similar patients have been reported. Although rare, the occurrence of parkinsonian tremor in a pr...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/00006123-199509000-00023
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:The objective was to examine the microsurgical anatomy basic to the microsurgical and endovascular management of lesions involving the dural arteries. METHODS:Adult cadaveric heads and skulls were examined using the magnification provided by the surgical microscope to define the origin, course, and distribut...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144823.94402.3d
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:Perforating arteries are commonly involved during the surgical dissection and clipping of intracranial aneurysms. Occlusion of perforating arteries is responsible for ischemic infarction and poor outcome. The goal of this study is to describe the usefulness of near-infrared indocyanine green videoangiography ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000333795.21468.d4
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:There are numerous reports on the surgical treatment of trigeminal neuralgia, but the studies do not use uniform outcome measures, which makes it difficult for patients and clinicians to determine which treatment may be most appropriate. The objectives of this study were to set quality criteria and standards ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000068862.78930.ee
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Risk factors for poor quality of life (QOL) after subarachnoid hemorrhage (SAH) remain poorly described. OBJECTIVE:To identify the frequency and predictors of poor QOL 1 year after SAH. METHODS:We studied 1-year QOL in a prospectively collected cohort of 1181 consecutively admitted SAH survivors between Ju...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001042
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Bundled care payment models are becoming more prevalent in neurosurgery. Such systems place the cost of postsurgical facilities in the hands of the discharging health system. Opportunity exists to leverage prediction tools for discharge disposition by identifying patients who will not benefit from prolonged ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz161
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:During the past decade, management of posterior circulation aneurysms has shifted away from microsurgery. Currently, microsurgical clipping is considered a primary, competitive alternative to endovascular coiling, or more commonly, a secondary alternative when endovascular therapy is unfavorable. We present a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000333295.59738.de
更新日期:2008-06-01 00:00:00
abstract:INTRODUCTION:We evaluated the feasibility, usefulness, and limitations of near-infrared indocyanine green (ICG) videoangiography during procedures involving the extracranial vertebral artery (VA). METHODS:Nine patients (2 women, 7 men; mean age, 55 years) were evaluated at 2 neurosurgical centers. Near-infrared ICG vi...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000363596.52283.65
更新日期:2010-02-01 00:00:00
abstract::Multiple thoracic disc herniation is rare, and one of the main problems in its treatment has been the lack of accuracy in diagnostic tests. Now, with the advent of computed tomographic scanning with metrizamide in the subarachnoid space, the accuracy has been greatly improved. With computed tomographic scanning, the t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198806010-00016
更新日期:1988-06-01 00:00:00
abstract::Spread of spinal cord glioblastoma multiforme to the intracranial compartment is uncommon. This report documents a case of metastatic spread of glioblastoma multiforme from the spinal cord to an intracranial arachnoid cyst. Seeding of the cyst cavity could have occurred by direct permeation of the cyst wall by the neo...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198705000-00018
更新日期:1987-05-01 00:00:00
abstract::Dorsal root entry zone lesions are effective in the control of intractable pain in several types of spinal cord injuries. Traditionally, these lesions have been made with the radiofrequency technique. This is effective, but has the drawback of being laborious, and there is a significant incidence of permanent weakness...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198503000-00008
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE:The surgical strategies and outcomes for 70 patients operated on for tuberculum sellae meningioma were analyzed retrospectively. The analysis was based on factors that probably determined the difficulties encountered during surgery, assisted in predicting the extent of resectability, and helped in predicting ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:The prevalence of hypothalamic-pituitary dysfunction after aneurysmal subarachnoid hemorrhage has not been precisely determined, and conflicting results have been reported in the literature. OBJECTIVE:To perform a systematic review and meta-analysis investigating the prevalence of pituitary insufficiency af...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1227/NEU.0000000000001157
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Intraoperative aneurysmal rupture represents a potentially catastrophic event. We describe the use of an intravenous adenosine bolus to induce transient cardiac asystole to control a severe intraoperative aneurysmal rupture. This treatment resulted in a brief period of severe hypotension, which...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200007000-00053
更新日期:2000-07-01 00:00:00
abstract::This article represents the first of a 2-part exploration of quantum dots (Qdots) and their application to neurological surgery. Spanning from materials science to immunology, this initial review traces the marriage of imaging physics to biochemical specificity. Qdot science now stands poised to dramatically advance t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000347889.62762.3F
更新日期:2009-06-01 00:00:00
abstract:UNLABELLED:BAC1KGROUND: AG1478 is an epithelial growth factor receptor tyrosine kinase inhibitor. Epithelial growth factor receptor regulates the expression of cadherin in cells via its action on β-catenin, and N-cadherin downregulation promotes infiltration and cerebrospinal fluid (CSF) dissemination of glioma cells. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318215a3d0
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Classification of middle cerebral artery (MCA) aneurysms is sometimes difficult because the identification of the main MCA bifurcation, the key for accurate classification of MCA aneurysms, is inconsistent and somewhat subjective. OBJECTIVE:To use the meeting point of the M1 and M2 trunks as an objective, g...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000429842.61213.d5
更新日期:2013-07-01 00:00:00
abstract::The notion of nanotechnology has evolved since its inception as a fantastic conceptual idea to its current position as a mainstream research initiative with broad applications among all divisions of science. In the first part of this series, we reviewed the structures and principles that comprise the main body of know...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000217016.79256.16
更新日期:2006-06-01 00:00:00