Mechanical thrombectomy compared to local-intraarterial thrombolysis in carotid T and middle cerebral artery occlusions: a single center experience.

Abstract:

PURPOSE:The aim of the study was to examine the effects of mechanical thrombectomy using the Solitaire stent in patients with thromboembolic occlusions of the intracranial carotid artery bifurcation (carotid T) or middle cerebral artery (MCA) and to compare the results with a historical cohort treated with local intraarterial thrombolysis using urokinase. METHODS:The time intervals from stroke onset to treatment, recanalization rates, occlusion sites, recanalization times and functional outcomes on the modified Rankin scale at 3 months in 25 patients treated with the Solitaire stent between 2010 and 2011 were evaluated. The data were compared with those of a historical cohort of 62 patients treated with local intraarterial thrombolysis between 1992 and 2001. RESULTS:A total of 15 out of 25 (60%) patients treated with mechanical thrombectomy and 25 out of 62 (40%) treated with local intraarterial thrombolysis achieved a modified Rankin score of  ≤2 (p = 0.07). Occlusion sites, intervals from stroke onset to treatment and rates of parenchymal hematomas, 3 out of 25 (12%) versus 8 out of 62 (13%), were similar in both cohorts while the recanalization rate was significantly higher, 22 out of 25 (88%) versus 33 of 62 (53%), in the mechanical thrombectomy group (p ≤ 0.01). CONCLUSION:The data show that mechanical thrombectomy is superior to local intraarterial thrombolysis with respect to the recanalization rate in patients with thrombeoembolic carotid T or MCA occlusions.

journal_name

Clin Neuroradiol

journal_title

Clinical neuroradiology

authors

Möhlenbruch M,Seifert M,Okulla T,Wüllner U,Hadizadeh DR,Nelles M,Greschus S,Wilhelm K,Schild HH,Klockgether T,Urbach H

doi

10.1007/s00062-011-0099-9

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

141-7

issue

2

eissn

1869-1439

issn

1869-1447

journal_volume

22

pub_type

杂志文章
  • Flow-diverter Stents for Internal Carotid Artery Reconstruction Following Spontaneous Dissection: A Technical Report.

    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

    authors: Hilditch CA,Brinjikji W,Schaafsma J,Anderson Tsang CO,Nicholson P,Agid R,Krings T,Pereira VM

    更新日期:2019-12-01 00:00:00

  • HIV/AIDS patients with HIV vasculopathy and VZV vasculitis: a case series.

    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

    authors: Gutierrez J,Ortiz G

    更新日期:2011-09-01 00:00:00

  • Merged Volume Rendered Flat-panel Computed Tomography for Postoperative Cochlear Implant Assessment.

    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

    authors: Eisenhut F,Lang S,Taha L,Doerfler A,Iro H,Hornung J

    更新日期:2020-12-01 00:00:00

  • Presurgical MR Imaging in Epilepsy.

    abstract::Primary goal of magnetic resonance imaging in epilepsy patients is to detect epileptogenic lesions with small lesions best detectable on a 3D FLAIR SPACE sequence with 1 mm(3) voxels. Morphometric analysis of 3D T1-weighted data sets helps to find subtle lesions and may reveal the true extent of a lesion. In further p...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-015-0387-x

    authors: Urbach H,Mast H,Egger K,Mader I

    更新日期:2015-10-01 00:00:00

  • Magnetic resonance imaging appearance of primary spinal extradural Ewing's sarcoma: case report and literature review.

    abstract:PURPOSE:Primary spinal extradural Ewing's sarcoma (PSEES) or primitive neuroectodermal tumor (PNET) is uncommon. The present study summarizes the magnetic resonance (MR) imaging appearance of PSEES. METHODS:Literature search from 1994 to 2012 with our representative case presentation. RESULTS:Twenty-one patients, 12 ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-013-0222-1

    authors: Tsutsumi S,Yasumoto Y,Manabe A,Ogino I,Arai H,Ito M

    更新日期:2013-06-01 00:00:00

  • [Middle cerebral artery infarct after aneurysm coiling].

    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

    authors: Turowski B,Becker H

    更新日期:2010-06-01 00:00:00

  • Complication Risk Factors in Anterior Choroidal Artery Aneurysm Treatment.

    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

    authors: André A,Boch AL,Di Maria F,Nouet A,Sourour N,Clémenceau S,Gabrieli J,Degos V,Zeghal C,Chiras J,Cornu P,Clarençon F

    更新日期:2018-09-01 00:00:00

  • Contrast-enhanced magnetic resonance angiography in stroke diagnostics: additional information compared with time-of-flight magnetic resonance angiography?

    abstract:PURPOSE:The aim of this study was a comparison of the diagnostic value of time-of-flight magnetic resonance angiography (TOF-MRA) and contrast-enhanced (CE) MRA in the setting of acute stroke MRI. The hypothesis was that CE-MRA has at least the same diagnostic value as the commonly used TOF-MRA. MATERIALS AND METHODS:...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-010-0039-0

    authors: Alfke K,Jensen U,Pool C,Rohr A,Brüning R,Weber J,Bartsch T,Stingele R,Jansen O

    更新日期:2011-04-01 00:00:00

  • Wide, short bore magnetic resonance at 1.5 t: reducing the failure rate in claustrophobic patients.

    abstract:PURPOSE:Claustrophobic reactions in patients undergoing magnetic resonance imaging (MRI) have a significant impact on the workflow, patient acceptance and ultimately the costs involved in obtaining a diagnostic scan. The purpose of this study was to determine if the use of a wide, short bore MRI scanner could reduce th...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-011-0075-4

    authors: Hunt CH,Wood CP,Lane JI,Bolster BD,Bernstein MA,Witte RJ

    更新日期:2011-09-01 00:00:00

  • Monitoring of balloon test occlusion of the internal carotid artery by parametric color coding and perfusion imaging within the angio suite: first results.

    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

    authors: Struffert T,Deuerling-Zheng Y,Engelhorn T,Kloska S,Gölitz P,Bozzato A,Kapsreiter M,Strother CM,Doerfler A

    更新日期:2013-12-01 00:00:00

  • Acute Endovascular Stroke Treatment in Germany in 2019 : Results from a Nationwide Database.

    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 th...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-020-00989-w

    authors: 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 Neurora

    更新日期:2021-01-22 00:00:00

  • MDCT-based Finite Element Analysis of Vertebral Fracture Risk: What Dose is Needed?

    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

    authors: Anitha D,Mei K,Dieckmeyer M,Kopp FK,Sollmann N,Zimmer C,Kirschke JS,Noel PB,Baum T,Subburaj K

    更新日期:2019-12-01 00:00:00

  • Acute Basilar Artery Occlusion with Underlying High-Grade Basilar Artery Stenosis: Multimodal Endovascular Therapy in a Series of Seven Patients.

    abstract:PURPOSE:Acute basilar artery occlusion is associated with high rates of major morbidity and mortality. In rare cases, the underlying pathology is a high-grade stenosis of the basilar artery. We report on a series of seven cases with occluded high-grade basilar artery stenosis who received endovascular therapy at our ce...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-014-0303-9

    authors: Behme D,Weber W,Mpotsaris A

    更新日期:2015-09-01 00:00:00

  • Angiographic Patterns and Outcomes Achieved by Proximal Balloon Occlusion in Symptomatic Carotid Artery Stenosis Stenting.

    abstract:BACKGROUND AND PURPOSE:The best embolic protection strategy has not yet been established for carotid artery stenting (CAS). This article reports a new simplified approach using a balloon guide catheter inspired by stroke therapy, in patients harboring a symptomatic ICA atherosclerotic stenosis or web. In addition, the ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-019-00770-8

    authors: Dargazanli C,Mahmoudi M,Cappucci M,Collemiche FL,Labreuche J,Habza O,Gascou G,Lefèvre PH,Eker O,Mourand I,Gaillard N,Charif M,Derraz I,Arquizan C,Costalat V

    更新日期:2020-06-01 00:00:00

  • Management of Unruptured Saccular Aneurysms of the M1 Segment with Flow Diversion : A Single Centre Experience.

    abstract:PURPOSE:The optimal strategy for the treatment of M1 segment aneurysms has not yet been determined as both standard microneurosurgical and endovascular techniques can pose challenges. We sought to determine the efficacy of flow diverting stents to treat small, unruptured aneurysms of the M1 segment. METHODS:We retrosp...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-016-0553-9

    authors: Bhogal P,Martinez R,Gansladt O,Bäzner H,Henkes H,Aguilar M

    更新日期:2018-06-01 00:00:00

  • Endovascular treatment of isolated posterior inferior cerebellar artery dissecting aneurysms: parent artery occlusion or selective coiling?

    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

    authors: Trivelato FP,Salles Rezende MT,Castro GD,Manzato LB,Santoro Araújo JF,Ulhôa AC

    更新日期:2014-09-01 00:00:00

  • Magnetic resonance imaging in transient global amnesia: lessons learned from 198 cases.

    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

    authors: Scheel M,Malkowsky C,Klingebiel R,Schreiber SJ,Bohner G

    更新日期:2012-12-01 00:00:00

  • Limbic-Auditory Interactions of Tinnitus: An Evaluation Using Diffusion Tensor Imaging.

    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

    authors: Gunbey HP,Gunbey E,Aslan K,Bulut T,Unal A,Incesu L

    更新日期:2017-06-01 00:00:00

  • Value of Flat-detector Computed Tomography Angiography with Intravenous Contrast Media Injection in the Evaluation and Treatment of Acutely Ruptured Aneurysms of the AcomA complex: A Single Center Experience in 15 Cases.

    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

    authors: Rösch J,Lang S,Gölitz P,Kallmünzer B,Rössler K,Doerfler A,Struffert T

    更新日期:2018-12-01 00:00:00

  • Stent Retriever Thrombectomy with Mindframe Capture LP in Isolated M2 Occlusions.

    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

    authors: Dobrocky T,Bellwald S,Kurmann R,Piechowiak EI,Kaesmacher J,Mosimann PJ,Zibold F,Jung S,Arnold M,Fischer U,Gralla J,Mordasini P

    更新日期:2020-03-01 00:00:00

  • Regional Metabolite Concentrations in Aging Human Brain: Comparison of Short-TE Whole Brain MR Spectroscopic Imaging and Single Voxel Spectroscopy at 3T.

    abstract:PURPOSE:The aim of this study was to compare a recently established whole brain MR spectroscopic imaging (wbMRSI) technique using spin-echo planar spectroscopic imaging (EPSI) acquisition and the Metabolic Imaging and Data Analysis System (MIDAS) software package with single voxel spectroscopy (SVS) technique and LCMod...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-018-00757-x

    authors: Maghsudi H,Schmitz B,Maudsley AA,Sheriff S,Bronzlik P,Schütze M,Lanfermann H,Ding X

    更新日期:2020-06-01 00:00:00

  • Long-term Angiographic Results of the Low-profile Acandis Acclino Stent for Treatment of Intracranial Aneurysms : A Multicenter Study.

    abstract:PURPOSE:The low-profile Acandis Acclino is a self-expandable nitinol microstent for stent-assisted coiling of intracranial aneurysms. This article reports long-term clinical and angiographic outcome in a multicenter setting. METHODS:In this study 98 consecutive patients (mean age 55.4 ± 13.5 years) were treated with t...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-019-00847-4

    authors: Goertz L,Smyk MA,Mpotsaris A,Borggrefe J,Dorn F,Liebig T,Schlamann M,Laukamp K,Krischek B,Turowski B,Kabbasch C

    更新日期:2020-12-01 00:00:00

  • SVM-Based Normal Pressure Hydrocephalus Detection.

    abstract:BACKGROUND AND PURPOSE:As magnetic resonance imaging (MRI) signs of normal pressure hydrocephalus (NPH) may precede clinical symptoms we sought to evaluate an algorithm that automatically detects this pattern. METHODS:A support vector machine (SVM) was trained in 30 NPH patients treated with ventriculoperitoneal shunt...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-020-00993-0

    authors: Rau A,Kim S,Yang S,Reisert M,Kellner E,Duman IE,Stieltjes B,Hohenhaus M,Beck J,Urbach H,Egger K

    更新日期:2021-01-26 00:00:00

  • Posterior Circulation Occlusions May Be Associated with Distal Emboli During Thrombectomy : Factors for Distal Embolization and a Review of the Literature.

    abstract:BACKGROUND:Distal embolization or movement of the thrombus to previously uninvolved vasculature are feared complications during stroke thrombectomy. We looked at associated factors in a consecutive series of patients who underwent thrombectomy with the same endovascular device. METHODS:We included all patients with ac...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-018-0679-z

    authors: Yeo LLL,Holmberg A,Mpotsaris A,Söderman M,Holmin S,Kuntze Söderqvist A,Ohlsson M,Bhogal P,Gontu V,Andersson T,Brouwer PA

    更新日期:2019-09-01 00:00:00

  • Carotid angioplasty and stenting without protection devices: safety and efficacy concerns--single center experience.

    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

    authors: Mansour OY,Weber J,Niesen W,Schumacher M,Berlis A

    更新日期:2011-06-01 00:00:00

  • Comparison of ESWAN, SWI-SPGR, and 2D T2*-weighted GRE sequence for depicting cerebral microbleeds.

    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

    authors: Guo LF,Wang G,Zhu XY,Liu C,Cui L

    更新日期:2013-06-01 00:00:00

  • Magnetic Resonance Imaging in 14 Patients with Congenital Oculomotor Nerve Palsy.

    abstract:PURPOSE:To elucidate the imaging findings of congenital oculomotor nerve palsy by evaluating the oculomotor nerve and extraocular muscles on magnetic resonance (MR) imaging in a relatively large series of 14 patients with congenital oculomotor nerve palsy. METHODS:Ophthalmologic examination of 14 consecutive patients ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-019-00781-5

    authors: Yang HK,Kim JH,Hwang JM

    更新日期:2020-06-01 00:00:00

  • Iatrogenic Vessel Dissection in Endovascular Treatment of Acute Ischemic Stroke.

    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

    authors: Goeggel Simonetti B,Hulliger J,Mathier E,Jung S,Fischer U,Sarikaya H,Slotboom J,Schroth G,Mordasini P,Gralla J,Arnold M

    更新日期:2019-03-01 00:00:00

  • Approaching the Boundaries of Endovascular Treatment in Acute Ischemic Stroke : Multicenter Experience with Mechanical Thrombectomy in Vertebrobasilar Artery Branch Occlusions.

    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

    authors: Styczen H,Fischer S,Yeo LL,Yong-Qiang Tan B,Maurer CJ,Berlis A,Abdullayev N,Kabbasch C,Kastrup A,Papanagiotou P,Clajus C,Lobsien D,Piechowiak E,Kaesmacher J,Maus V

    更新日期:2020-10-27 00:00:00

  • Septo-optic Dysplasia : Assessment of Associated Findings with Special Attention to the Olfactory Sulci and Tracts.

    abstract:PURPOSE:Septo-optic dysplasia is a congenital disorder consisting of optic nerve hypoplasia and absent septum pellucidum. While associated anomalies have been described, olfactory sulcus and bulb-tract hypoplasia have been scantily reported and was the focus of this study. METHODS:The picture archival and communicatio...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-018-0687-z

    authors: Benson JC,Nascene D,Truwit C,McKinney AM

    更新日期:2019-09-01 00:00:00