1. Thrombectomy Technique Predicts Outcome in Posterior Circulation Stroke—Insights from the STAR Collaboration
- Author
-
Ilko Maier, Jonathan A Grossberg, Vasu Saini, Maya Eid, Ansaar T Rai, Stacey Q Wolfe, Travis M. Dumont, Marios-Nikos Psychogios, Nitin Goyal, Mohammad Anadani, Jan Liman, J Mocco, Mithun G. Sattur, Ali Alawieh, Robert M. Starke, Kyle M Fargen, Alejandro M Spiotta, W. Christopher Fox, Michelle Allen, Fábio A. Nascimento, Adam S Arthur, Jonathan Lena, Lucas Elijovich, Reade De Leacy, Salah G. Keyrouz, Benjamin Gory, Wuwei Feng, Johanna T Fifi, David J McCarthy, Peter Kan, James A Giles, Roberto Crosa, Medical University of South Carolina [Charleston] (MUSC), Emory University School of Medicine, Emory University [Atlanta, GA], University Medical Center Göttingen (UMG), The University of Tennessee Health Science Center [Memphis] (UTHSC), University of Miami Leonard M. Miller School of Medicine (UMMSM), West Virginia University [Morgantown], Wake Forest University, University Hospital Basel [Basel], Mount Sinai Health System, Washington University School of Medecine [Saint Louis, MO], University of Arizona, Baylor College of Medicine (BCM), Baylor University, University of Florida [Gainesville] (UF), Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Université de Lorraine (UL)-Institut National de la Santé et de la Recherche Médicale (INSERM), Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy], and Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)
- Subjects
Male ,medicine.medical_specialty ,[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Internal medicine ,Diabetes mellitus ,Occlusion ,medicine ,[INFO.INFO-IM]Computer Science [cs]/Medical Imaging ,Humans ,030212 general & internal medicine ,Stroke ,Aged ,Retrospective Studies ,Thrombectomy ,Stent retriever ,business.industry ,Endovascular Procedures ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Combined approach ,3. Good health ,Mechanical thrombectomy ,Treatment Outcome ,Cardiology ,Female ,Surgery ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
International audience; Abstract BACKGROUND Randomized controlled trials evaluating mechanical thrombectomy (MT) for acute ischemic stroke predominantly studied anterior circulation patients. Both procedural and clinical predictors of outcome in posterior circulation patients have not been evaluated in large cohort studies. OBJECTIVE To investigate technical and clinical predictors of functional independence after posterior circulation MT while comparing different frontline thrombectomy techniques. METHODS In a retrospective multicenter international study of 3045 patients undergoing MT for stroke between 06/2014 and 12/2018, 345 patients had posterior circulation strokes. MT was performed using aspiration, stent retriever, or combined approach. Functional outcomes were assessed using the 90-d modified Rankin score dichotomized into good (0-2) and poor outcomes (3-6). RESULTS We included 2700 patients with anterior circulation and 345 patients with posterior circulation strokes. Posterior patients (age: 60 ± 14, 46% females) presented with mainly basilar occlusion (80%) and were treated using contact aspiration or ADAPT (39%), stent retriever (31%) or combined approach (19%). Compared to anterior strokes, posterior strokes had delayed treatment (500 vs 340 min, P
- Published
- 2020