Search

Your search keyword '"Moliner, Sarai"' showing total 4 results
Start Over Author "Moliner, Sarai"
4 results on '"Moliner, Sarai"'

1. Stent-retriever alone versus combined use of stent-retriever and contact aspiration technique for middle cerebral artery M2 occlusions: a propensity score analysis

Author

Pérez-García, Carlos, primary, Rosati, Santiago, additional, Gómez-Escalonilla, Carlos, additional, Arrazola, Juan, additional, López-Frías, Alfonso, additional, González, Eva, additional, Fondevila, Jon, additional, Vega, Pedro, additional, Murias, Eduardo, additional, Jimenez-Gomez, Elvira, additional, Bravo Rey, Isabel, additional, Macho, Juan, additional, San Roman, Luis, additional, Rodriguez Caamaño, Isabel, additional, Paipa, Andres Julián, additional, Remollo, Sebastian, additional, Aguilar Tejedor, Yeray, additional, Bermúdez-Coronel, Isabel, additional, Moliner, Sarai, additional, Pumar, José Manuel, additional, Bashir, Saima, additional, Puig, Josep, additional, López-Rueda, Antonio, additional, Blasco, Jordi, additional, Nogueira, Raul G, additional, and Moreu, Manuel, additional

Published
2021
Full Text
View/download PDF

2. Stent-retriever alone versus combined use of stent-retriever and contact aspiration technique for middle cerebral artery M2 occlusions: a propensity score analysis.

Author

Pérez-García, Carlos, Rosati, Santiago, Gómez-Escalonilla, Carlos, Arrazola, Juan, López-Frías, Alfonso, González, Eva, Fondevila, Jon, Vega, Pedro, Murias, Eduardo, Jimenez-Gomez, Elvira, Bravo Rey, Isabel, Macho, Juan, Roman, Luis San, Rodriguez Caamaño, Isabel, Paipa, Andres Julián, Remollo, Sebastian, Aguilar Tejedor, Yeray, Bermúdez-Coronel, Isabel, Moliner, Sarai, and Pumar, José Manuel

Subjects
REPORTING of diseases, INFARCTION, MULTIPLE regression analysis, ISCHEMIC stroke, SURGICAL stents, CEREBRAL arteries, TREATMENT effectiveness, COMPARATIVE studies, THROMBECTOMY, REPERFUSION, ENDOVASCULAR surgery, PROBABILITY theory, DISEASE complications
Abstract

Background The optimal endovascular treatment (EVT) technique for middle cerebral artery (MCA) M2 segment occlusions remains unknown. We aim to analyze whether reperfusion rate, procedure times, procedure-related complications, and clinical outcome differed between patients with isolated M2 occlusions who underwent stent-retriever (SR) alone versus combined SR and contact aspiration (CA) as a front-line EVT. Methods Patients who underwent EVT for isolated MCA-M2 occlusion were recruited from the prospectively ongoing ROSSETTI registry. Patients were divided regarding the EVT approach into SR alone versus SR+CA and propensity score matching was used to achieve baseline balance. Demographic, procedural, safety, and clinical outcomes were compared between groups. Multivariable logistic regression analysis was performed to identify independent predictors of first-pass effect (FPE) and 90-day modified Rankin scale (mRS) 0-2. Results 214 patients underwent EVT for M2 occlusion, 125 treated with SR alone and 89 with SR+CA. Propensity score matchnig analysis selected 134 matched patients. The rates of FPE (42% vs 40%, p=1.000) and 90-day mRS 0-2 (60% vs 51%, p=0.281) were comparable between groups. Patients treated with SR alone had lower need of rescue therapy (p=0.006), faster times to reperfusion (p<0.001), and lower procedure-related complications (p=0.031). Higher initial Alberta Stroke Program Early CT Score was an independent predictor of FPE. Age, baseline National Institutes of Health Stroke Scale score, and procedure duration were significant predictors of good clinical outcome at 3 months. Conclusions As front-line modality in M2 occlusions, the SR alone approach results in similar rates of reperfusion and good clinical outcomes to combined SR+CA and might be advantageous due to faster reperfusion times and fewer adverse events. [ABSTRACT FROM AUTHOR]

Published
2022
Full Text
View/download PDF

3. Addition of intracranial aspiration to balloon guide catheter does not improve outcomes in large vessel occlusion anterior circulation stent retriever based thrombectomy for acute stroke

Author

Blasco, Jordi, primary, Puig, Josep, additional, López-Rueda, Antonio, additional, Daunis-i-Estadella, Pepus, additional, Llull, Laura, additional, Zarco, Federico, additional, Macias, Napoleon, additional, Macho, Juan, additional, González, Eva, additional, Labayen, Ion, additional, Vega, Pedro, additional, Murias, Eduardo, additional, Jimenez-Gomez, Elvira, additional, Bravo Rey, Isabel, additional, Moreu, Manuel, additional, Pérez-García, Carlos, additional, Chirife Chaparro, Oscar, additional, Aixut, Sonia, additional, Terceño, Mikel, additional, Werner, Mariano, additional, Pumar, José Manuel, additional, Aguilar Tejedor, Yeray, additional, Mendez, Jose Carlos, additional, Moliner, Sarai, additional, Nogueira, Raul G, additional, and San Roman, Luis, additional

Published
2021
Full Text
View/download PDF

4. Addition of intracranial aspiration to balloon guide catheter does not improve outcomes in large vessel occlusion anterior circulation stent retriever based thrombectomy for acute stroke

Author

Blasco, Jordi, Puig, Josep, López-Rueda, Antonio, Daunis-i-Estadella, Pepus, Llull, Laura, Zarco, Federico, Macias, Napoleon, Macho, Juan, González, Eva, Labayen, Ion, Vega, Pedro, Murias, Eduardo, Jimenez-Gomez, Elvira, Bravo Rey, Isabel, Moreu, Manuel, Pérez-García, Carlos, Chirife Chaparro, Oscar, Aixut, Sonia, Terceño, Mikel, Werner, Mariano, Pumar, José Manuel, Aguilar Tejedor, Yeray, Mendez, Jose Carlos, Moliner, Sarai, Nogueira, Raul G, and San Roman, Luis

Abstract

BackgroundBalloon guide catheter (BGC) in stent retriever based thrombectomy (BGC+SR) for patients with large vessel occlusion strokes (LVOS) improves outcomes. It is conceivable that the addition of a large bore distal access catheter (DAC) to BGC+SR leads to higher efficacy. We aimed to investigate whether the combined BGC+DAC+SR approach improves angiographic and clinical outcomes compared with BGC+SR alone for thrombectomy in anterior circulation LVOS.MethodsConsecutive patients with anterior circulation LVOS from June 2019 to November 2020 were recruited from the ROSSETTI registry. Demographic, clinical, angiographic, and outcome data were compared between patients treated with BGC+SR alone versus BGC+DAC+SR. The primary outcome was first pass effect (FPE) rate, defined as near complete/complete revascularization (modified Thrombolysis in Cerebral Infarction (mTICI) 2c–3) after single device pass.ResultsWe included 401 patients (BGC+SR alone, 273 (66.6%) patients). Patients treated with BGC+SR alone were older (median age 79 (IQR 68–85) vs 73.5 (65–82) years; p=0.033) and had shorter procedural times (puncture to revascularization 24 (14–46) vs 37 (24.5–63.5) min, p<0.001) than the BGC+DAC+SR group. Both approaches had a similar FPE rate (52% in BGC+SR alone vs 46.9% in BGC+DAC+SR, p=0.337). Although the BGC+SR alone group showed higher rates for final successful reperfusion (mTICI ≥2b (86.8% vs 74.2%, p=0.002) and excellent reperfusion, mTICI ≥2 c (76.2% vs 55.5%, p<0.001)), there were no significant differences in 24 hour National Institutes of Health Stroke Scale score or rates of good functional outcome (modified Rankin Scale score of 0–2) at 3 months across these techniques.ConclusionsOur data showed that addition of distal intracranial aspiration catheters to BGC+SR based thrombectomy in patients with acute anterior circulation LVO did not provide higher rates of FPE or improved clinical outcomes.

Published
2022
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results