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Safety and Effectiveness of Neuro-thrombectomy on Single compared to Biplane Angiography Systems.

Safety and Effectiveness of Neuro-thrombectomy on Single compared to Biplane Angiography Systems.

Authors :
Guenego, Adrien
Mosimann, Pascal J.
Wintermark, Max
Heit, Jeremy J.
Zuber, Kevin
Dobrocky, Tomas
Lotterie, Jean Albert
Nicholson, Patrick
Marcellus, David G.
Olivot, Jean Marc
Gonzalez, Nestor
Blanc, Raphaël
Pereira, Vitor Mendes
Gralla, Jan
Kaesmacher, Johannes
Fahed, Robert
Piotin, Michel
Cognard, Christophe
The RADON Investigators
Piechowiak, Eike
Source :
Scientific Reports. 3/11/2020, Vol. 10 Issue 1, p1-8. 8p.
Publication Year :
2020

Abstract

An increasing number of centers not necessarily equipped with biplane (BP) angiosuites are performing mechanical thrombectomy (MT) in acute ischemic stroke patients. We assessed whether MT performed on single-plane (SP) is equivalent in terms of safety, effectiveness, radiation and contrast agent exposure. Consecutive patients treated by MT in four high volume centers between January 2014 and May 2017 were included. Demographic and MT characteristics were assessed and compared between SP and BP. Of 906 patients treated by MT, 576 (64%) were handled on a BP system. After multivariate analysis, contrast load and fluoroscopy duration were significantly lower in the BP group [100vs200mL, relative effect 0.85 (CI: 0.79–0.92), p = 0.0002; 22 vs 27 min, relative effect 0.84 (CI: 0.76–0.93), p = 0.0008, respectively]. There was no difference in recanalization (modified Thrombolysis-In-Cerebral-Infarction 2b-3), good clinical outcome (modified Rankin Scale 0–2), complications rates, procedure duration or radiation exposure. A three-vessel diagnostic angiogram performed prior to MT led to a significant increase in procedure duration (15% increase, p = 0.05), radiation exposure (33% increase, p < 0.0001) and contrast load (125% increase, p < 0.0001). Mechanical neuro-thrombectomy seems equally safe and effective on a single or biplane angiography system despite increased contrast load and fluoroscopy duration on the former. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
20452322
Volume :
10
Issue :
1
Database :
Academic Search Index
Journal :
Scientific Reports
Publication Type :
Academic Journal
Accession number :
142185530
Full Text :
https://doi.org/10.1038/s41598-020-60851-4