Abstract
Abstract WP215: Number of Passes Matter in Acute Ischemic Stroke Patients Who Underwent Failed Mechanical Thrombectomy
Stroke (1970), Vol.55(Suppl_1)
02/2024
DOI: 10.1161/str.55.suppl_1.WP215
Abstract
Abstract only Introduction: Acute ischemic stroke (AIS) patients often require multiple passes during mechanical thrombectomy (MT) to open the vessel. Yet, at times, even numerous passes are unsuccessful. This study aims to investigate the impact of the number of passes on the outcomes of patients who underwent failed MT. Methods: We used Data from the Stroke Thrombectomy and Aneurysm Registry (STAR) from 2013 to August 2023. Patients who underwent MT for ICA, M1, or M2 with unsuccessful recanalization (modified Thrombolysis in Cerebral Infarction ≤ 2a) were included. Primary outcome was 90- day modified Rankin Scale (mRS) 0-2. Secondary outcomes included any intracranial hemorrhage (ICH) and symptomatic ICH (sICH). Outcomes were compared among patients who received ≤ 2, 3, 4, and ≥ 5 MT passes. Results: 736 patients met inclusion criteria. 90-day mRS 0-2 was found to decrease with number of passes (Figure 1). Multivariate logistic regression analysis revealed that 3 passes (OR: 0.48, 95% CI: 0.23 -0.96, P-value: 0.04), 4 passes (OR: 0.46, 95% CI: 0.19 -1.03, P-value: 0.07), and ≥ 5 passes (OR: 0.22, 95% CI: 0.08 -0.50, P-value: <0.001) were associated with lower odds of mRS 0-2 compared to ≤ 2 passes. However, there were no significant differences between groups in ICH, sICH, or 90-day mortality. Conclusion: The number of passes affects functional outcomes among stroke patients who underwent failed MT.
Details
- Title: Subtitle
- Abstract WP215: Number of Passes Matter in Acute Ischemic Stroke Patients Who Underwent Failed Mechanical Thrombectomy
- Creators
- Sameh Samir Elawady - Medical University of South CarolinaConor Cunningham - Medical University of South CarolinaHidetoshi Matsukawa - Medical University of South CarolinaMohammad-Mahdi Sowlat - University of South CarolinaKazutaka Uchida - Hyogo UniversitySara Zandpazandi - Medical University of South CarolinaAtakan Orscelik - Medical University of South CarolinaIlko Maier - Nephrologisches Zentrum GoettingenSami Al Kasab - Medical University of South CarolinaPascal M Jabbour - Thomas Jefferson UniversityJoon-Tae Kim - Chonnam National UniversityStacey C Quintero - New England Baptist Hospitalansaar rai - West Virginia UniversityRobert Starke - University of Miami Health SystemMarios Psychogios - University Hospital of BaselAmir Shaban - University of IowaAdam S Arthur - Semmes Murphey FoundationShinichi Yoshimura - Hyogo Medical UniversityHugo Cuellar - Louisiana State University Health Sciences Center ShreveportBrian Howard - Emory UniversityAli M Alawieh - Emory UniversityDaniele G. Romano - Ospedali Riuniti San Giovanni di Dio e Ruggi d'AragonaOmar Tanweer - Baylor College of MedicineJustin Mascitelli - The University of Texas Health Science Center at San AntonioIsabel Fragata - Unidade Local de Saúde de São JoséAdam Polifka - University of FloridaJoshua Osbun - Washington University in St. LouisRoberto Crosa - Administracion de los Servicios de Salud del EstadoCharles C Matouk - Yale UniversityMin S Park - University of VirginiaMichael Levitt - Seattle UniversityWaleed Brinjikji - Mayo ClinicMark Moss - Washington Regional Medical CenterTravis Dumont - University of ArizonaRichard Williamson - Allegheny General HospitalPedro Navia - Hospital Universitario La PazPeter Kan - The University of Texas Medical Branch at GalvestonReade A De Leacy - Mount Sinai Health SystemShakeel A Chowdhry - NorthShore University HealthSystemMohamad Ezzeldin - Lone Star College KingwoodAlejandro M Spiotta - Medical University of South Carolina
- Resource Type
- Abstract
- Publication Details
- Stroke (1970), Vol.55(Suppl_1)
- DOI
- 10.1161/str.55.suppl_1.WP215
- ISSN
- 0039-2499
- eISSN
- 1524-4628
- Language
- English
- Date published
- 02/2024
- Academic Unit
- Neurology
- Record Identifier
- 9984557843002771
Metrics
23 Record Views