Journal article
Technical and clinical outcomes in concurrent multivessel occlusions treated with mechanical thrombectomy: insights from the STAR collaboration
Journal of neurointerventional surgery, Vol.15(11), pp.1072-1077
11/2023
DOI: 10.1136/jnis-2022-019608
PMID: 36597932
Abstract
Background Endovascular thrombectomy (EVT) has become the mainstay treatment for large vessel occlusion, with favorable safety and efficacy profile. However, the safety and efficacy of EVT in concurrent multi-territory occlusions (MTVOs) remains unclear. Objective To investigate the prevalence, clinical and technical outcomes of concurrent EVT for MTVOs. Methods Data were included from the Stroke Thrombectomy and Aneurysm Registry (STAR) with 32 stroke centers for EVT performed to treat bilateral anterior or concurrent anterior and posterior circulation occlusions between 2017 and 2021. Patients with MTVO were identified, and propensity score matching was used to compare this group with patients with occlusion in a single arterial territory. Results Of a total of 7723 patients who underwent EVT for acute ischemic stroke, 54 (0.7%) underwent EVT for MTVOs (mean age 69±12.5; female 50%). 28% had bilateral and 72% had anterior and posterior circulations occlusions. The rate of successful recanalization (Thrombolysis in Cerebral Infarction 2b/3), complications, modified Rankin score at 90 days, and mortality was not significantly different between the matched cohorts. Multivariate analysis confirmed that MTVOs were not associated with poor functional outcome, symptomatic intracranial hemorrhage, or longer procedure time. Conclusion Compared with EVT for single vessel occlusions, EVT in appropriately selected patients with MTVOs has a similar efficacy and safety profile.
Details
- Title: Subtitle
- Technical and clinical outcomes in concurrent multivessel occlusions treated with mechanical thrombectomy: insights from the STAR collaboration
- Creators
- Hassan SaadSheila EshraghiAli M AlawiehFeras AkbikC Michael CawleyBrian M HowardMakenna AshAlice HsuAqueel PabaneyIlko MaierSami Al KasabKareem El NaamaniPascal JabbourJoon-tae KimStacey Q WolfeAnsaar RaiRobert M StarkeMarios-Nikos PsychogiosAmir ShabanAdam S ArthurShinichi YoshimuraIsabel FragataHugo H Cuellar-SaenzAdam J PolifkaJustin MascitelliJoshua W OsbunCharles MatoukMin S ParkMichael R LevittTravis M DumontRichard WilliamsonAlejandro M SpiottaJonathan A Grossberg
- Resource Type
- Journal article
- Publication Details
- Journal of neurointerventional surgery, Vol.15(11), pp.1072-1077
- DOI
- 10.1136/jnis-2022-019608
- PMID
- 36597932
- ISSN
- 1759-8478
- eISSN
- 1759-8486
- Language
- English
- Electronic publication date
- 12/05/2022
- Date published
- 11/2023
- Academic Unit
- Neurology; Neurosurgery
- Record Identifier
- 9984353495802771
Metrics
9 Record Views