ArticleClinical neuroradiology2012
Mechanical thrombectomy compared to local-intraarterial thrombolysis in carotid T and middle cerebral artery occlusions: a single center experience.
Article in Clinical neuroradiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
- Patient selection for mechanical thrombectomy.Clinical neuroradiology · 2014Trial
- Mechanical thrombectomy with stent retrievers in acute basilar artery occlusion.AJNR. American journal of neuroradiology · 2014Trial
- Material strengths of shear-induced platelet aggregation clots and coagulation clots.Scientific reports · 2024Article
- Therapeutic Advancements in the Endovascular Management of Acute Ischemic Stroke.Stroke (Hoboken, N.J.) · 2021Review
- Considerations about Occlusion of the Intracranial Distal Internal Carotid Artery.Clinical neuroradiology · 2017Article
- Mechanical thrombectomy using a combined CT/C-arm X-ray system.Journal of neurointerventional surgery · 2016Article
- Mechanical Thrombectomy of Distal Occlusions in the Anterior Cerebral Artery: Recanalization Rates, Periprocedural Complications, and Clinical Outcome.AJNR. American journal of neuroradiology · 2016Article
- [Technical standards for the interventional treatment of acute ischemic stroke].Der Nervenarzt · 2015Article
- Double solitaire mechanical thrombectomy in acute stroke: effective rescue strategy for refractory artery occlusions?AJNR. American journal of neuroradiology · 2015Article
- Mechanical thrombectomy in acute ischemic stroke-experience from 6 years of practice.Neuroradiology · 2014Article
- Recanalization and Reperfusion Therapies of Acute Ischemic Stroke: What have We Learned, What are the Major Research Questions, and Where are We Headed?Frontiers in neurology · 2014Review
- Clinical significance of post-interventional cerebral hyperdensities after endovascular mechanical thrombectomy in acute ischaemic stroke.Neuroradiology · 2014Article
- Retrievable stent thrombectomy in the treatment of acute ischemic stroke: analysis of a revolutionizing treatment technique.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2013Review
- Article
- Mechanical thrombectomy with solitaire stent retrieval for acute ischemic stroke in a Brazilian population.Clinics (Sao Paulo, Brazil) · 2012Article
- Treatment of acute ischemic stroke with clot retrieval devices.Current treatment options in cardiovascular medicine · 2012Article
- Safety and efficacy of mechanical thrombectomy with solitaire stent retrieval for acute ischemic stroke: a systematic review.Neurointervention · 2012Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of the study was to examine the effects of mechanical thrombectomy using the Solitaire stent in patients with thromboembolic occlusions of the intracranial carotid artery bifurcation (carotid T) or middle cerebral artery (MCA) and to compare the results with a historical cohort treated with local intraarterial thrombolysis using urokinase.
methodsThe time intervals from stroke onset to treatment, recanalization rates, occlusion sites, recanalization times and functional outcomes on the modified Rankin scale at 3 months in 25 patients treated with the Solitaire stent between 2010 and 2011 were evaluated. The data were compared with those of a historical cohort of 62 patients treated with local intraarterial thrombolysis between 1992 and 2001.
resultsA total of 15 out of 25 (60%) patients treated with mechanical thrombectomy and 25 out of 62 (40%) treated with local intraarterial thrombolysis achieved a modified Rankin score of ≤2 (p = 0.07). Occlusion sites, intervals from stroke onset to treatment and rates of parenchymal hematomas, 3 out of 25 (12%) versus 8 out of 62 (13%), were similar in both cohorts while the recanalization rate was significantly higher, 22 out of 25 (88%) versus 33 of 62 (53%), in the mechanical thrombectomy group (p ≤ 0.01).
conclusionThe data show that mechanical thrombectomy is superior to local intraarterial thrombolysis with respect to the recanalization rate in patients with thrombeoembolic carotid T or MCA occlusions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.