Publication
Intracranial carotid occlusions
| datacite.subject.fos | Ciências Médicas::Medicina Clínica | |
| dc.contributor.author | Pero, Guglielmo | |
| dc.contributor.author | Dória, Hugo Mota | |
| dc.contributor.author | Piano, Mariangela | |
| dc.contributor.author | Macera, Antonio | |
| dc.contributor.author | Quilici, Luca | |
| dc.contributor.author | Cervo, Amedeo | |
| dc.contributor.author | Martins, Hugo Filipe Mota Dória | |
| dc.date.accessioned | 2025-04-07T14:29:45Z | |
| dc.date.available | 2025-04-07T14:29:45Z | |
| dc.date.issued | 2023-04-26 | |
| dc.description.abstract | Purpose Specific decisions made by neurointerventionists are often lost behind the data of large-scale trials, and many of these studies have taken place before the development of new techniques and devices. This study compares the stent-retriever assisted vacuum-locked extraction (SAVE) technique with a direct aspiration first pass (ADAPT), as well as the use of a balloon guide catheter (BGC), in intracranial internal carotid artery (IC-ICA) occlusions. Methods Observational and retrospective study from an Italian hospital, including patients who underwent thrombectomy for IC-ICA occlusion between 1 January 2019 and 31 March 2021. Results Out of 91 IC-ICA occlusions, the ADAPT was the first choice in 20 (22%) and the SAVE in 71 (78%). A BGC was used in 32 (35%) cases, always in conjunction with the SAVE technique. The use of SAVE technique without BGC was associated with the least risk of distal embolization (DE) in the territory occluded (44% vs. 75% when ADAPT technique was used; p= 0.03) and achieved first pass effect (FPE) more frequently (51% vs. 25%, p= 0.09). When the SAVE technique was used, BGC (BGC-SAVE) compared to no BGC (NoBGC-SAVE) was associated with a tendency for less DE (31% vs. 44%, p= 0.3), more FPE (63% vs. 51%, p= 0.5), the same median number of passes (1, p= 0.8) and similar groin-to-recanalization times (36.5 vs. 35.5min, p= 0.5), none of which reached statistical significance. Conclusion Our findings support the use of SAVE technique for IC-ICA occlusions; the added benefit of BGC compared to long sheaths was not remarkable in this sample. | eng |
| dc.identifier.doi | 10.1007/s00062-023-01286-y | |
| dc.identifier.issn | 1869-1439 | |
| dc.identifier.issn | 1869-1447 | |
| dc.identifier.uri | http://hdl.handle.net/10400.13/7237 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.ispartof | Clinical Neuroradiology | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Neurointervention | |
| dc.subject | Stroke | |
| dc.subject | Thrombectomy | |
| dc.subject | Aspiration | |
| dc.subject | Stentriever | |
| dc.subject | Balloon guide catheter | |
| dc.subject | . | |
| dc.subject | Faculdade de Ciências da Vida | |
| dc.title | Intracranial carotid occlusions | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 3 | |
| oaire.citation.title | Clinical Neuroradiology | |
| oaire.citation.volume | 33 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |
| person.affiliation.name | Universidade da Madeira | |
| person.familyName | Martins | |
| person.givenName | Hugo Filipe Mota Dória | |
| person.identifier.orcid | 0000-0001-9107-8951 | |
| relation.isAuthorOfPublication | 41c6de74-69a9-4349-8956-61812237fa7e | |
| relation.isAuthorOfPublication.latestForDiscovery | 41c6de74-69a9-4349-8956-61812237fa7e |