Mechanical thrombectomy as the primary treatment for acute basilar artery occlusion: experience from 5 years of practice
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作者:
Andersson, Tommy
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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Karolinska Univ Hosp, Dept Neuroradiol, S-17176 Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Andersson, Tommy
[1
,2
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Soderqvist, Asa Kuntze
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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Karolinska Univ Hosp, Dept Neuroradiol, S-17176 Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Soderqvist, Asa Kuntze
[1
,2
]
Soderman, Michael
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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Karolinska Univ Hosp, Dept Neuroradiol, S-17176 Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Soderman, Michael
[1
,2
]
Holmin, Steffan
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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Karolinska Univ Hosp, Dept Neuroradiol, S-17176 Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Holmin, Steffan
[1
,2
]
Wahlgren, Nils
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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Karolinska Univ Hosp, Dept Neurol, S-17176 Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Wahlgren, Nils
[1
,4
]
Kaijser, Magnus
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Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Karolinska Univ Hosp, Dept Neuroradiol, S-17176 Stockholm, Sweden
Karolinska Inst, Karolinska Univ Hosp, Dept Med, Clin Epidemiol Unit, Stockholm, SwedenKarolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
Kaijser, Magnus
[1
,2
,3
]
机构:
[1] Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
[2] Karolinska Univ Hosp, Dept Neuroradiol, S-17176 Stockholm, Sweden
[3] Karolinska Inst, Karolinska Univ Hosp, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden
[4] Karolinska Univ Hosp, Dept Neurol, S-17176 Stockholm, Sweden
Background Most studies of the treatment for acute basilar occlusion focus on intravenous or intra-arterial thrombolysis whereas data on mechanical thrombectomy as the preferred treatment for acute basilar occlusion are scarce. In this study, data are presented on 28 patients treated with mechanical thrombectomy as the preferred treatment for basilar artery occlusion. Methods Retrospective study comprising all patients who were treated for acute basilar occlusion at the Karolinska University Hospital from September 2005 to November 2010. Favorable outcome was defined as a modified Rankin score of <= 2 at 3-8 months after thrombectomy. Results Of 28 patients treated with mechanical thrombectomy, the proportion reaching a favorable outcome was 57% (95% CI 37% to 75%), and if there were no signs of acute infarction prior to treatment the proportion was 73% (95% CI 50% to 89%). Only 21% died (95% CI 8% to 41%). Conclusions The results for mechanical thrombectomy for basilar artery occlusion were superior to those presented previously for intravenous and intra-arterial thrombolysis. The study suggests that mechanical thrombectomy is a method distinct from therapies based on thrombolysis and that any randomized clinical trial on treatment for acute basilar occlusion must consider mechanical thrombectomy as a separate entity.
机构:
Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Huo, Xiaochuan
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Gao, Feng
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Sun, Xuan
Ma, Ning
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Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Ma, Ning
Song, Ligang
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Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Song, Ligang
Mo, Dapeng
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Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Mo, Dapeng
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Liu, Lian
Wang, Bo
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Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
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Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Du, Shiwei
Mao, Gengsheng
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Mao, Gengsheng
Li, Dongmei
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Li, Dongmei
Qiu, Ming
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Qiu, Ming
Nie, Qingbin
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Nie, Qingbin
Zhu, Haibo
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Zhu, Haibo
Yang, Yang
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Yang, Yang
Zhang, Youping
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Chinese Peoples Armed Police Force Gen Hosp, Dept Neurovasc Surg, Beijing, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
Zhang, Youping
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Li, Youxiang
Wu, Zhongxue
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Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R ChinaCapital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Intervent Neuroradiol, 6 Tiantan Xili, Beijing 100050, Peoples R China
机构:
Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Capital Med Univ, Beijing Daxing Hosp, Dept Neurol, Beijing, Peoples R ChinaBeijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Yang, Haihua
Ma, Ning
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Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaBeijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Ma, Ning
Liu, Lian
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Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaBeijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Liu, Lian
Gao, Feng
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Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaBeijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Gao, Feng
Mo, Dapeng
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机构:
Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaBeijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China
Mo, Dapeng
Miao, Zhongrong
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机构:
Beijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R ChinaBeijing Tiantan Hosp, Dept Intervent Neurol, Beijing, Peoples R China