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논문 기본 정보

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학술저널
저자정보
Sameh Samir Elawady (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA) Brian Fabian Saway (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA) Hidetoshi Matsukawa (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA, Department of Neurosurgery, Hyogo Medical University, Nishinomiy) Kazutaka Uchida (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA, Department of Neurosurgery, Hyogo Medical University, Nishinomiy) Steven Lin (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA) Ilko Maier (Department of Neurology, University Medical Center Göttingen, Göttingen, Germany) Pascal Jabbour (Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, PA, USA) Joon-Tae Kim (Department of Neurology, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea) Stacey Quintero Wolfe (Department of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, NC, USA) Ansaar Rai (Department of Radiology, West Virginia School of Medicine, Morgantown, WV, USA) Robert M. Starke (Department of Neurosurgery, University of Miami Health System, Miami, FL, USA) Marios-Nikos Psychogios (Department of Interventional and Diagnostical Neuroradiology, University of Basel, Basel, Switzerland) Edgar A Samaniego (Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA) Adam Arthur (Department of Neurosurgery, Semmes-Murphey Neurologic and Spine Clinic, University of Tennessee Health Science Center, Memphis, TN, USA) Shinichi Yoshimura (Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan) Hugo Cuellar (Department of Neurosurgery and Neurointerventional Radiology, Louisiana State University, Shreveport, LA, USA) Jonathan A. Grossberg (Department of Neurosurgery, Radiology and Imaging Sciences, Emory University, Atlanta, GA, USA) Ali Alawieh (Department of Neurosurgery, Radiology and Imaging Sciences, Emory University, Atlanta, GA, USA) Daniele G. Romano (Department of Neuroradiology, University Hospital San Giovanni di Dio e Ruggi d’Aragona, University of Salerno, Salerno, Italy) Omar Tanweer (Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA) Justin Mascitelli (Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA) Isabel Fragata (Department of Neuroradiology, Hospital São José Centro Hospitalar, Lisboa, Portugal) Adam Polifka (Department of Neurosurgery, University of Florida, Gainesville, FL, USA) Joshua Osbun (Department of Neurological Surgery, Washington University, St. Louis, MO, USA) Roberto Crosa (Department of Neurosurgery, Endovascular Neurological Center, Montevideo, Uruguay) Charles Matouk (Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA) Min S. Park (Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA) Michael R. Levitt (Department of Neurosurgery, University of Washington, Seattle, WA, USA) Waleed Brinjikji (Department of Radiology, Mayo Clinic, Rochester, MN, USA; Department of Neurosurgery, Mayo Clinic, Rochester, MN, USA) Mark Moss (Department of Neuroradiology, Washington Regional J.B. Hunt Transport Services Neuroscience Institute, Fayetteville, AZ, USA) Travis Dumont (Department of Neurosurgery, University of Arizona, Tucson, AZ, USA) Richard Williamson Jr (Department of Neurosurgery, Allegheny Health Network, Pittsburgh, PA, USA) Pedro Navia (Department of Neuroradiology, Hospital Universitario La Paz, Madrid, Spain) Peter Kan (Department of Neurological Surgery, University of Texas Medical Branch - Galveston, TX, USA) Reade De Leacy (Department of Neurosurgery, Mount Sinai Health System, New York, NY, USA) Shakeel Chowdhry (Department of Neurosurgery, NorthShore University Health System, Evanston, IL, USA) Mohamad Ezzeldin (University of Houston, Department of Clinical Neuroscience, HCA Houston Healthcare Kingwood, Houston, TX, USA) Alejandro M. Spiotta (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA) Sami Al Kasab (Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA)
저널정보
대한뇌졸중학회 대한뇌졸중학회지 대한뇌졸중영문학회지 제26권 제1호
발행연도
2024.1
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95 - 103 (9page)

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Background and Purpose Outcomes following mechanical thrombectomy (MT) are strongly correlated with successful recanalization, traditionally defined as modified Thrombolysis in Cerebral Infarction (mTICI) ≥2b. This retrospective cohort study aimed to compare the outcomes of patients with low Alberta Stroke Program Early Computed Tomography Score (ASPECTS; 2–5) who achieved mTICI 2b versus those who achieved mTICI 2c/3 after MT. Methods This study utilized data from the Stroke Thrombectomy and Aneurysm Registry (STAR), which combined databases from 32 thrombectomy-capable stroke centers between 2013 and 2023. The study included only patients with low ASPECTS who achieved mTICI 2b, 2c, or 3 after MT for internal carotid artery or middle cerebral artery (M1) stroke. Results Of the 10,229 patients who underwent MT, 234 met the inclusion criteria. Of those, 98 (41.9%) achieved mTICI 2b, and 136 (58.1%) achieved mTICI 2c/3. There were no significant differences in baseline characteristics between the two groups. The 90-day favorable outcome (modified Rankin Scale score: 0–3) was significantly better in the mTICI 2c/3 group than in the mTICI 2b group (adjusted odds ratio 2.35; 95% confidence interval [CI] 1.18–4.81; P=0.02). Binomial logistic regression revealed that achieving mTICI 2c/3 was significantly associated with higher odds of a favorable 90-day outcome (odds ratio 2.14; 95% CI 1.07–4.41; P=0.04). Conclusion In patients with low ASPECTS, achieving an mTICI 2c/3 score after MT is associated with a more favorable 90-day outcome. These findings suggest that mTICI 2c/3 is a better target for MT than mTICI 2b in patients with low ASPECTS.
#Alberta Stroke Program Early Computed Tomography Score #Modified Thrombolysis in Cerebral Infarction #Recanalization #Stroke #Thrombectomy

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