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CardioVascular and Interventional Radiology

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01-04-2014 | Clinical Investigation

Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Authors: Gunther Fesl, Markus Holtmannspoetter, Maximilian Patzig, Thomas E. Mayer, Thomas Pfefferkorn, Hartmut Brueckmann, Gernot Schulte-Altedorneburg

Published in: CardioVascular and Interventional Radiology | Issue 2/2014

Abstract

Purpose

Multiple endovascular devices have been used for mechanical thrombectomy (MT) in basilar artery occlusion (BAO) for >10 years. Based on a single-center experience during the course of one decade, we present data on safety and efficacy of previous MT devices compared with modern stent retriever and suction thrombectomy.

Materials and Methods

Eighty-one patients (29 women, 52 men, mean age 61.5 years, range 17–90) with angiographically confirmed BAO that had been treated by MT between 2001 and 2011 were retrospectively evaluated. Patients in group 1 (n = 60) had been treated between 2001 and 2008 with different devices available at that time. Patients in group 2 (n = 21) had been treated by modern stent retriever or local suction devices between 2008 and 2011. Recanalization rate, needle to recanalization time, procedure-related complications, and distal embolization of thrombotic material were recorded and compared.

Results

Recanalization rates of 95 % were high in both groups. Procedure-related dissection (n = 5) and subarachnoid hemorrhage (n = 9) occurred in group 1 but not in group 2 (p < 0.016). Needle-to-recanalization time was less than half in group 2 compared with group 1 (54.6 vs. 132.3 min, p < 0.01). Frequency of distal embolization was comparable in both groups (47 %).

Conclusion

High recanalization rates have been achieved since the introduction of MT in BAO. However, modern stent retriever and suction devices allow for safer and more rapid recanalization compared with previous MT devices.

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Title: Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience
Authors: Gunther Fesl
Markus Holtmannspoetter
Maximilian Patzig
Thomas E. Mayer
Thomas Pfefferkorn
Hartmut Brueckmann
Gernot Schulte-Altedorneburg
Publication date: 01-04-2014
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 2/2014
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-013-0827-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Abstract

Purpose

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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