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Clinical Neuroradiology

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22-12-2022 | Subarachnoid Hemorrhage | Original Article

Possible Contribution of the Aspiration Catheter in Preventing Post-stent Retriever Thrombectomy Subarachnoid Hemorrhage

Authors: Yasuhiko Nariai, Tomoji Takigawa, Yosuke Kawamura, Akio Hyodo, Kensuke Suzuki

Published in: Clinical Neuroradiology | Issue 2/2023

Abstract

Purpose

This study aimed to identify factors related to the incidence of post-thrombectomy subarachnoid hemorrhage (PTSAH).

Methods

This retrospective, observational cohort study enrolled consecutive patients with acute ischemic stroke (AIS) due to the internal carotid artery (IC) top or middle cerebral artery (MCA) M1 or M2 segment occlusion who underwent single-pass stent retriever (SR) treatment between January 2015 and May 2022 at two acute care hospitals.

Results

Of the 54 included patients, 10 were in the PTSAH group (18.5%). The occlusion sites were IC top (31.5%), M1 segment (48.1%), and M2 segment (20.4%). Aspiration catheters (ACs) were used in 32 (59.3%) patients; however, the combined technique (AC advancement at least to the most proximal marker of SR) was actually used in 26 (48.1%) patients because a ledge effect at the ophthalmic artery origin from the IC interfered with distal navigation of the ACs. The baseline patient characteristics did not differ between the groups. M2 segment occlusion in the PTSAH and non-PTSAH groups were 40.0% and 15.9%, respectively (p = 0.19). More ACs were used in the non-PTSAH group (65.9% vs. 30.0%, p = 0.07). Significantly fewer combined techniques were performed in the PTSAH group (10.0% vs. 56.8%, p = 0.01). In multivariate analysis adjusted by variables with M2 segment occlusion and the combined technique, the combined technique (odds ratio 0.098; 95% confidence interval, 0.011–0.887; p = 0.039) was identified as a significantly associated factor for PTSAH. There was one PTSAH case (1.9%) with symptom worsening.

Conclusion

The combined technique significantly influenced PTSAH occurrence as a preventive factor.

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Title: Possible Contribution of the Aspiration Catheter in Preventing Post-stent Retriever Thrombectomy Subarachnoid Hemorrhage
Authors: Yasuhiko Nariai
Tomoji Takigawa
Yosuke Kawamura
Akio Hyodo
Kensuke Suzuki
Publication date: 22-12-2022
Publisher: Springer Berlin Heidelberg
Keywords: Subarachnoid Hemorrhage
Stroke
Foreign Body Aspiration
Subarachnoid Hemorrhage
Foreign Body Aspiration
Aspiration
Thrombectomy
Published in: Clinical Neuroradiology / Issue 2/2023
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI: https://doi.org/10.1007/s00062-022-01240-4

2024 ASCO Annual Meeting

Springer Medicine

Possible Contribution of the Aspiration Catheter in Preventing Post-stent Retriever Thrombectomy Subarachnoid Hemorrhage

Abstract

Purpose

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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