Repeat thrombectomy after large vessel re-occlusion: a propensity score matched analysis of technical and clinical outcomes Article Swipe
Youssef M. Zohdy
,
Hassan Saad
,
Brian M. Howard
,
C. Michael Cawley
,
Aqueel Pabaney
,
Feras Akbik
,
Laurie Dimisko
,
Ilko Maier
,
Alejandro M Spiotta
,
Pascal Jabbour
,
Stacey Q Wolfe
,
Ansaar Rai
,
Joon‐Tae Kim
,
Justin Mascitelli
,
Robert M. Starke
,
Amir Shaban
,
Shinichi Yoshimura
,
Reade De Leacy
,
Peter Kan
,
Isabel Fragata
,
Adam Polifka
,
Adam S Arthur
,
Min S. Park
,
Charles Matouk
,
Michael R. Levitt
,
Stavropoula Tjoumakaris
,
Jan Liman
,
Vanesha Waiters
,
Gustavo Pradilla
,
Kyle M Fargen
,
Ali Alawieh
,
Jonathan A Grossberg
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/jnis-2023-021197
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/jnis-2023-021197
Background Endovascular thrombectomy (EVT) remains the standard of care for acute large vessel occlusion (LVO) stroke. However, the safety and efficacy of repeat thrombectomy (rEVT) in recurrent LVO remains unclear. This study uses a large real-world patient cohort to study technical and clinical outcomes after rEVT. Methods This is a retrospective cohort study including patients who underwent thrombectomy between January 2013 and December 2022. Data were included from 21 comprehensive stroke centers globally through the Stroke Thrombectomy and Aneurysm Registry (STAR). Patients undergoing single EVT or rEVT within 30 days of LVO stroke were included in the study. Propensity score matching was used to compare patients undergoing single EVT versus rEVT. Results Out of a total of 7387 patients who underwent thrombectomy for LVO stroke, 90 (1.2%) patients underwent rEVT for the same vascular territory within 30 days. The median (IQR) time to re-occlusion was 2 (1–7) days. Compared with a matched cohort of patients undergoing a single EVT procedure, patients undergoing rEVT had a comparable rate of good functional outcome and mortality rate, but a higher rate of symptomatic intracranial hemorrhage (sICH). There was a significant reduction in the National Institutes of Health Stroke Scale (NIHSS) score of patients who underwent rEVT at discharge compared with baseline (−4.8±11.4; P=0.006). The rate of successful recanalization was similar in the single thrombectomy and rEVT groups (78% vs 80%, P=0.171) and between index and rEVT performed on the same patient (79% vs 80%; P=0.593). Conclusion Short-interval rEVT is associated with an improvement in the NIHSS score following large vessel re-occlusion. Compared with single thrombectomy, there was a higher rate of sICH with rEVT, but without a significant impact on rates of functional independence or mortality.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/jnis-2023-021197
- OA Status
- gold
- Cited By
- 4
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391011464
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391011464Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/jnis-2023-021197Digital Object Identifier
- Title
-
Repeat thrombectomy after large vessel re-occlusion: a propensity score matched analysis of technical and clinical outcomesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-17Full publication date if available
- Authors
-
Youssef M. Zohdy, Hassan Saad, Brian M. Howard, C. Michael Cawley, Aqueel Pabaney, Feras Akbik, Laurie Dimisko, Ilko Maier, Alejandro M Spiotta, Pascal Jabbour, Stacey Q Wolfe, Ansaar Rai, Joon‐Tae Kim, Justin Mascitelli, Robert M. Starke, Amir Shaban, Shinichi Yoshimura, Reade De Leacy, Peter Kan, Isabel Fragata, Adam Polifka, Adam S Arthur, Min S. Park, Charles Matouk, Michael R. Levitt, Stavropoula Tjoumakaris, Jan Liman, Vanesha Waiters, Gustavo Pradilla, Kyle M Fargen, Ali Alawieh, Jonathan A GrossbergList of authors in order
- Landing page
-
https://doi.org/10.1136/jnis-2023-021197Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://resolver.sub.uni-goettingen.de/purl?gro-2/140412Direct OA link when available
- Concepts
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Medicine, Propensity score matching, Stroke (engine), Cohort, Occlusion, Intracerebral hemorrhage, Retrospective cohort study, Surgery, Mortality rate, Aneurysm, Internal medicine, Subarachnoid hemorrhage, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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26Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.significant | 186, 274 |
| abstract_inverted_index.symptomatic | 179 |
| abstract_inverted_index.Endovascular | 1 |
| abstract_inverted_index.Thrombectomy | 76 |
| abstract_inverted_index.independence | 280 |
| abstract_inverted_index.intracranial | 180 |
| abstract_inverted_index.re-occlusion | 143 |
| abstract_inverted_index.thrombectomy | 2, 23, 57, 121, 220 |
| abstract_inverted_index.comprehensive | 69 |
| abstract_inverted_index.re-occlusion. | 257 |
| abstract_inverted_index.retrospective | 50 |
| abstract_inverted_index.thrombectomy, | 261 |
| abstract_inverted_index.(−4.8±11.4; | 208 |
| abstract_inverted_index.Short-interval | 243 |
| abstract_inverted_index.recanalization | 214 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5069525702 |
| countries_distinct_count | 5 |
| institutions_distinct_count | 32 |
| corresponding_institution_ids | https://openalex.org/I150468666 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8899999856948853 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.85668009 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |