Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 장윤경 | * |
dc.date.accessioned | 2023-02-22T16:30:29Z | - |
dc.date.available | 2023-02-22T16:30:29Z | - |
dc.date.issued | 2023 | * |
dc.identifier.issn | 1229-6929 | * |
dc.identifier.issn | 2005-8330 | * |
dc.identifier.other | OAK-33015 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/264000 | - |
dc.description.abstract | Objective: We aimed to evaluate the efficacy of EmboTrap II in terms of first-pass recanalization and to determine whether it could yield favorable outcomes.Materials and Methods: In this multicenter, prospective study, we consecutively enrolled patients who underwent mechanical thrombectomy using EmboTrap II as a front-line device. The primary outcome was the first pass effect (FPE) rate defined by modified Thrombolysis In Cerebral Infarction (mTICI) grade 2c or 3 by the first pass of EmboTrap II. In addition, modified FPE (mFPE; mTICI grade 2b-3 by the first pass of EmboTrap II), successful recanalization (final mTICI grade 2b-3), and clinical outcomes were assessed. We also analyzed the effect of FPE on a modified Rankin Scale (mRS) score of 0-2 at 3 months.Results: Two hundred-ten patients (mean age +/- standard deviation, 73.3 +/- 11.4 years; male, 55.7%) were included. Ninetynine patients (47.1%) had FPE, and mFPE was achieved in 150 (71.4%) patients. Successful recanalization was achieved in 191 (91.0%) patients. Among them, 164 (85.9%) patients underwent successful recanalization by exclusively using EmboTrap II. The time from groin puncture to FPE was 25.0 minutes (interquartile range, 17.0-35.0 minutes). Procedure-related complications were observed in seven (3.3%) patients. Symptomatic intracranial hemorrhage developed in 14 (6.7%) patients. One hundred twenty-three (58.9% of 209 completely followed) patients had an mRS score of 0-2. Sixteen (7.7% of 209) patients died during the follow-up period. Patients who had successful recanalization with FPE were four times more likely to have an mRS score of 0-2 than those who had successful recanalization without FPE (adjusted odds ratio, 4.13; 95% confidence interval, 1.59-10.8; p = 0.004).Conclusion: Mechanical thrombectomy using the front-line EmboTrap II is effective and safe. In particular, FPE rates were high. Achieving FPE was important for an mRS score of 0-2, even in patients with successful recanalization. | * |
dc.language | English | * |
dc.publisher | KOREAN SOCIETY OF RADIOLOGY | * |
dc.subject | First-pass recanalization | * |
dc.subject | Thrombectomy | * |
dc.subject | Stent | * |
dc.subject | Stroke | * |
dc.title | First-Pass Recanalization with EmboTrap II in Acute Ischemic Stroke (FREE-AIS): A Multicenter Prospective Study | * |
dc.type | Article | * |
dc.relation.issue | 2 | * |
dc.relation.volume | 24 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.index | KCI | * |
dc.relation.startpage | 145 | * |
dc.relation.lastpage | 154 | * |
dc.relation.journaltitle | KOREAN JOURNAL OF RADIOLOGY | * |
dc.identifier.doi | 10.3348/kjr.2022.0618 | * |
dc.identifier.wosid | WOS:000949153500007 | * |
dc.identifier.scopusid | 2-s2.0-85147235395 | * |
dc.author.google | Baek, Jang-Hyun | * |
dc.author.google | Kim, Byung Moon | * |
dc.author.google | Suh, Sang Hyun | * |
dc.author.google | Jeon, Hong -Jun | * |
dc.author.google | Ihm, Eun Hyun | * |
dc.author.google | Park, Hyungjong | * |
dc.author.google | Kim, Chang-Hyun | * |
dc.author.google | Cha, Sang-Hoon | * |
dc.author.google | Choi, Chi-Hoon | * |
dc.author.google | Yi, Kyung Sik | * |
dc.author.google | Kim, Jun-Hwee | * |
dc.author.google | Suh, Sangil | * |
dc.author.google | Kim, Byungjun | * |
dc.author.google | Chang, Yoonkyung | * |
dc.author.google | Kim, So Yeon | * |
dc.author.google | Oh, Jae Sang | * |
dc.author.google | Heo, Ji Hoe | * |
dc.author.google | Kim, Dong Joon | * |
dc.author.google | Nam, Hyo Suk | * |
dc.author.google | Kim, Young Dae | * |
dc.contributor.scopusid | 장윤경(56525550900) | * |
dc.date.modifydate | 20240315140840 | * |