Simplified classification of cavernous internal carotid artery tortuosity: a predictor of procedural complexity and clinical outcomes in mechanical thrombectomy

曲折 医学 颈内动脉 透视 大脑中动脉 队列 外科 放射科 内科学 缺血 多孔性 工程类 岩土工程
作者
Zhongjun Chen,Tieping Fan,Xiangshan Zhao,Teng Hu,Hengxu Qi,Di Li
出处
期刊:Neurological Research [Informa]
卷期号:44 (10): 918-926 被引量:1
标识
DOI:10.1080/01616412.2022.2068851
摘要

Thromboaspiration catheters are increasingly used for the endovascular treatment of large vessel stroke (LVS), while tortuous vascular anatomy still remains one major challenge in mechanical thrombectomy. Prompt assessing and understanding cavernous internal carotid artery (cICA) tortuosity may help to predict procedural complexities of mechanical thrombectomy and thus improve the clinical outcomes.A retrospective review was performed on a cohort of LVS patients with thromboaspiration catheter. Simplified classification of cICA tortuosity was applied by measurement of the angle of the posterior genus (P) and the height from the peak of the posterior genu to the trough of the anterior genu (D). Statistical analyses were performed to analyze differences among the obtained types of cICA tortuosity regarding procedural characteristics and clinical outcomes.A total of 150 patients with LVS proximal to the internal ICA terminus and middle cerebral artery (MCA) were included in this study, and three types of cICA tortuosity were defined by the simplified classification. The index, such as patients ages and hypertension, procedural fluoroscopy time, the degree of cICA tortuosity, first-pass success, final reperfusion, and 90-day mortality showed significant differences among the three types (P < 0.05), while 90-day good outcome (mRS 0-2) only presented significant difference between Type I and Type III (P < 0.05).The study indicated that the grading of cICA tortuosity is highly correlated with procedural complexity and clinical outcome in mechanical thrombectomy. The proposed classification system may be helpful in pre-procedure prognostication complexity and clinical outcomes.Abbreviations:LVS: large vessel stroke; cICA: cavernous internal carotid artery; mRS: modified Rankin Scale; AIS: acute ischemic stroke; MCA: middle cerebral artery; M1: first division of middle cerebral artery; M2: second division of middle cerebral artery; M3: third division of middle cerebral artery; TICI: Thrombolysis In Cerebral Infarction; TICI 2b: two-thirds of occluded territory reperfusion; DSA: digital subtraction angiography; FT: fluoroscopy time.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
阳光的幻雪完成签到 ,获得积分10
4秒前
单纯水风完成签到 ,获得积分10
8秒前
钱念波完成签到 ,获得积分10
11秒前
baobao完成签到,获得积分10
12秒前
13秒前
杨欣悦完成签到 ,获得积分10
15秒前
15秒前
18秒前
求助完成签到,获得积分10
18秒前
天真彩虹完成签到 ,获得积分10
19秒前
温暖完成签到 ,获得积分10
27秒前
大乐完成签到 ,获得积分10
27秒前
大翟完成签到,获得积分10
30秒前
花墨完成签到 ,获得积分10
36秒前
jk445完成签到,获得积分10
36秒前
Chris完成签到 ,获得积分10
37秒前
青青河边草完成签到,获得积分20
38秒前
neckerzhu完成签到 ,获得积分10
39秒前
yuntong完成签到 ,获得积分10
42秒前
科研通AI2S应助清爽的羊采纳,获得10
43秒前
赵爽爽完成签到 ,获得积分10
50秒前
科目三应助123...采纳,获得30
52秒前
hanhui应助菜鸟队长采纳,获得10
58秒前
陈三亮完成签到 ,获得积分10
59秒前
1分钟前
碧蓝戾完成签到 ,获得积分10
1分钟前
科研通AI2S应助科研通管家采纳,获得10
1分钟前
Deila完成签到 ,获得积分10
1分钟前
小丁发布了新的文献求助10
1分钟前
1分钟前
蟹xie完成签到 ,获得积分10
1分钟前
centlay发布了新的文献求助10
1分钟前
centlay完成签到,获得积分0
1分钟前
1分钟前
鹿小葵完成签到 ,获得积分10
1分钟前
葛力发布了新的文献求助10
1分钟前
andylue完成签到,获得积分10
1分钟前
研友_O8Wz4Z完成签到,获得积分10
1分钟前
spp完成签到 ,获得积分10
1分钟前
科研通AI2S应助jlwang采纳,获得10
1分钟前
高分求助中
Sraffa and applied economics: are there classical supply curves? 1000
Heun’s Differential Equations 600
《Fundamentals of Power Supply Design》Robert A. Mammano 510
谁能看见前面有梦可想 500
Wind Effects on Structures: An Introduction to Wind Engineering and Wind Forces in Engineering (2nd Edition) 300
Against the Grain: The Vayda Tradition in Human Ecology and Ecological Anthropology 300
High Wire: How China Regulates Big Tech and Governs Its Economy 260
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2249295
求助须知:如何正确求助?哪些是违规求助? 1898426
关于积分的说明 4734252
捐赠科研通 1687701
什么是DOI,文献DOI怎么找? 856267
版权声明 545245
科研通“疑难数据库(出版商)”最低求助积分说明 453190