Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy
ObjectiveTo achieve the fastest possible workflow in ischaemic stroke, we developed a CT/C-arm system, which allows imaging and endovascular treatment on the same patient table.MethodsThis prospective, monocentric trial was conducted between October 2014 and August 2016. Patients received stroke ima...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
17 February 2017
|
| In: |
European radiology
Year: 2017, Volume: 27, Issue: 9, Pages: 3966-3972 |
| ISSN: | 1432-1084 |
| DOI: | 10.1007/s00330-017-4762-7 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1007/s00330-017-4762-7 Verlag, Volltext: https://doi.org/10.1007/s00330-017-4762-7 
|
| Author Notes: | Johannes Pfaff, Silvia Schönenberger, Christian Herweh, Mirko Pham, Simon Nagel, Peter Arthur Ringleb, Sabine Heiland, Martin Bendszus, Markus Alfred Möhlenbruch |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1581037643 | ||
| 003 | DE-627 | ||
| 005 | 20220815012406.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 180917s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00330-017-4762-7 |2 doi | |
| 035 | |a (DE-627)1581037643 | ||
| 035 | |a (DE-576)511037643 | ||
| 035 | |a (DE-599)BSZ511037643 | ||
| 035 | |a (OCoLC)1341018698 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Pfaff, Johannes |d 1983- |e VerfasserIn |0 (DE-588)14226718X |0 (DE-627)704185598 |0 (DE-576)329375318 |4 aut | |
| 245 | 1 | 0 | |a Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy |c Johannes Pfaff, Silvia Schönenberger, Christian Herweh, Mirko Pham, Simon Nagel, Peter Arthur Ringleb, Sabine Heiland, Martin Bendszus, Markus Alfred Möhlenbruch |
| 264 | 1 | |c 17 February 2017 | |
| 300 | |a 7 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 17.09.2018 | ||
| 520 | |a ObjectiveTo achieve the fastest possible workflow in ischaemic stroke, we developed a CT/C-arm system, which allows imaging and endovascular treatment on the same patient table.MethodsThis prospective, monocentric trial was conducted between October 2014 and August 2016. Patients received stroke imaging and mechanical thrombectomy under general anaesthesia (GA) or conscious sedation (CS) using our combined setup comprising a CT-scanner and a mobile C-arm X-ray device. Primary endpoint was time between stroke imaging and groin puncture. We compared periprocedural workflow and procedure times with the literature and a matched patient cohort treated with a biplane angiographic system before installation of the CT/C-arm system.ResultsIn 50 patients with acute ischaemic stroke due to large-vessel occlusion in the anterior circulation, comparable recanalization rates were achieved by using the CT/C-arm setup (TICI2b-3:CT/C-arm-GA: 85.7%; CT/C-arm-CS: 90.9%; Angiosuite: 78.6%; p = 0.269) without increasing periprocedural complications. Elimination of patient transport resulted in a significant reduction of the time between stroke imaging and groin puncture: median, min (IQR): CT/C-arm-GA: 43 (35-52); CT/C-arm-CS: 39 (28-49); Angiosuite: 64 (48-74); p < 0.0001.ConclusionThe combined CT/C-arm system allows comparable recanalization rates as a biplane angiographic system and accelerates the start of the endovascular stroke treatment. Key Points • The CT/C-arm setup reduces median time from stroke imaging to groin puncture.• Mechanical thrombectomy using a C-arm device is feasible without increasing peri-interventional complications.• The CT/C-arm setup might be a valuable fallback solution for emergency procedures.• The CT/C-arm setup allows immediate control CT images during and after treatment. | ||
| 650 | 4 | |a Acute ischaemic stroke | |
| 650 | 4 | |a Combined CT/C-arm system | |
| 650 | 4 | |a Mechanical thrombectomy | |
| 650 | 4 | |a Periprocedural workflow | |
| 650 | 4 | |a Procedure times | |
| 700 | 1 | |a Schönenberger, Silvia |d 1980- |e VerfasserIn |0 (DE-588)13925627X |0 (DE-627)703267191 |0 (DE-576)310920094 |4 aut | |
| 700 | 1 | |a Herweh, Christian |d 1974- |e VerfasserIn |0 (DE-588)129014567 |0 (DE-627)387770038 |0 (DE-576)297447394 |4 aut | |
| 700 | 1 | |a Pham, Mirko |d 1978- |e VerfasserIn |0 (DE-588)132435241 |0 (DE-627)522697763 |0 (DE-576)252667034 |4 aut | |
| 700 | 1 | |a Nagel, Simon |d 1974- |e VerfasserIn |0 (DE-588)129036072 |0 (DE-627)38788775X |0 (DE-576)297460218 |4 aut | |
| 700 | 1 | |a Ringleb, Peter A. |e VerfasserIn |0 (DE-588)1032676175 |0 (DE-627)73863364X |0 (DE-576)172917743 |4 aut | |
| 700 | 1 | |a Heiland, Sabine |e VerfasserIn |0 (DE-588)106732626X |0 (DE-627)818624450 |0 (DE-576)426561368 |4 aut | |
| 700 | 1 | |a Bendszus, Martin |e VerfasserIn |0 (DE-588)1032676426 |0 (DE-627)738634131 |0 (DE-576)175567697 |4 aut | |
| 700 | 1 | |a Möhlenbruch, Markus Alfred |d 1979- |e VerfasserIn |0 (DE-588)137693591 |0 (DE-627)594845041 |0 (DE-576)304845655 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t European radiology |d Berlin : Springer, 1991 |g 27(2017), 9, Seite 3966-3972 |h Online-Ressource |w (DE-627)268757526 |w (DE-600)1472718-3 |w (DE-576)103868070 |x 1432-1084 |7 nnas |a Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy |
| 773 | 1 | 8 | |g volume:27 |g year:2017 |g number:9 |g pages:3966-3972 |g extent:7 |a Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00330-017-4762-7 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00330-017-4762-7 |x Verlag |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20180917 | ||
| 993 | |a Article | ||
| 994 | |a 2017 | ||
| 998 | |g 137693591 |a Möhlenbruch, Markus Alfred |m 137693591:Möhlenbruch, Markus Alfred |d 910000 |d 911100 |e 910000PM137693591 |e 911100PM137693591 |k 0/910000/ |k 1/910000/911100/ |p 9 |y j | ||
| 998 | |g 1032676426 |a Bendszus, Martin |m 1032676426:Bendszus, Martin |d 910000 |d 911100 |e 910000PB1032676426 |e 911100PB1032676426 |k 0/910000/ |k 1/910000/911100/ |p 8 | ||
| 998 | |g 106732626X |a Heiland, Sabine |m 106732626X:Heiland, Sabine |d 60000 |d 62700 |e 60000PH106732626X |e 62700PH106732626X |k 0/60000/ |k 1/60000/62700/ |p 7 | ||
| 998 | |g 1032676175 |a Ringleb, Peter A. |m 1032676175:Ringleb, Peter A. |d 910000 |d 911100 |e 910000PR1032676175 |e 911100PR1032676175 |k 0/910000/ |k 1/910000/911100/ |p 6 | ||
| 998 | |g 129036072 |a Nagel, Simon |m 129036072:Nagel, Simon |d 910000 |d 911100 |e 910000PN129036072 |e 911100PN129036072 |k 0/910000/ |k 1/910000/911100/ |p 5 | ||
| 998 | |g 132435241 |a Pham, Mirko |m 132435241:Pham, Mirko |d 910000 |d 911100 |e 910000PP132435241 |e 911100PP132435241 |k 0/910000/ |k 1/910000/911100/ |p 4 | ||
| 998 | |g 129014567 |a Herweh, Christian |m 129014567:Herweh, Christian |d 910000 |d 911100 |e 910000PH129014567 |e 911100PH129014567 |k 0/910000/ |k 1/910000/911100/ |p 3 | ||
| 998 | |g 13925627X |a Schönenberger, Silvia |m 13925627X:Schönenberger, Silvia |d 910000 |d 911100 |e 910000PS13925627X |e 911100PS13925627X |k 0/910000/ |k 1/910000/911100/ |p 2 | ||
| 998 | |g 14226718X |a Pfaff, Johannes |m 14226718X:Pfaff, Johannes |d 910000 |d 911100 |e 910000PP14226718X |e 911100PP14226718X |k 0/910000/ |k 1/910000/911100/ |p 1 |x j | ||
| 999 | |a KXP-PPN1581037643 |e 3025728175 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"id":{"eki":["1581037643"],"doi":["10.1007/s00330-017-4762-7"]},"title":[{"title":"Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy","title_sort":"Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy"}],"recId":"1581037643","note":["Gesehen am 17.09.2018"],"language":["eng"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"origin":[{"dateIssuedKey":"2017","dateIssuedDisp":"17 February 2017"}],"person":[{"given":"Johannes","role":"aut","display":"Pfaff, Johannes","family":"Pfaff","roleDisplay":"VerfasserIn"},{"given":"Silvia","role":"aut","display":"Schönenberger, Silvia","family":"Schönenberger","roleDisplay":"VerfasserIn"},{"family":"Herweh","roleDisplay":"VerfasserIn","role":"aut","display":"Herweh, Christian","given":"Christian"},{"family":"Pham","roleDisplay":"VerfasserIn","role":"aut","display":"Pham, Mirko","given":"Mirko"},{"display":"Nagel, Simon","role":"aut","given":"Simon","roleDisplay":"VerfasserIn","family":"Nagel"},{"family":"Ringleb","roleDisplay":"VerfasserIn","display":"Ringleb, Peter A.","role":"aut","given":"Peter A."},{"family":"Heiland","roleDisplay":"VerfasserIn","given":"Sabine","role":"aut","display":"Heiland, Sabine"},{"given":"Martin","role":"aut","display":"Bendszus, Martin","family":"Bendszus","roleDisplay":"VerfasserIn"},{"roleDisplay":"VerfasserIn","family":"Möhlenbruch","role":"aut","display":"Möhlenbruch, Markus Alfred","given":"Markus Alfred"}],"name":{"displayForm":["Johannes Pfaff, Silvia Schönenberger, Christian Herweh, Mirko Pham, Simon Nagel, Peter Arthur Ringleb, Sabine Heiland, Martin Bendszus, Markus Alfred Möhlenbruch"]},"physDesc":[{"extent":"7 S."}],"relHost":[{"pubHistory":["1.1991 -"],"titleAlt":[{"title":"European radiology / Supplement"},{"title":"European radiology supplements"}],"corporate":[{"roleDisplay":"Herausgebendes Organ","role":"isb","display":"European Association of Radiology"}],"recId":"268757526","id":{"issn":["1432-1084","1613-3757"],"zdb":["1472718-3"],"eki":["268757526"]},"title":[{"subtitle":"official organ of the European Association of Radiology","title":"European radiology","title_sort":"European radiology"}],"note":["Gesehen am 06.02.2018","Ungezählte Beil.: Supplement"],"disp":"Influence of a combined CT/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomyEuropean radiology","part":{"extent":"7","year":"2017","pages":"3966-3972","text":"27(2017), 9, Seite 3966-3972","issue":"9","volume":"27"},"physDesc":[{"extent":"Online-Ressource"}],"language":["eng"],"origin":[{"dateIssuedDisp":"1991-","publisherPlace":"Berlin ; Heidelberg","dateIssuedKey":"1991","publisher":"Springer"}],"type":{"bibl":"periodical","media":"Online-Ressource"}}]} | ||
| SRT | |a PFAFFJOHANINFLUENCEO1720 | ||