Buchumschlag

Effect of thrombus size on recanalization by bridging intravenous thrombolysis

BACKGROUND AND PURPOSE: Thrombus length has been reported as an important predictor of successful recanalization by intravenous thrombolysis but its influence on bridging thrombolysis has not been investigated yet. The effect of thrombus length on recanalization rates evaluated by catheter angiograp...

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Bibliographische Detailangaben
Hauptverfasser: Behrens, Lars (VerfasserIn) , Möhlenbruch, Markus Alfred (VerfasserIn) , Stampfl, Sibylle (VerfasserIn) , Ringleb, Peter A. (VerfasserIn) , Hametner, Christian (VerfasserIn) , Kellert, Lars (VerfasserIn) , Pham, Mirko (VerfasserIn) , Herweh, Christian (VerfasserIn) , Bendszus, Martin (VerfasserIn) , Rohde, Stefan (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 21 July 2014
In: European journal of neurology
Year: 2014, Jahrgang: 21, Heft: 11, Pages: 1406-1410
ISSN:1468-1331
DOI:10.1111/ene.12509
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/ene.12509
Volltext
Verfasserangaben:L. Behrens, M. Möhlenbruch, S. Stampfl, P.A. Ringleb, C. Hametner, L. Kellert, M. Pham, C. Herweh, M. Bendszus and S. Rohde
Beschreibung
Zusammenfassung:BACKGROUND AND PURPOSE: Thrombus length has been reported as an important predictor of successful recanalization by intravenous thrombolysis but its influence on bridging thrombolysis has not been investigated yet. The effect of thrombus length on recanalization rates evaluated by catheter angiography early after intravenous bridging thrombolysis was analyzed. - METHODS: Ninety-six consecutive patients with acute cerebral artery occlusion were included. Occlusion site and thrombus length on initial computed tomography angiography or magnetic resonance angiography were related to recanalization after intravenous bridging thrombolysis on the initial series of catheter angiography. - RESULTS: Eleven of 96 patients (11.5%) showed successful recanalization (TICI 2a, 2b or 3) after intravenous bridging thrombolysis. Mean thrombus length in these patients was 10.8 mm as opposed to 15.6 mm in patients without successful recanalization. No thrombus longer than 16 mm showed complete recanalization. Binary logistic regression demonstrated a significant influence of thrombus length on probability of recanalization (odds ratio 0.78, 95% confidence interval 0.65-0.95; P = 0.014). - CONCLUSIONS: Thrombus length is a significant predictor of recanalization rates after bridging thrombolysis. Overall recanalization rate within the time frame until interventional treatment is started was 11.5% after bridging thrombolysis.
Beschreibung:Gesehen am 04.02.2021
Beschreibung:Online Resource
ISSN:1468-1331
DOI:10.1111/ene.12509

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