Endovascular Treatment of Stroke Caused by Carotid Artery Dissection

Meder, Grzegorz; Świtońska, Milena; Płeszka, Piotr; Palacz-Duda, Violetta; Dzianott-Pabijan, Dorota; Sokal, Paweł

doi:10.3390/brainsci10110800

Cited by 5 publications

(2 citation statements)

References 30 publications

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“…1,3,4 Atherosclerotic lesions which process is the main cause occlusion of the large arteries occur more easily in individuals with risk factors such as hypertension, dyslipidemia, diabetes mellitus, and smoking. 1,4,5 In this process, endothelial blood vessel damage results in oxidation and release of inflammatory mediators. 1,6 Currently, there is increasing evidence that the mechanism of inflammation plays a role in the development and progression of ischemic stroke.…”

Section: Introductionmentioning

confidence: 99%

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

Juli¹,

Heryaman²,

Nazir³

et al. 2021

IJGM

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Inflammation plays an important role and is involved in all stages of acute ischemic stroke. One of these stages involves the recruitment of leukocytes from the peripheral circulation into the ischemic tissue. Lymphocytes as a subtype of leukocytes are important mediators and can become a predictor of neurological outcome. Several studies have been conducted regarding the correlation between differential lymphocyte counts and acute ischemic stroke. Most of these studies analyzed lymphocyte ratio to other leukocyte subtypes such as neutrophils and monocytes. This study specifically observed the role of lymphocytes as an indicator of the inflammatory response in patients with acute ischemic stroke. This study aimed to observe the correlation among risk factors, infarct location, leukocyte counts, lymphocyte value and neurologic output in acute ischemic stroke patients. Patients and Methods: We observed and analyzed 193 patients' data from medical record which met the inclusion and exclusion criteria with a diagnosis of acute ischemic stroke at the Department of Neurology of Dr. Hasan Sadikin General Bandung. Data were then analysed using appropriate statistical tests. Results: Most patients have more than one risk factor with a leukocyte count of less than 10,000 cell/mm 3 . Infarct was mostly located in subcortical area (basal ganglia), with moderate average NIHSS values at admission and at discharge. The number of lymphocytes decreased in the subject group with more than 10,000 cell/mm 3 leukocytes. Subsequently, data were analyzed using Spearman's test and there was a correlation between NIHSS on admission and lymphocyte depletion. Conclusion:The lymphocyte depletion in patients with leukocytosis is a predictor of poor NIHSS.

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Section: Introductionmentioning

confidence: 99%

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

Juli¹,

Heryaman²,

Nazir³

et al. 2021

IJGM

View full text Add to dashboard Cite

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“…Blood flow restoration in the occluded vessel can be obtained mechanically through three main methods: using a stent retriever, aspiration catheters and combining both these methods. Many trials comparing those techniques have proven the equality of SO and CM, and many have demonstrated the superiority of CM over AO and SO [ 5 , 6 , 7 , 8 , 9 ]. Of the two recent network meta-analyses, both suggested CM to be superior in terms of technical efficacy with similar safety and clinical outcomes compared to AO and SO [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Mechanical Thrombectomy in Stroke—Retrospective Comparison of Methods: Aspiration vs. Stent Retrievers vs. Combined Method—Is Aspiration the Best Starting Point?

Meder,

Żuchowski,

Skura

et al. 2024

JCM

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Background: There are three main methods of mechanical thrombectomy (MT): using a stent retriever (SR) only (SO), aspiration catheter (AC) only (AO) and the combined method (CM) using both the SR and AC. This paper describes a real-life, single-center experience using SO, AO and CM during 276 consecutive MTs. Methods: The primary endpoint was the frequency of first-pass complete (FPE TICI3). The secondary endpoints were final mTICI 2b-3, procedure duration, clinical outcome and the total number of device passes. The third aim of this study was to test the association between the clinical outcomes in patients treated with each method and various factors. Results: There was a significant difference (p = 0.016) between the groups’ FPE TICI3 rates with 46% mTICI 3 in the AO group, 41% in the CM group and 21% in the SO group. AO resulted in procedure time shortening to a mean duration of 43 min, and the scores were 56 min for CM and 63 min for SO (p < 0.0001). There were no significant differences in clinical outcomes or in-hospital mortality. The analysis showed a correlation between good clinical outcomes and the administration of IVT: OR 1.71 (1.03–2.84) p = 0.039. Patients ≥66 years old had higher odds of a bad outcome compared to younger patients in general (OR, 1.99 95% CI, 1.17–3.38; p = 0.011). FPE TICI3 was associated with good functional outcomes in the whole treated cohort (OR, 1.98; 95% CI, 1.21–3.25; p = 0.006). Conclusions: In our series, AO proved to be the best starting point in most cases. It demonstrates good technical efficacy regarding FPE, it is fast and clinical outcomes seem to be the least age- and FPE TICI3-dependent. It can be easily converted into the combined method, which had the second-best outcomes in our cohort.

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Endovascular reconstruction of high cervical and long-segment carotid artery dissections with Leo plus stent

Lu,

Yang,

Jia

et al. 2024

Neuroradiology

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Endovascular Treatment of Stroke Caused by Carotid Artery Dissection

Cited by 5 publications

References 30 publications

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

Mechanical Thrombectomy in Stroke—Retrospective Comparison of Methods: Aspiration vs. Stent Retrievers vs. Combined Method—Is Aspiration the Best Starting Point?

Endovascular reconstruction of high cervical and long-segment carotid artery dissections with Leo plus stent

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