OpenAccessBelV2, Main, Exploration, bibRecord, 000378

Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective

Identifieur interne : 000378 ( Main/Exploration ); précédent : 000377; suivant : 000379

Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective

Auteurs : George M. Ghobrial [États-Unis] ; Nohra Chalouhi [États-Unis] ; Lana Rivers [États-Unis] ; Samantha Witte [États-Unis] ; Justin Davanzo [États-Unis] ; Richard Dalyai [États-Unis] ; Michelle L. Gardecki [États-Unis] ; Pascal Jabbour [États-Unis] ; Fernando Gonzalez [États-Unis] ; Aaron S. Dumont [États-Unis] ; Robert H. Rosenwasser [États-Unis] ; Stavropoula Tjoumakaris [États-Unis]

Source :

Journal of NeuroInterventional Surgery [ 1759-8478 ] ; 2013-05.

RBID : ISTEX:E7273A84E7F371E86E054936277AE62641B8CC18

Abstract

Introduction Greater attention has been directed to endovascular recanalization of acute ischemic stroke in septuagenarians and above. Technique A retrospective chart review was conducted to include patients treated for acute ischemic stroke from 2006 to 2012. All patients underwent initial neurological assessment and non-contrast head CT. Patients treated from 2009 to 2012 additionally received emergent CT angiogram and CT perfusion. 51 patients met the clinical and radiographic criteria and underwent multimodal endovascular revascularization for acute ischemic events. Results All patients underwent cerebral angiography and met angiographic criteria for endovascular thrombolysis. 34 patients (67%) were older than 80 years of age. 23 patients (45%) received intravenous tissue plasminogen activator prior to admission. Eight (16%) patients underwent stent placement after intra-arterial thrombolysis, 10 (20%) underwent balloon angioplasty and seven (14%) underwent both angioplasty and stent placement. 21 (41%) required only intra-arterial thrombolytics. An improvement in Thrombolysis in Myocardial Infarction score was noted in 34 patients (67%). The average modified Rankin Scale score on discharge was 3.9. Symptomatic intracranial hemorrhage occurred in three patients (6%); none required surgery. One patient (1.9%) had a postoperative retroperitoneal hematoma, which was managed conservatively. Two fatalities resulted from intraoperative vessel rupture (3.9%), with a combined morbidity and mortality of 27.5%. Conclusions Multimodal endovascular recanalization of acute ischemic stroke is a relatively safe treatment option in patients older than 75 years of age. Careful patient selection by clinical and radiographic inclusion criteria is necessary for the successful management of stroke in this age group.

Url:

https://api.istex.fr/document/E7273A84E7F371E86E054936277AE62641B8CC18/fulltext/pdf

DOI: 10.1136/neurintsurg-2012-010422

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Istex, to step Corpus: 000560
to stream Istex, to step Curation: 000560
to stream Istex, to step Checkpoint: 000034
to stream Main, to step Merge: 000378
to stream Main, to step Curation: 000378

Le document en format XML

<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective</title>
<author><name sortKey="Ghobrial, George M" sort="Ghobrial, George M" uniqKey="Ghobrial G" first="George M" last="Ghobrial">George M. Ghobrial</name>
</author>
<author><name sortKey="Chalouhi, Nohra" sort="Chalouhi, Nohra" uniqKey="Chalouhi N" first="Nohra" last="Chalouhi">Nohra Chalouhi</name>
</author>
<author><name sortKey="Rivers, Lana" sort="Rivers, Lana" uniqKey="Rivers L" first="Lana" last="Rivers">Lana Rivers</name>
</author>
<author><name sortKey="Witte, Samantha" sort="Witte, Samantha" uniqKey="Witte S" first="Samantha" last="Witte">Samantha Witte</name>
</author>
<author><name sortKey="Davanzo, Justin" sort="Davanzo, Justin" uniqKey="Davanzo J" first="Justin" last="Davanzo">Justin Davanzo</name>
</author>
<author><name sortKey="Dalyai, Richard" sort="Dalyai, Richard" uniqKey="Dalyai R" first="Richard" last="Dalyai">Richard Dalyai</name>
</author>
<author><name sortKey="Gardecki, Michelle L" sort="Gardecki, Michelle L" uniqKey="Gardecki M" first="Michelle L" last="Gardecki">Michelle L. Gardecki</name>
</author>
<author><name sortKey="Jabbour, Pascal" sort="Jabbour, Pascal" uniqKey="Jabbour P" first="Pascal" last="Jabbour">Pascal Jabbour</name>
</author>
<author><name sortKey="Gonzalez, Fernando" sort="Gonzalez, Fernando" uniqKey="Gonzalez F" first="Fernando" last="Gonzalez">Fernando Gonzalez</name>
</author>
<author><name sortKey="Dumont, Aaron S" sort="Dumont, Aaron S" uniqKey="Dumont A" first="Aaron S" last="Dumont">Aaron S. Dumont</name>
</author>
<author><name sortKey="Rosenwasser, Robert H" sort="Rosenwasser, Robert H" uniqKey="Rosenwasser R" first="Robert H" last="Rosenwasser">Robert H. Rosenwasser</name>
</author>
<author><name sortKey="Tjoumakaris, Stavropoula" sort="Tjoumakaris, Stavropoula" uniqKey="Tjoumakaris S" first="Stavropoula" last="Tjoumakaris">Stavropoula Tjoumakaris</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:E7273A84E7F371E86E054936277AE62641B8CC18</idno>
<date when="2013" year="2013">2013</date>
<idno type="doi">10.1136/neurintsurg-2012-010422</idno>
<idno type="url">https://api.istex.fr/document/E7273A84E7F371E86E054936277AE62641B8CC18/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000560</idno>
<idno type="wicri:Area/Istex/Curation">000560</idno>
<idno type="wicri:Area/Istex/Checkpoint">000034</idno>
<idno type="wicri:doubleKey">1759-8478:2013:Ghobrial G:multimodal:endovascular:management</idno>
<idno type="wicri:Area/Main/Merge">000378</idno>
<idno type="wicri:Area/Main/Curation">000378</idno>
<idno type="wicri:Area/Main/Exploration">000378</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a">Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective</title>
<author><name sortKey="Ghobrial, George M" sort="Ghobrial, George M" uniqKey="Ghobrial G" first="George M" last="Ghobrial">George M. Ghobrial</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chalouhi, Nohra" sort="Chalouhi, Nohra" uniqKey="Chalouhi N" first="Nohra" last="Chalouhi">Nohra Chalouhi</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rivers, Lana" sort="Rivers, Lana" uniqKey="Rivers L" first="Lana" last="Rivers">Lana Rivers</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Witte, Samantha" sort="Witte, Samantha" uniqKey="Witte S" first="Samantha" last="Witte">Samantha Witte</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Davanzo, Justin" sort="Davanzo, Justin" uniqKey="Davanzo J" first="Justin" last="Davanzo">Justin Davanzo</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dalyai, Richard" sort="Dalyai, Richard" uniqKey="Dalyai R" first="Richard" last="Dalyai">Richard Dalyai</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gardecki, Michelle L" sort="Gardecki, Michelle L" uniqKey="Gardecki M" first="Michelle L" last="Gardecki">Michelle L. Gardecki</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Jabbour, Pascal" sort="Jabbour, Pascal" uniqKey="Jabbour P" first="Pascal" last="Jabbour">Pascal Jabbour</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gonzalez, Fernando" sort="Gonzalez, Fernando" uniqKey="Gonzalez F" first="Fernando" last="Gonzalez">Fernando Gonzalez</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dumont, Aaron S" sort="Dumont, Aaron S" uniqKey="Dumont A" first="Aaron S" last="Dumont">Aaron S. Dumont</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rosenwasser, Robert H" sort="Rosenwasser, Robert H" uniqKey="Rosenwasser R" first="Robert H" last="Rosenwasser">Robert H. Rosenwasser</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tjoumakaris, Stavropoula" sort="Tjoumakaris, Stavropoula" uniqKey="Tjoumakaris S" first="Stavropoula" last="Tjoumakaris">Stavropoula Tjoumakaris</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Journal of NeuroInterventional Surgery</title>
<title level="j" type="abbrev">J NeuroIntervent Surg</title>
<idno type="ISSN">1759-8478</idno>
<idno type="eISSN">1759-8486</idno>
<imprint><publisher>BMJ Publishing Group Ltd.</publisher>
<pubPlace>BMA House, Tavistock Square, London, WC1H 9JR</pubPlace>
<date type="published" when="2013-05">2013-05</date>
<biblScope unit="volume">5</biblScope>
<biblScope unit="supplement">suppl 1</biblScope>
<biblScope unit="page" from="33">i33</biblScope>
</imprint>
<idno type="ISSN">1759-8478</idno>
</series>
<idno type="istex">E7273A84E7F371E86E054936277AE62641B8CC18</idno>
<idno type="DOI">10.1136/neurintsurg-2012-010422</idno>
<idno type="href">neurintsurg-5-i33.pdf</idno>
<idno type="ArticleID">neurintsurg-2012-010422</idno>
<idno type="PMID">22791182</idno>
<idno type="local">neurintsurg;5/suppl_1/i33</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">1759-8478</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass></textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract">Introduction Greater attention has been directed to endovascular recanalization of acute ischemic stroke in septuagenarians and above. Technique A retrospective chart review was conducted to include patients treated for acute ischemic stroke from 2006 to 2012. All patients underwent initial neurological assessment and non-contrast head CT. Patients treated from 2009 to 2012 additionally received emergent CT angiogram and CT perfusion. 51 patients met the clinical and radiographic criteria and underwent multimodal endovascular revascularization for acute ischemic events. Results All patients underwent cerebral angiography and met angiographic criteria for endovascular thrombolysis. 34 patients (67%) were older than 80 years of age. 23 patients (45%) received intravenous tissue plasminogen activator prior to admission. Eight (16%) patients underwent stent placement after intra-arterial thrombolysis, 10 (20%) underwent balloon angioplasty and seven (14%) underwent both angioplasty and stent placement. 21 (41%) required only intra-arterial thrombolytics. An improvement in Thrombolysis in Myocardial Infarction score was noted in 34 patients (67%). The average modified Rankin Scale score on discharge was 3.9. Symptomatic intracranial hemorrhage occurred in three patients (6%); none required surgery. One patient (1.9%) had a postoperative retroperitoneal hematoma, which was managed conservatively. Two fatalities resulted from intraoperative vessel rupture (3.9%), with a combined morbidity and mortality of 27.5%. Conclusions Multimodal endovascular recanalization of acute ischemic stroke is a relatively safe treatment option in patients older than 75 years of age. Careful patient selection by clinical and radiographic inclusion criteria is necessary for the successful management of stroke in this age group.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Pennsylvanie</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Ghobrial, George M" sort="Ghobrial, George M" uniqKey="Ghobrial G" first="George M" last="Ghobrial">George M. Ghobrial</name>
</region>
<name sortKey="Chalouhi, Nohra" sort="Chalouhi, Nohra" uniqKey="Chalouhi N" first="Nohra" last="Chalouhi">Nohra Chalouhi</name>
<name sortKey="Dalyai, Richard" sort="Dalyai, Richard" uniqKey="Dalyai R" first="Richard" last="Dalyai">Richard Dalyai</name>
<name sortKey="Davanzo, Justin" sort="Davanzo, Justin" uniqKey="Davanzo J" first="Justin" last="Davanzo">Justin Davanzo</name>
<name sortKey="Dumont, Aaron S" sort="Dumont, Aaron S" uniqKey="Dumont A" first="Aaron S" last="Dumont">Aaron S. Dumont</name>
<name sortKey="Gardecki, Michelle L" sort="Gardecki, Michelle L" uniqKey="Gardecki M" first="Michelle L" last="Gardecki">Michelle L. Gardecki</name>
<name sortKey="Gonzalez, Fernando" sort="Gonzalez, Fernando" uniqKey="Gonzalez F" first="Fernando" last="Gonzalez">Fernando Gonzalez</name>
<name sortKey="Jabbour, Pascal" sort="Jabbour, Pascal" uniqKey="Jabbour P" first="Pascal" last="Jabbour">Pascal Jabbour</name>
<name sortKey="Rivers, Lana" sort="Rivers, Lana" uniqKey="Rivers L" first="Lana" last="Rivers">Lana Rivers</name>
<name sortKey="Rosenwasser, Robert H" sort="Rosenwasser, Robert H" uniqKey="Rosenwasser R" first="Robert H" last="Rosenwasser">Robert H. Rosenwasser</name>
<name sortKey="Tjoumakaris, Stavropoula" sort="Tjoumakaris, Stavropoula" uniqKey="Tjoumakaris S" first="Stavropoula" last="Tjoumakaris">Stavropoula Tjoumakaris</name>
<name sortKey="Witte, Samantha" sort="Witte, Samantha" uniqKey="Witte S" first="Samantha" last="Witte">Samantha Witte</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Belgique/explor/OpenAccessBelV2/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000378 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000378 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Belgique
   |area=    OpenAccessBelV2
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     ISTEX:E7273A84E7F371E86E054936277AE62641B8CC18
   |texte=   Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective
}}

This area was generated with Dilib version V0.6.25.
Data generation: Thu Dec 1 00:43:49 2016. Site generation: Wed Mar 6 14:51:30 2024

	Serveur d'exploration autour du libre accès en Belgique
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration autour du libre accès en Belgique

Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective

Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective

Source :

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri