Acute Stroke Patients Treated with Stent Retrievers in Carotid %26quot;T%26quot; Occlusions Have Improved Recanalization and Outcome

作者：Orton Trent H; Lum Cheemun^*; Alhazzaa Mohammed; Lesiuk Howard; Dowlatshahi Dar; dos Santos Marlise P; Iancu Daniela

来源：Canadian Journal of Neurological Sciences, 2014, 41(6): 709-713.

DOI：10.1017/cjn.2014.109

• Stroke
• endovascular
• embolectomy
• stent-retriever

Background: Recanalization rates and patient outcomes in acute occlusion of the carotid terminus have previously been poor. The use of stent-retrievers has resulted in better recanalization and patient outcomes. We sought to compare outcomes in patients%26apos; treated with stent-retrievers to outcomes in older techniques. Methods: We retrospectively compared a stent-retriever cohort to a historical cohort. We evaluated recanalization rates and good outcomes (defined as mRS %26lt; 2 at 30 days or 10 point drop in NIHSS). Results: There were twenty patients treated with stent-retrievers versus nine without. The recanalization rate in patients treated with stent retrievers was significantly higher than that of other modalities (90% vs 33%, p=0.004). Good outcomes were significantly higher in the stein retriever cohort (70% vs 22%, p=0.041). Conclusion: The use of stent-retrievers in patients with carotid %26quot;T%26quot; occlusions shows promise in comparison to older techniques. A randomized trial comparing stent-retriever therapy to IV thrombolysis is warranted to determine the efficacy of this new generation of devices.

• 出版日期2014-11