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Published: 2022-08-31
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DOI: https://doi.org/10.52852/tcncyh.v156i8.995
Issue
Vol. 156 No. 8 (2022)
Section
Các bài báo
How to Cite
An, N. H., Lưu, V. Đăng, & Tôn, M. D. (2022). 11. Comparison of recanalization results among three mechanical thrombectomy techniques for anterior large vessel occlusion. Journal of Medical Research, 156(8), 84-93. https://doi.org/10.52852/tcncyh.v156i8.995

11. Comparison of recanalization results among three mechanical thrombectomy techniques for anterior large vessel occlusion

Nguyen Huu An, Vu Dang Luu, Mai Duy Ton

Main Article Content

Abstract

First-pass recanalization is the primary goal of technical and clinical efficacy among mechanical thrombectomy techniques. We conducted a descriptive, single-center study at Bach Mai hospital from December 2020 to June 2022 to compare the recanalization results of three strategies for first-time thrombectomy including stent-retriever, aspiration, or a combination of stent and aspiration. A total of 100 patients with acute large vessel occlusion in anterior circulation within 4.5 hours were recruited for the study. There was no statistical difference in baseline characteristics between the three groups. No statistical difference in neither first-pass recanalization rate nor clinical outcomes was found between the three techniques. First-pass recanalization rate was highest in the group using stent-retriever first. Procedure time was the shortest in the aspiration first strategy. Meanwhile, final successful recanalization was highest in the combination of stent-retriever and aspiration tubing first, leading to the highest good outcome rate. The strategy for first-pass thrombectomy should be weighed against the occlusion site and the underlying occlusion etiology.

Article Details

Keywords

Mechanical thrombectomy techniques, anterior circulation, recanalization results

References

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