Value of Thrombus Imaging Characteristics as a Guide for First-Line Endovascular Thrombectomy Device in Patients With Acute Ischemic Stroke.

ABSTRACT:

Background

It has been suggested that selection of a first-line endovascular thrombectomy device, that is, contact aspiration (CA) or stent retriever (SR) thrombectomy, could be based on thrombus type. Thrombus composition and mechanical behavior can partially be predicted with thrombus computed tomography (CT) characteristics. We aimed to assess the influence of thrombus CT characteristics on the association between first-line device and outcomes of endovascular thrombectomy.

Methods

For patients enrolled in the MR CLEAN (Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in The Netherlands) Registry between March 2014 and November 2017, we assessed thrombus density, thrombus length, and presence of hyperdense artery sign on thin-slice

SUBMITTER: Boodt N 

PROVIDER: S-EPMC12778580 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature