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Research ArticleINTERVENTIONAL

Endovascular Mechanical Clot Retrieval in a Broad Ischemic Stroke Cohort

D. Kim, R. Jahan, S. Starkman, A. Abolian, C.S. Kidwell, F. Vinuela, G.R. Duckwiler, B. Ovbiagele, P.M. Vespa, S. Selco, V. Rajajee and J.L. Saver
American Journal of Neuroradiology November 2006, 27 (10) 2048-2052;
D. Kim
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R. Jahan
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S. Starkman
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A. Abolian
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C.S. Kidwell
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F. Vinuela
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G.R. Duckwiler
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B. Ovbiagele
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P.M. Vespa
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S. Selco
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V. Rajajee
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J.L. Saver
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    Fig 1.

    Day 90 mRS scores in the recanalized and nonrecanalized patients.

Tables

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    Table 1:

    Baseline patient characteristics

    PatientAgeSexNIHSS PretreatmentTarget VesselReason for Exclusion from MERCI
    132M17Basilar arteryTreatment >8 hours
    253M26Left carotid TStudy unavailable
    358M11Right carotid LTreatment >8 hours
    458F21Left middle cerebral arteryStudy unavailable
    548M21Left carotid LStudy unavailable
    673M19Left carotid LTreatment >8 hours
    772F13Right middle cerebral arteryStudy unavailable
    873F18Left carotid LStudy unavailable
    953F22Left middle cerebral arteryStudy unavailable
    1023M22Left middle cerebral arteryStudy unavailable
    1186F12Right middle cerebral arteryIV tPA
    1289F27Left middle cerebral arteryTreatment >8 hours
    1368M13Right middle cerebral arteryStudy unavailable
    1439M15Left middle cerebral arteryIV tPA
    1572M22Left middle cerebral arteryStudy unavailable
    1683M30Left carotid LIV tPA
    1732F17Right middle cerebral arteryIV tPA
    1873F17Right middle cerebral arteryStudy unavailable
    1969M25Right carotid TStudy unavailable
    2077M25Left middle cerebral arteryStudy unavailable
    2171M25Left carotid LStudy unavailable
    2214M11Right middle cerebral arteryIV tPA and <18 years
    2387F28Left carotid TStudy unavailable
    2487F27Left middle cerebral arteryStudy unavailable
    • Note:—Carotid T indicates distal carotid artery, ipsilateral anterior cerebral artery, and ipsilateral middle cerebral artery; carotid L, distal carotid artery and ipsilateral middle cerebral artery; NIHSS, National Institutes of Health Stroke Scale; M, male; F, female; tPA, tissue plasminogen activator.

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    Table 2:

    Patient treatment variables and outcomes

    PatientTarget VesselTime to Treatment (min)Additional InterventionPosttreatment TIMIHemorrhageDay 90 mRS
    1Basilar artery2385NoneIINone5
    2Left carotid T85NoneIIINone3
    3Right carotid L550None0Asymptomatic SAH4
    4Left middle cerebral artery285IA tPAIAsymptomatic ICH2
    5Left carotid L255NoneINone4
    6Left carotid L1365NoneIIINone6
    7Right middle cerebral artery320IA AbciximabIINone0
    8Left carotid L310None0None5
    9Left middle cerebral artery320NoneIINone1
    10Left middle cerebral artery225None0None3
    11Right middle cerebral artery190IA tPAIIAsymptomatic ICH2
    12Left middle cerebral artery480NoneIIIAsymptomatic ICH6
    13Right middle cerebral artery330NoneIINone0
    14Left middle cerebral artery220(IV tPA)IAsymptomatic ICH3
    15Left middle cerebral artery415NoneIIAsymptomatic SAH6
    16Left carotid L320(IV tPA)IIISymptomatic ICH6
    17Right middle cerebral artery355(IV tPA)IIIAsymptomatic ICH0
    18Right middle cerebral artery390NoneIINone4
    19Right carotid T330NoneIIAsymptomatic ICH4
    20Left middle cerebral artery290(IV tPA)INone4
    21Left carotid L135None0None6
    22Right middle cerebral artery120(IV tPA)IISymptomatic ICH3
    23Left carotid T160NoneIIAsymptomatic SAH6
    24Left middle cerebral artery295None0None6
    • Note:—TIMI indicates Thrombolysis in Myocardial Infarction; mRS, modified Rankin scale; carotid T, distal carotid artery, ipsilateral anterior cerebral artery, and ipsilateral middle cerebral artery; carotid L, distal carotid artery and ipsilateral middle cerebral artery; IA, intra-arterial; tPA, tissue plasminogen activator; SAH, subarachnoid hemorrhage; ICM, intracerebral hemorrhage.

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American Journal of Neuroradiology: 27 (10)
American Journal of Neuroradiology
Vol. 27, Issue 10
November 2006
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D. Kim, R. Jahan, S. Starkman, A. Abolian, C.S. Kidwell, F. Vinuela, G.R. Duckwiler, B. Ovbiagele, P.M. Vespa, S. Selco, V. Rajajee, J.L. Saver
Endovascular Mechanical Clot Retrieval in a Broad Ischemic Stroke Cohort
American Journal of Neuroradiology Nov 2006, 27 (10) 2048-2052;

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Endovascular Mechanical Clot Retrieval in a Broad Ischemic Stroke Cohort
D. Kim, R. Jahan, S. Starkman, A. Abolian, C.S. Kidwell, F. Vinuela, G.R. Duckwiler, B. Ovbiagele, P.M. Vespa, S. Selco, V. Rajajee, J.L. Saver
American Journal of Neuroradiology Nov 2006, 27 (10) 2048-2052;
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