○種別 (必須): | □ | 学術論文 (審査論文)
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○言語 (必須): | □ | 英語
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○著者 (必須): | 1. | 山本 雄貴 ([徳島大学.病院.診療科.内科.脳神経内科])
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| 2. | 山本 伸昭
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| 3. | 兼松 康久
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| 4. | 山口 泉
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| 5. | 石原 学 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.救急集中治療医学])
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| 6. | 宮本 健志 ([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| 7. | 曽我部 周
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| 8. | 島田 健司 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.脳·神経·精神科.脳神経外科])
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| 9. | 髙木 康志 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| 10. | 和泉 唯信 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.内科系.臨床神経科学]/[徳島大学.病院.診療科.内科.脳神経内科])
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○題名 (必須): | □ | (英) The claw sign predicts first-pass effect in mechanical thrombectomy for cerebral large vessel occlusion in the anterior circulation (日)
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○要約 (任意): | □ | (英) Mechanical thrombectomy (MT) is an effective treatment for acute cerebral large vessel occlusion (LVO). Complete recanalization of vessels in a single procedure is defined as the first-pass effect (FPE) and is associated with good prognosis. In this study, angiographic clot protruding sign termed the "claw sign," was examined as candidate preoperative imaging factor for predicting the FPE. We retrospectively analyzed data from 91 consecutive patients treated for acute LVO in the anterior circulation by MT between January 2014 and December 2019. The claw sign was defined as a thrombus that protruded proximally by more than half of the diameter of the parent artery. Radiological findings such as claw sign, clinical and etiological features, and outcomes were compared between groups with and without successful FPE. Multivariate analysis was conducted to evaluate perioperative factors associated with FPE. FPE was achieved in 26 of 91 (28.6%) patients and the claw sign was observed in 34 of 91 (37.4%) patients. The claw sign was significantly more frequent in the successful FPE group than in the failed FPE group (53.8% vs. 30.8%; = 0.040). After the multivariate analysis, the claw sign was the only pretreatment parameter that could predict FPE (odds ratio, 2.67; 95% confidence interval, 1.01-7.06; = 0.047). The claw sign is an angiographic imaging factor that might predict FPE after MT for anterior circulation acute ischemic stroke. (日)
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○誌名 (必須): | □ | Surgical Neurology International (Medknow)
(pISSN: 2229-5097, eISSN: 2152-7806)
○ISSN (任意): | □ | 2229-5097
ISSN: 2229-5097
(pISSN: 2229-5097, eISSN: 2152-7806) Title: Surgical neurology internationalTitle(ISO): Surg Neurol IntPublisher: Scientific Scholar LLC (NLM Catalog)
(Scopus)
(CrossRef)
(Scopus information is found. [need login])
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○巻 (必須): | □ | 13
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○号 (必須): | □ | 72
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○頁 (必須): | □ | 1 7
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○年月日 (必須): | □ | 西暦 2022年 2月 25日 (令和 4年 2月 25日)
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○URL (任意): |
○DOI (任意): | □ | 10.25259/SNI_1160_2021 (→Scopusで検索)
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○PMID (任意): | □ | 35242438 (→Scopusで検索)
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○備考 (任意): | 1. | (英) Article.ELocationID: 10.25259/SNI_1160_2021 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 3. | (英) KeywordList.Keyword: Acute ischemic stroke (日)
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| 4. | (英) KeywordList.Keyword: Angiography (日)
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| 5. | (英) KeywordList.Keyword: Claw sign (日)
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| 6. | (英) KeywordList.Keyword: First pass (日)
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| 7. | (英) KeywordList.Keyword: Mechanical thrombectomy (日)
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| 8. | (英) CoiStatement: There are no conflicts of interest. (日)
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