Publication:
Iatrogenic Vessel Dissection in Endovascular Treatment of Acute Ischemic Stroke.

cris.virtualsource.author-orcide6abcb61-7178-4179-a6d0-093585bbb082
cris.virtualsource.author-orcid16fa236f-92a7-40c8-a66d-d40bd766b8e8
cris.virtualsource.author-orcid1963851a-c2fa-4878-b4e1-48d9aabed5ea
cris.virtualsource.author-orcidbbcfa599-7fac-4763-ae28-76df2c0b7e4c
cris.virtualsource.author-orcidac741136-1ddc-4dc8-b37a-18e6b961ff0f
cris.virtualsource.author-orcid411ca3a1-03f1-48ad-98b1-cecb753516ac
cris.virtualsource.author-orcide54bb978-481b-4a83-adf5-4fbfbc5723eb
cris.virtualsource.author-orcid29e771f2-4628-4190-b532-748410b5aff5
cris.virtualsource.author-orcid6bca269a-b080-43cf-a340-2559fc2f7595
cris.virtualsource.author-orcide67bda97-92ef-4c25-85b8-b2914607e753
dc.contributor.authorGoeggel Simonetti, Barbara
dc.contributor.authorHulliger, Justine
dc.contributor.authorMathier, Etienne
dc.contributor.authorJung, Simon
dc.contributor.authorFischer, Urs Martin
dc.contributor.authorSarikaya, Hakan
dc.contributor.authorSlotboom, Johannes
dc.contributor.authorSchroth, Gerhard
dc.contributor.authorMordasini, Pasquale Renato
dc.contributor.authorGralla, Jan
dc.contributor.authorArnold, Marcel
dc.date.accessioned2024-10-25T13:08:01Z
dc.date.available2024-10-25T13:08:01Z
dc.date.issued2019-03
dc.description.abstractPURPOSE Knowledge about the localization and outcome of iatrogenic dissection (ID) during endovascular treatment of acute ischemic stroke (AIS) is limited. We aimed to determine the frequency, clinical aspects and morphology of ID in endovascular AIS treatment and to identify predictors of this complication. METHODS Digital subtraction angiography (DSA) of ID carried out during endovascular treatment between January 2000 and March 2012 have been re-evaluated. The ID localization and morphology were analyzed and related to the interventional techniques. Baseline clinical and radiological findings, treatment modality and outcome were compared with patients without ID. RESULTS Out of 866 patients 18 (2%) suffered an ID (44% female, median age 64 years). Localization was extracranial in 15 (83%, 14 internal carotid artery and 1 vertebral artery) and intracranial in 3 (17%; 1 vertebrobasilar dissection and 2 in the anterior circulation). Of the IDs 5 (28%) resulted in a high-degree, 3 (17%) in a moderate, 5 (28%) in a mild and 5 (28%) in no stenosis and 8 IDs were stented in the acute phase. At 3 months 7 (42%) patients had a favorable outcome (modified Rankin score mRS ≤ 2) and 6 (33%) patients had died. Patients with ID had a different stroke etiology (p = 0.041), were more likely to be smokers (44% versus 19%, p = 0.015) and were more likely to be treated with mechanical thrombectomy (100% versus 60%, p < 0.001). Although two ID patients had relevant complications, the outcome did not differ between the groups. CONCLUSION The occurrence of ID is a rare complication of endovascular AIS treatment associated with smoking and mechanical thrombectomy.
dc.description.numberOfPages9
dc.description.sponsorshipUniversitätsklinik für Neurologie
dc.description.sponsorshipUniversitätsklinik für Radio-Onkologie
dc.description.sponsorshipUniversitätsinstitut für Diagnostische und Interventionelle Neuroradiologie
dc.identifier.doi10.7892/boris.106900
dc.identifier.pmid29098320
dc.identifier.publisherDOI10.1007/s00062-017-0639-z
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/155528
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofClinical neuroradiology
dc.relation.issn1869-1439
dc.relation.organizationDCD5A442BAE0E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442C011E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442BAD6E17DE0405C82790C4DE2
dc.subjectDissection Endovascular treatment Iatrogenic Interventional neuroradiology Ischemic stroke
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleIatrogenic Vessel Dissection in Endovascular Treatment of Acute Ischemic Stroke.
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.endPage151
oaire.citation.issue1
oaire.citation.startPage143
oaire.citation.volume29
oairecerif.author.affiliationUniversitätsklinik für Neurologie
oairecerif.author.affiliationUniversitätsklinik für Radio-Onkologie
oairecerif.author.affiliationUniversitätsklinik für Neurologie
oairecerif.author.affiliationUniversitätsklinik für Neurologie
oairecerif.author.affiliationUniversitätsklinik für Neurologie
oairecerif.author.affiliationUniversitätsinstitut für Diagnostische und Interventionelle Neuroradiologie
oairecerif.author.affiliationUniversitätsinstitut für Diagnostische und Interventionelle Neuroradiologie
oairecerif.author.affiliationUniversitätsinstitut für Diagnostische und Interventionelle Neuroradiologie
oairecerif.author.affiliationUniversitätsinstitut für Diagnostische und Interventionelle Neuroradiologie
oairecerif.author.affiliationUniversitätsklinik für Neurologie
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.contributor.rolecreator
unibe.date.licenseChanged2019-10-30 17:33:19
unibe.description.ispublishedpub
unibe.eprints.legacyId106900
unibe.journal.abbrevTitleCLIN NEURORADIOL
unibe.refereedTRUE
unibe.subtype.articlejournal

Files

Original bundle
Now showing 1 - 1 of 1
Name:
10.1007%2Fs00062-017-0639-z.pdf
Size:
863.43 KB
Format:
Adobe Portable Document Format
File Type:
text
License:
https://creativecommons.org/licenses/by/4.0
Content:
published

Collections