Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis
Purpose Strokes associated with cervical artery dissection have been managed primarily with antithrombotics with poor outcomes. The additive role of endovascular thrombectomy remains unclear. The objective was to perform systematic review and meta-analysis to compare endovascular thrombectomy and me...
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| Veröffentlicht in: | Neuroradiology 2020-07, Vol.62 (7), p.861-866 |
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| creator | Dmytriw, Adam A. Phan, Kevin Maingard, Julian Mobbs, Ralph J. Brooks, Mark Chen, Karen Yang, Victor Kok, Hong Kuan Hirsch, Joshua A. Barras, Christen D. Chandra, Ronil V. Asadi, Hamed |
| description | Purpose
Strokes associated with cervical artery dissection have been managed primarily with antithrombotics with poor outcomes. The additive role of endovascular thrombectomy remains unclear. The objective was to perform systematic review and meta-analysis to compare endovascular thrombectomy and medical therapy for acute ischemic stroke associated with cervical artery dissection.
Methods
Studies from six electronic databases included outcomes of patient cohorts with acute ischemic stroke secondary to cervical artery dissection who underwent treatment with endovascular thrombectomy. A meta-analysis of proportions was conducted with a random effects model. Modified Rankin score at 90 days (mRS 0–2) was the primary outcome. Other outcomes included proportion of patients with thrombolysis in cerebral infarction (TICI) 2b-3 flow, 90-day mortality rate, and 90-day symptomatic intracerebral hemorrhage (sICH) rate.
Results
Six studies were included, comprising 193 cases that underwent thrombectomy compared with 59 cases that were managed medically. Successful recanalization with a pooled proportion of thrombolysis in cerebral infarction (TICI) 2b-3 flow in the thrombectomy group was 74%. Favorable outcome (mRS 0–2) was superior in the pooled thrombectomy group (62.9%, 95% CI 55.8–69.5%) compared with medical management (41.5%, 95% CI 29.0–55.1%,
P
= 0.006). The pooled rate of 90-day mortality was similar for endovascular vs medical (8.6% vs 6.3%). The pooled rate of symptomatic intracranial haemorrhage (sICH) did not significantly differ (5.9% vs 4.2%,
P
= 0.60).
Conclusions
Current data suggest that endovascular thrombectomy may be an option in patients with acute ischemic stroke due to cervical artery dissection. This requires further confirmation in higher quality prospective studies. |
| doi_str_mv | 10.1007/s00234-020-02388-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2377337238</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2377337238</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-de0c7add792e4a6e72d7cfc88614f90e4abdcffe658873ddcec09eb4088007e63</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EotvCC3BAlrhwCYztbOxwQ1WhSJW4wNny2hPWJYmLx9k278BDY9gCEgcOlqWZ7__Hnp-xZwJeCQD9mgCkahuQUI8yprl7wDaiVbIRvYSHbFP7plF9CyfslOgaAJRW-jE7UVJ0XdvqDft-MYd0cOSX0WVe9jlNO_QlTSsfUi24OeDEnV8K8kh-j1P0nEpOX5E7ouSjKxj4bSx77jEfoncjd7lgXnmIRNUrpvkNd5xWKji5UvUZDxFvefXmExbXuNmNK0V6wh4NbiR8en-fsc_vLj6dXzZXH99_OH971Xilt6UJCF67EHQvsXUdahm0H7wxnWiHHmptF_wwYLc1RqsQPHrocdeCMXVt2Kkz9vLoe5PTtwWp2Kn-DcfRzZgWslJprZSuO63oi3_Q67Tk-t5KtaIDZUBsKyWPlM-JKONgb3KcXF6tAPszK3vMytas7K-s7F0VPb-3XnYThj-S3-FUQB0Bqq35C-a_s_9j-wNV46PC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2416038015</pqid></control><display><type>article</type><title>Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Dmytriw, Adam A. ; Phan, Kevin ; Maingard, Julian ; Mobbs, Ralph J. ; Brooks, Mark ; Chen, Karen ; Yang, Victor ; Kok, Hong Kuan ; Hirsch, Joshua A. ; Barras, Christen D. ; Chandra, Ronil V. ; Asadi, Hamed</creator><creatorcontrib>Dmytriw, Adam A. ; Phan, Kevin ; Maingard, Julian ; Mobbs, Ralph J. ; Brooks, Mark ; Chen, Karen ; Yang, Victor ; Kok, Hong Kuan ; Hirsch, Joshua A. ; Barras, Christen D. ; Chandra, Ronil V. ; Asadi, Hamed</creatorcontrib><description>Purpose
Strokes associated with cervical artery dissection have been managed primarily with antithrombotics with poor outcomes. The additive role of endovascular thrombectomy remains unclear. The objective was to perform systematic review and meta-analysis to compare endovascular thrombectomy and medical therapy for acute ischemic stroke associated with cervical artery dissection.
Methods
Studies from six electronic databases included outcomes of patient cohorts with acute ischemic stroke secondary to cervical artery dissection who underwent treatment with endovascular thrombectomy. A meta-analysis of proportions was conducted with a random effects model. Modified Rankin score at 90 days (mRS 0–2) was the primary outcome. Other outcomes included proportion of patients with thrombolysis in cerebral infarction (TICI) 2b-3 flow, 90-day mortality rate, and 90-day symptomatic intracerebral hemorrhage (sICH) rate.
Results
Six studies were included, comprising 193 cases that underwent thrombectomy compared with 59 cases that were managed medically. Successful recanalization with a pooled proportion of thrombolysis in cerebral infarction (TICI) 2b-3 flow in the thrombectomy group was 74%. Favorable outcome (mRS 0–2) was superior in the pooled thrombectomy group (62.9%, 95% CI 55.8–69.5%) compared with medical management (41.5%, 95% CI 29.0–55.1%,
P
= 0.006). The pooled rate of 90-day mortality was similar for endovascular vs medical (8.6% vs 6.3%). The pooled rate of symptomatic intracranial haemorrhage (sICH) did not significantly differ (5.9% vs 4.2%,
P
= 0.60).
Conclusions
Current data suggest that endovascular thrombectomy may be an option in patients with acute ischemic stroke due to cervical artery dissection. This requires further confirmation in higher quality prospective studies.</description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/s00234-020-02388-x</identifier><identifier>PMID: 32166447</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aneurysm, Dissecting - complications ; Aneurysm, Dissecting - surgery ; Cardiovascular system ; Cerebral infarction ; Dissection ; Hemorrhage ; Humans ; Imaging ; Infarction ; Interventional Neuroradiology ; Intracranial Aneurysm - complications ; Intracranial Aneurysm - surgery ; Ischemia ; Ischemic Stroke - etiology ; Ischemic Stroke - surgery ; Medicine ; Medicine & Public Health ; Meta-analysis ; Mortality ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Patients ; Radiology ; Stroke ; Systematic review ; Thrombectomy ; Thrombolysis</subject><ispartof>Neuroradiology, 2020-07, Vol.62 (7), p.861-866</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-de0c7add792e4a6e72d7cfc88614f90e4abdcffe658873ddcec09eb4088007e63</citedby><cites>FETCH-LOGICAL-c375t-de0c7add792e4a6e72d7cfc88614f90e4abdcffe658873ddcec09eb4088007e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00234-020-02388-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00234-020-02388-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32166447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dmytriw, Adam A.</creatorcontrib><creatorcontrib>Phan, Kevin</creatorcontrib><creatorcontrib>Maingard, Julian</creatorcontrib><creatorcontrib>Mobbs, Ralph J.</creatorcontrib><creatorcontrib>Brooks, Mark</creatorcontrib><creatorcontrib>Chen, Karen</creatorcontrib><creatorcontrib>Yang, Victor</creatorcontrib><creatorcontrib>Kok, Hong Kuan</creatorcontrib><creatorcontrib>Hirsch, Joshua A.</creatorcontrib><creatorcontrib>Barras, Christen D.</creatorcontrib><creatorcontrib>Chandra, Ronil V.</creatorcontrib><creatorcontrib>Asadi, Hamed</creatorcontrib><title>Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><addtitle>Neuroradiology</addtitle><description>Purpose
Strokes associated with cervical artery dissection have been managed primarily with antithrombotics with poor outcomes. The additive role of endovascular thrombectomy remains unclear. The objective was to perform systematic review and meta-analysis to compare endovascular thrombectomy and medical therapy for acute ischemic stroke associated with cervical artery dissection.
Methods
Studies from six electronic databases included outcomes of patient cohorts with acute ischemic stroke secondary to cervical artery dissection who underwent treatment with endovascular thrombectomy. A meta-analysis of proportions was conducted with a random effects model. Modified Rankin score at 90 days (mRS 0–2) was the primary outcome. Other outcomes included proportion of patients with thrombolysis in cerebral infarction (TICI) 2b-3 flow, 90-day mortality rate, and 90-day symptomatic intracerebral hemorrhage (sICH) rate.
Results
Six studies were included, comprising 193 cases that underwent thrombectomy compared with 59 cases that were managed medically. Successful recanalization with a pooled proportion of thrombolysis in cerebral infarction (TICI) 2b-3 flow in the thrombectomy group was 74%. Favorable outcome (mRS 0–2) was superior in the pooled thrombectomy group (62.9%, 95% CI 55.8–69.5%) compared with medical management (41.5%, 95% CI 29.0–55.1%,
P
= 0.006). The pooled rate of 90-day mortality was similar for endovascular vs medical (8.6% vs 6.3%). The pooled rate of symptomatic intracranial haemorrhage (sICH) did not significantly differ (5.9% vs 4.2%,
P
= 0.60).
Conclusions
Current data suggest that endovascular thrombectomy may be an option in patients with acute ischemic stroke due to cervical artery dissection. This requires further confirmation in higher quality prospective studies.</description><subject>Aneurysm, Dissecting - complications</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Cardiovascular system</subject><subject>Cerebral infarction</subject><subject>Dissection</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Imaging</subject><subject>Infarction</subject><subject>Interventional Neuroradiology</subject><subject>Intracranial Aneurysm - complications</subject><subject>Intracranial Aneurysm - surgery</subject><subject>Ischemia</subject><subject>Ischemic Stroke - etiology</subject><subject>Ischemic Stroke - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Mortality</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Patients</subject><subject>Radiology</subject><subject>Stroke</subject><subject>Systematic review</subject><subject>Thrombectomy</subject><subject>Thrombolysis</subject><issn>0028-3940</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kcFu1DAQhi0EotvCC3BAlrhwCYztbOxwQ1WhSJW4wNny2hPWJYmLx9k278BDY9gCEgcOlqWZ7__Hnp-xZwJeCQD9mgCkahuQUI8yprl7wDaiVbIRvYSHbFP7plF9CyfslOgaAJRW-jE7UVJ0XdvqDft-MYd0cOSX0WVe9jlNO_QlTSsfUi24OeDEnV8K8kh-j1P0nEpOX5E7ouSjKxj4bSx77jEfoncjd7lgXnmIRNUrpvkNd5xWKji5UvUZDxFvefXmExbXuNmNK0V6wh4NbiR8en-fsc_vLj6dXzZXH99_OH971Xilt6UJCF67EHQvsXUdahm0H7wxnWiHHmptF_wwYLc1RqsQPHrocdeCMXVt2Kkz9vLoe5PTtwWp2Kn-DcfRzZgWslJprZSuO63oi3_Q67Tk-t5KtaIDZUBsKyWPlM-JKONgb3KcXF6tAPszK3vMytas7K-s7F0VPb-3XnYThj-S3-FUQB0Bqq35C-a_s_9j-wNV46PC</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Dmytriw, Adam A.</creator><creator>Phan, Kevin</creator><creator>Maingard, Julian</creator><creator>Mobbs, Ralph J.</creator><creator>Brooks, Mark</creator><creator>Chen, Karen</creator><creator>Yang, Victor</creator><creator>Kok, Hong Kuan</creator><creator>Hirsch, Joshua A.</creator><creator>Barras, Christen D.</creator><creator>Chandra, Ronil V.</creator><creator>Asadi, Hamed</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200701</creationdate><title>Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis</title><author>Dmytriw, Adam A. ; Phan, Kevin ; Maingard, Julian ; Mobbs, Ralph J. ; Brooks, Mark ; Chen, Karen ; Yang, Victor ; Kok, Hong Kuan ; Hirsch, Joshua A. ; Barras, Christen D. ; Chandra, Ronil V. ; Asadi, Hamed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-de0c7add792e4a6e72d7cfc88614f90e4abdcffe658873ddcec09eb4088007e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aneurysm, Dissecting - complications</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Cardiovascular system</topic><topic>Cerebral infarction</topic><topic>Dissection</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Imaging</topic><topic>Infarction</topic><topic>Interventional Neuroradiology</topic><topic>Intracranial Aneurysm - complications</topic><topic>Intracranial Aneurysm - surgery</topic><topic>Ischemia</topic><topic>Ischemic Stroke - etiology</topic><topic>Ischemic Stroke - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Mortality</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Patients</topic><topic>Radiology</topic><topic>Stroke</topic><topic>Systematic review</topic><topic>Thrombectomy</topic><topic>Thrombolysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dmytriw, Adam A.</creatorcontrib><creatorcontrib>Phan, Kevin</creatorcontrib><creatorcontrib>Maingard, Julian</creatorcontrib><creatorcontrib>Mobbs, Ralph J.</creatorcontrib><creatorcontrib>Brooks, Mark</creatorcontrib><creatorcontrib>Chen, Karen</creatorcontrib><creatorcontrib>Yang, Victor</creatorcontrib><creatorcontrib>Kok, Hong Kuan</creatorcontrib><creatorcontrib>Hirsch, Joshua A.</creatorcontrib><creatorcontrib>Barras, Christen D.</creatorcontrib><creatorcontrib>Chandra, Ronil V.</creatorcontrib><creatorcontrib>Asadi, Hamed</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dmytriw, Adam A.</au><au>Phan, Kevin</au><au>Maingard, Julian</au><au>Mobbs, Ralph J.</au><au>Brooks, Mark</au><au>Chen, Karen</au><au>Yang, Victor</au><au>Kok, Hong Kuan</au><au>Hirsch, Joshua A.</au><au>Barras, Christen D.</au><au>Chandra, Ronil V.</au><au>Asadi, Hamed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis</atitle><jtitle>Neuroradiology</jtitle><stitle>Neuroradiology</stitle><addtitle>Neuroradiology</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>62</volume><issue>7</issue><spage>861</spage><epage>866</epage><pages>861-866</pages><issn>0028-3940</issn><eissn>1432-1920</eissn><abstract>Purpose
Strokes associated with cervical artery dissection have been managed primarily with antithrombotics with poor outcomes. The additive role of endovascular thrombectomy remains unclear. The objective was to perform systematic review and meta-analysis to compare endovascular thrombectomy and medical therapy for acute ischemic stroke associated with cervical artery dissection.
Methods
Studies from six electronic databases included outcomes of patient cohorts with acute ischemic stroke secondary to cervical artery dissection who underwent treatment with endovascular thrombectomy. A meta-analysis of proportions was conducted with a random effects model. Modified Rankin score at 90 days (mRS 0–2) was the primary outcome. Other outcomes included proportion of patients with thrombolysis in cerebral infarction (TICI) 2b-3 flow, 90-day mortality rate, and 90-day symptomatic intracerebral hemorrhage (sICH) rate.
Results
Six studies were included, comprising 193 cases that underwent thrombectomy compared with 59 cases that were managed medically. Successful recanalization with a pooled proportion of thrombolysis in cerebral infarction (TICI) 2b-3 flow in the thrombectomy group was 74%. Favorable outcome (mRS 0–2) was superior in the pooled thrombectomy group (62.9%, 95% CI 55.8–69.5%) compared with medical management (41.5%, 95% CI 29.0–55.1%,
P
= 0.006). The pooled rate of 90-day mortality was similar for endovascular vs medical (8.6% vs 6.3%). The pooled rate of symptomatic intracranial haemorrhage (sICH) did not significantly differ (5.9% vs 4.2%,
P
= 0.60).
Conclusions
Current data suggest that endovascular thrombectomy may be an option in patients with acute ischemic stroke due to cervical artery dissection. This requires further confirmation in higher quality prospective studies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32166447</pmid><doi>10.1007/s00234-020-02388-x</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-3940 |
| ispartof | Neuroradiology, 2020-07, Vol.62 (7), p.861-866 |
| issn | 0028-3940 1432-1920 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aneurysm, Dissecting - complications Aneurysm, Dissecting - surgery Cardiovascular system Cerebral infarction Dissection Hemorrhage Humans Imaging Infarction Interventional Neuroradiology Intracranial Aneurysm - complications Intracranial Aneurysm - surgery Ischemia Ischemic Stroke - etiology Ischemic Stroke - surgery Medicine Medicine & Public Health Meta-analysis Mortality Neurology Neuroradiology Neurosciences Neurosurgery Patients Radiology Stroke Systematic review Thrombectomy Thrombolysis |
| title | Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis |
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