Trial of Endovascular Thrombectomy for Large Ischemic Strokes

In a trial involving patients with large acute strokes, endovascular thrombectomy resulted in better functional outcomes than medical care alone but was associated with vascular complications.

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Veröffentlicht in:The New England journal of medicine 2023-04, Vol.388 (14), p.1259-1271
Hauptverfasser: Sarraj, Amrou, Hassan, Ameer E., Abraham, Michael G., Ortega-Gutierrez, Santiago, Kasner, Scott E., Hussain, M. Shazam, Chen, Michael, Blackburn, Spiros, Sitton, Clark W., Churilov, Leonid, Sundararajan, Sophia, Hu, Yin C., Herial, Nabeel A., Jabbour, Pascal, Gibson, Daniel, Wallace, Adam N., Arenillas, Juan F., Tsai, Jenny P., Budzik, Ronald F., Hicks, William J., Kozak, Osman, Yan, Bernard, Cordato, Dennis J., Manning, Nathan W., Parsons, Mark W., Hanel, Ricardo A., Aghaebrahim, Amin N., Wu, Teddy Y., Cardona-Portela, Pere, Pérez de la Ossa, Natalia, Schaafsma, Joanna D., Blasco, Jordi, Sangha, Navdeep, Warach, Steven, Gandhi, Chirag D., Kleinig, Timothy J., Sahlein, Daniel, Elijovich, Lucas, Tekle, Wondwossen, Samaniego, Edgar A., Maali, Laith, Abdulrazzak, M. Ammar, Psychogios, Marios N., Shuaib, Ashfaq, Pujara, Deep K., Shaker, Faris, Johns, Hannah, Sharma, Gagan, Yogendrakumar, Vignan, Ng, Felix C., Rahbar, Mohammad H., Cai, Chunyan, Lavori, Philip, Hamilton, Scott, Nguyen, Thanh, Fifi, Johanna T., Davis, Stephen, Wechsler, Lawrence, Pereira, Vitor M., Lansberg, Maarten G., Hill, Michael D., Grotta, James C., Ribo, Marc, Campbell, Bruce C., Albers, Gregory W.
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container_end_page 1271
container_issue 14
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container_title The New England journal of medicine
container_volume 388
creator Sarraj, Amrou
Hassan, Ameer E.
Abraham, Michael G.
Ortega-Gutierrez, Santiago
Kasner, Scott E.
Hussain, M. Shazam
Chen, Michael
Blackburn, Spiros
Sitton, Clark W.
Churilov, Leonid
Sundararajan, Sophia
Hu, Yin C.
Herial, Nabeel A.
Jabbour, Pascal
Gibson, Daniel
Wallace, Adam N.
Arenillas, Juan F.
Tsai, Jenny P.
Budzik, Ronald F.
Hicks, William J.
Kozak, Osman
Yan, Bernard
Cordato, Dennis J.
Manning, Nathan W.
Parsons, Mark W.
Hanel, Ricardo A.
Aghaebrahim, Amin N.
Wu, Teddy Y.
Cardona-Portela, Pere
Pérez de la Ossa, Natalia
Schaafsma, Joanna D.
Blasco, Jordi
Sangha, Navdeep
Warach, Steven
Gandhi, Chirag D.
Kleinig, Timothy J.
Sahlein, Daniel
Elijovich, Lucas
Tekle, Wondwossen
Samaniego, Edgar A.
Maali, Laith
Abdulrazzak, M. Ammar
Psychogios, Marios N.
Shuaib, Ashfaq
Pujara, Deep K.
Shaker, Faris
Johns, Hannah
Sharma, Gagan
Yogendrakumar, Vignan
Ng, Felix C.
Rahbar, Mohammad H.
Cai, Chunyan
Lavori, Philip
Hamilton, Scott
Nguyen, Thanh
Fifi, Johanna T.
Davis, Stephen
Wechsler, Lawrence
Pereira, Vitor M.
Lansberg, Maarten G.
Hill, Michael D.
Grotta, James C.
Ribo, Marc
Campbell, Bruce C.
Albers, Gregory W.
description In a trial involving patients with large acute strokes, endovascular thrombectomy resulted in better functional outcomes than medical care alone but was associated with vascular complications.
doi_str_mv 10.1056/NEJMoa2214403
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Shazam ; Chen, Michael ; Blackburn, Spiros ; Sitton, Clark W. ; Churilov, Leonid ; Sundararajan, Sophia ; Hu, Yin C. ; Herial, Nabeel A. ; Jabbour, Pascal ; Gibson, Daniel ; Wallace, Adam N. ; Arenillas, Juan F. ; Tsai, Jenny P. ; Budzik, Ronald F. ; Hicks, William J. ; Kozak, Osman ; Yan, Bernard ; Cordato, Dennis J. ; Manning, Nathan W. ; Parsons, Mark W. ; Hanel, Ricardo A. ; Aghaebrahim, Amin N. ; Wu, Teddy Y. ; Cardona-Portela, Pere ; Pérez de la Ossa, Natalia ; Schaafsma, Joanna D. ; Blasco, Jordi ; Sangha, Navdeep ; Warach, Steven ; Gandhi, Chirag D. ; Kleinig, Timothy J. ; Sahlein, Daniel ; Elijovich, Lucas ; Tekle, Wondwossen ; Samaniego, Edgar A. ; Maali, Laith ; Abdulrazzak, M. Ammar ; Psychogios, Marios N. ; Shuaib, Ashfaq ; Pujara, Deep K. ; Shaker, Faris ; Johns, Hannah ; Sharma, Gagan ; Yogendrakumar, Vignan ; Ng, Felix C. ; Rahbar, Mohammad H. ; Cai, Chunyan ; Lavori, Philip ; Hamilton, Scott ; Nguyen, Thanh ; Fifi, Johanna T. ; Davis, Stephen ; Wechsler, Lawrence ; Pereira, Vitor M. ; Lansberg, Maarten G. ; Hill, Michael D. ; Grotta, James C. ; Ribo, Marc ; Campbell, Bruce C. ; Albers, Gregory W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-c36575454baf3fe34b357df39eb1e2b2c39536d8c5ea56e49925cace45d334103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Brain Ischemia - diagnostic imaging</topic><topic>Brain Ischemia - drug therapy</topic><topic>Brain Ischemia - surgery</topic><topic>Cardiovascular system</topic><topic>Carotid arteries</topic><topic>Carotid artery</topic><topic>Carotid Artery Diseases - complications</topic><topic>Cerebral blood flow</topic><topic>Cerebral Hemorrhage - chemically induced</topic><topic>Cerebral Hemorrhage - etiology</topic><topic>Cerebral infarction</topic><topic>Clinical trials</topic><topic>Computed tomography</topic><topic>Edema</topic><topic>Emergency Medicine</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Endovascular Procedures - methods</topic><topic>Fibrinolytic Agents - adverse effects</topic><topic>Fibrinolytic Agents - therapeutic use</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Infarction, Middle Cerebral Artery - complications</topic><topic>Ischemia</topic><topic>Ischemic Stroke - diagnostic imaging</topic><topic>Ischemic Stroke - drug therapy</topic><topic>Ischemic Stroke - surgery</topic><topic>Magnetic resonance imaging</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Patient safety</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Radiology General</topic><topic>Recovery of Function</topic><topic>Software</topic><topic>Stroke</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - drug therapy</topic><topic>Stroke - surgery</topic><topic>Thrombectomy - adverse effects</topic><topic>Thrombectomy - methods</topic><topic>Tomography</topic><topic>Treatment Outcome</topic><topic>Vasoconstriction</topic><topic>Veins &amp; arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarraj, Amrou</creatorcontrib><creatorcontrib>Hassan, Ameer E.</creatorcontrib><creatorcontrib>Abraham, Michael G.</creatorcontrib><creatorcontrib>Ortega-Gutierrez, Santiago</creatorcontrib><creatorcontrib>Kasner, Scott E.</creatorcontrib><creatorcontrib>Hussain, M. Shazam</creatorcontrib><creatorcontrib>Chen, Michael</creatorcontrib><creatorcontrib>Blackburn, Spiros</creatorcontrib><creatorcontrib>Sitton, Clark W.</creatorcontrib><creatorcontrib>Churilov, Leonid</creatorcontrib><creatorcontrib>Sundararajan, Sophia</creatorcontrib><creatorcontrib>Hu, Yin C.</creatorcontrib><creatorcontrib>Herial, Nabeel A.</creatorcontrib><creatorcontrib>Jabbour, Pascal</creatorcontrib><creatorcontrib>Gibson, Daniel</creatorcontrib><creatorcontrib>Wallace, Adam N.</creatorcontrib><creatorcontrib>Arenillas, Juan F.</creatorcontrib><creatorcontrib>Tsai, Jenny P.</creatorcontrib><creatorcontrib>Budzik, Ronald F.</creatorcontrib><creatorcontrib>Hicks, William J.</creatorcontrib><creatorcontrib>Kozak, Osman</creatorcontrib><creatorcontrib>Yan, Bernard</creatorcontrib><creatorcontrib>Cordato, Dennis J.</creatorcontrib><creatorcontrib>Manning, Nathan W.</creatorcontrib><creatorcontrib>Parsons, Mark W.</creatorcontrib><creatorcontrib>Hanel, Ricardo A.</creatorcontrib><creatorcontrib>Aghaebrahim, Amin N.</creatorcontrib><creatorcontrib>Wu, Teddy Y.</creatorcontrib><creatorcontrib>Cardona-Portela, Pere</creatorcontrib><creatorcontrib>Pérez de la Ossa, Natalia</creatorcontrib><creatorcontrib>Schaafsma, Joanna D.</creatorcontrib><creatorcontrib>Blasco, Jordi</creatorcontrib><creatorcontrib>Sangha, Navdeep</creatorcontrib><creatorcontrib>Warach, Steven</creatorcontrib><creatorcontrib>Gandhi, Chirag D.</creatorcontrib><creatorcontrib>Kleinig, Timothy J.</creatorcontrib><creatorcontrib>Sahlein, Daniel</creatorcontrib><creatorcontrib>Elijovich, Lucas</creatorcontrib><creatorcontrib>Tekle, Wondwossen</creatorcontrib><creatorcontrib>Samaniego, Edgar A.</creatorcontrib><creatorcontrib>Maali, Laith</creatorcontrib><creatorcontrib>Abdulrazzak, M. Ammar</creatorcontrib><creatorcontrib>Psychogios, Marios N.</creatorcontrib><creatorcontrib>Shuaib, Ashfaq</creatorcontrib><creatorcontrib>Pujara, Deep K.</creatorcontrib><creatorcontrib>Shaker, Faris</creatorcontrib><creatorcontrib>Johns, Hannah</creatorcontrib><creatorcontrib>Sharma, Gagan</creatorcontrib><creatorcontrib>Yogendrakumar, Vignan</creatorcontrib><creatorcontrib>Ng, Felix C.</creatorcontrib><creatorcontrib>Rahbar, Mohammad H.</creatorcontrib><creatorcontrib>Cai, Chunyan</creatorcontrib><creatorcontrib>Lavori, Philip</creatorcontrib><creatorcontrib>Hamilton, Scott</creatorcontrib><creatorcontrib>Nguyen, Thanh</creatorcontrib><creatorcontrib>Fifi, Johanna T.</creatorcontrib><creatorcontrib>Davis, Stephen</creatorcontrib><creatorcontrib>Wechsler, Lawrence</creatorcontrib><creatorcontrib>Pereira, Vitor M.</creatorcontrib><creatorcontrib>Lansberg, Maarten G.</creatorcontrib><creatorcontrib>Hill, Michael D.</creatorcontrib><creatorcontrib>Grotta, James C.</creatorcontrib><creatorcontrib>Ribo, Marc</creatorcontrib><creatorcontrib>Campbell, Bruce C.</creatorcontrib><creatorcontrib>Albers, Gregory W.</creatorcontrib><creatorcontrib>SELECT2 Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</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 One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarraj, Amrou</au><au>Hassan, Ameer E.</au><au>Abraham, Michael G.</au><au>Ortega-Gutierrez, Santiago</au><au>Kasner, Scott E.</au><au>Hussain, M. 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Ammar</au><au>Psychogios, Marios N.</au><au>Shuaib, Ashfaq</au><au>Pujara, Deep K.</au><au>Shaker, Faris</au><au>Johns, Hannah</au><au>Sharma, Gagan</au><au>Yogendrakumar, Vignan</au><au>Ng, Felix C.</au><au>Rahbar, Mohammad H.</au><au>Cai, Chunyan</au><au>Lavori, Philip</au><au>Hamilton, Scott</au><au>Nguyen, Thanh</au><au>Fifi, Johanna T.</au><au>Davis, Stephen</au><au>Wechsler, Lawrence</au><au>Pereira, Vitor M.</au><au>Lansberg, Maarten G.</au><au>Hill, Michael D.</au><au>Grotta, James C.</au><au>Ribo, Marc</au><au>Campbell, Bruce C.</au><au>Albers, Gregory W.</au><aucorp>SELECT2 Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trial of Endovascular Thrombectomy for Large Ischemic Strokes</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2023-04-06</date><risdate>2023</risdate><volume>388</volume><issue>14</issue><spage>1259</spage><epage>1271</epage><pages>1259-1271</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>In a trial involving patients with large acute strokes, endovascular thrombectomy resulted in better functional outcomes than medical care alone but was associated with vascular complications.</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>36762865</pmid><doi>10.1056/NEJMoa2214403</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2135-0504</orcidid><orcidid>https://orcid.org/0000-0003-4430-3276</orcidid><orcidid>https://orcid.org/0000-0002-6269-1543</orcidid><orcidid>https://orcid.org/0000-0002-2810-1685</orcidid><orcidid>https://orcid.org/0000-0003-3632-9433</orcidid><orcidid>https://orcid.org/0000-0003-1845-1769</orcidid><orcidid>https://orcid.org/0000-0003-4462-5232</orcidid><orcidid>https://orcid.org/0000-0002-3667-4248</orcidid><orcidid>https://orcid.org/0000-0002-9914-6311</orcidid><orcidid>https://orcid.org/0000-0003-0418-6917</orcidid><orcidid>https://orcid.org/0000-0001-6187-894X</orcidid><orcidid>https://orcid.org/0000-0001-9242-043X</orcidid></addata></record>
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identifier ISSN: 0028-4793
ispartof The New England journal of medicine, 2023-04, Vol.388 (14), p.1259-1271
issn 0028-4793
1533-4406
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subjects Brain Ischemia - diagnostic imaging
Brain Ischemia - drug therapy
Brain Ischemia - surgery
Cardiovascular system
Carotid arteries
Carotid artery
Carotid Artery Diseases - complications
Cerebral blood flow
Cerebral Hemorrhage - chemically induced
Cerebral Hemorrhage - etiology
Cerebral infarction
Clinical trials
Computed tomography
Edema
Emergency Medicine
Endovascular Procedures - adverse effects
Endovascular Procedures - methods
Fibrinolytic Agents - adverse effects
Fibrinolytic Agents - therapeutic use
Hemorrhage
Humans
Infarction, Middle Cerebral Artery - complications
Ischemia
Ischemic Stroke - diagnostic imaging
Ischemic Stroke - drug therapy
Ischemic Stroke - surgery
Magnetic resonance imaging
Neurology
Neurosurgery
Patient safety
Prospective Studies
Radiology
Radiology General
Recovery of Function
Software
Stroke
Stroke - diagnostic imaging
Stroke - drug therapy
Stroke - surgery
Thrombectomy - adverse effects
Thrombectomy - methods
Tomography
Treatment Outcome
Vasoconstriction
Veins & arteries
title Trial of Endovascular Thrombectomy for Large Ischemic Strokes
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