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Etiologic and prognostic value of external carotid artery thrombus detection during endovascular therapy for anterior circulation proximal occlusions

dc.rights.licenseopenen_US
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorCOURRET, Thomas
hal.structure.identifierNeurocentre Magendie : Physiopathologie de la Plasticité Neuronale [U1215 Inserm - UB]
dc.contributor.authorTOURDIAS, Thomas
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorPAPAXANTHOS, Jean
hal.structure.identifierUniversité de Lille
dc.contributor.authorLABREUCHE, Julien
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorGARIEL, Florent
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorLIEGEY, Jean-Sébastien
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorOLINDO, Stéphane
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorRENOU, Pauline
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorBERGE, Jerome
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorBARREAU, Xavier
hal.structure.identifierInstitut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
dc.contributor.authorSAGNIER, Sharmila
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorMENEGON, Patrice
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorLUCAS, Ludovic
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorBRIAU, Pierre
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorPOLI, Mathilde
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorDEBRUXELLES, Sabrina
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorROUANET, François
hal.structure.identifierNeurocentre Magendie : Physiopathologie de la Plasticité Neuronale [U1215 Inserm - UB]
dc.contributor.authorDOUSSET, Vincent
hal.structure.identifierInstitut de Neurosciences cognitives et intégratives d'Aquitaine [INCIA]
dc.contributor.authorSIBON, Igor
hal.structure.identifierCHU de Bordeaux Pellegrin [Bordeaux]
dc.contributor.authorMARNAT, Gaultier
dc.date.accessioned2024-02-02T13:58:02Z
dc.date.available2024-02-02T13:58:02Z
dc.date.issued2023-02
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/187760
dc.description.abstractEnBackground and purpose: An early understanding of stroke mechanism may improve treatment and outcome in patients presenting with large vessel occlusion stroke (LVOS) treated with mechanical thrombectomy (MT). We aimed to investigate whether spontaneous external carotid artery (ECA) embolism detection during MT is associated with stroke etiology and clinical outcome. Methods: We retrospectively reviewed our prospectively maintained institutional database including consecutive patients with anterior circulation LVOS treated with MT between January 2015 and August 2020. Results: An ECA embolus was detected in 68 of 1298 patients (5.2%). The kappa coefficient for interobserver agreement was 0.89 (95% confidence interval [CI] 0.82–0.95). ECA embolism was significantly associated with intracranial internal carotid artery (ICA) occlusion (p < 0.001), cardioembolic etiology (p < 0.001) and a lower clot burden score (p < 0.001). Day-1 variation of National Institutes of Health Stroke Scale score (adjusted odds ratio [OR] −2.7, 95% CI −4.9 to 0.3; p = 0.021) and delta Alberta Stroke Program Early Computed Tomography Score (adjusted OR 0.9, 95% CI 0.2 to 1.5; p = 0.004) were worse among patients with ECA emboli. There was no significant difference in 90-day functional outcome between groups (adjusted OR 0.8, 95% CI 0.42 to 1.52; p = 0.50). Conclusion: In patients with anterior circulation LVOS treated with MT, ECA embolism was significantly associated with cardioembolic etiology, high thrombus burden and proximal intracranial ICA occlusions. This underexplored angiographic pattern might provide a valuable etiologic clue to the underlying cause of anterior circulation LVOS and may also help determine the appropriate revascularization strategy. © 2022 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subject.enEtiology
dc.subject.enExternal carotid artery
dc.subject.enIschemic stroke
dc.subject.enMechanical thrombectomy
dc.subject.enOutcome
dc.title.enEtiologic and prognostic value of external carotid artery thrombus detection during endovascular therapy for anterior circulation proximal occlusions
dc.typeArticle de revueen_US
dc.identifier.doi10.1111/ene.15623en_US
dc.subject.halSciences du Vivant [q-bio]/Neurosciences [q-bio.NC]en_US
dc.identifier.pubmed36325682en_US
bordeaux.journalEuropean Journal of Neurologyen_US
bordeaux.page380-388en_US
bordeaux.volume30en_US
bordeaux.hal.laboratoriesNeurocentre Magendie - U1215en_US
bordeaux.issue2en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionCNRS
bordeaux.teamRelations glie-neuroneen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04434828
hal.version1
hal.date.transferred2024-02-02T13:58:05Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccCC BY-NC-NDen_US
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