Article Figures & Data
Figures
- Figure
Flowchart of treatments of distal ACA occlusions. The asterisk indicates the percentage of the overall successful stent-retriever placements.
Tables
- Table 1:
Baseline characteristics of patients with a distal anterior cerebral artery occlusion
Characteristics Patients (N = 30) Age (yr), mean (SD) 64 (13) Male 14 (46.6%) Hypertension 20 (66.6%) Diabetes mellitus 5 (16.6%) Atrial fibrillation 13 (43.3%) Coronary artery disease 3 (10%) Congestive heart failure 2 (6.6%) Hypercholesterolemia 8 (26.6%) Previous stroke 0 (0%) History of smoking 3 (10%) Prestroke mRS 0 22 (73.3%) 1 5 (16.6%) 2 3 (10%) Initial NIHSS score, median (IQR) 18 (13–23) Time from stroke onset to initial imaging (min), median (IQR) 90 (61–155) CT 16 MR 14 Time from stroke onset to imaginga (min), median (IQR) CT 76 (55–150) MR 154 (87–230) ASPECTSa, median (IQR) CT 9 (9) MR 7 (7–9)b Initial occlusion site ICA (excluding Carotid-T) 1 (3.3%) Carotid-T 18 (60%) M1 9 (30%) M2 2 (6.6%) Intravenous tPA 25 (83.3%) Time from stroke onset to groin puncture (min), median (IQR) 211 (139–289) Occlusion Site Total (N = 30) Vessel Diameter (mm), mean (SD) No. of Device Passesa, mean (SD) Proximal pericallosal artery = A2 segment (between AcomA and genu of corpus callosum) 7 (23.3%) 1.9 (0.4) 1.28 (0.69) Middle pericallosal artery = A3 segment (curving around genu of corpus callosum) Inferior segment 6 (20%) 1.8 (0.2) 2 (1.26) Anterior segment 2 (6.6%) 2.1 (0.3) 1.5 (0.5) Superior segment 8 (26.6%) 1.7 (0.4) 1.57 (0.72) Distal pericallosal artery A4 and A5 segments and distal branches other than CMA 5 (16.6%) 1.7 (0.4) 1 (0) CMA 2 (6.6%) 1.5 (0.1) 1 (0) Note:—AcomA indicates anterior communicating artery; CMA, callosomarginal artery.
↵a In patients in whom placement of a stent retriever was possible.
- Table 3:
List of types, manufacturers, and number of passes of devices used for mechanical thrombectomy
Device Manufacturer Size (mm) No. of Patients Treated Total No. of Passes Aperioa Acandis 4.5 × 30 1 3 Capturea MindFrameb 4.0 × 20 1 2 Catch Minia Baltc 3 × 15 3 4 ERICa MicroVention 4 × 24 1 1 Revived Codman 4.5 × 22 6 9 Solitaire FRd Covidien 4 × 20 12 17 Trevo ProVued Strykere 4 × 20 1 2 ↵a Devices fitting through .017-inch microcatheters (eg, Headway 17; MicroVention).
↵b Irvine, California.
↵c Montmorency, France.
↵d Devices fitting through .021-inch microcatheters (eg, Rebar 18; Covidien), and .027-inch microcatheters (Revive, Codman Neurovascular; Rebar 27, Covidien).
↵e Kalamazoo, Michigan.
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