Radiation exposure in endovascular stroke treatment of acute basilar artery occlusions—a matched-pair analysis

Purpose To determine the radiation exposure in endovascular stroke treatment (EST) of acute basilar artery occlusions (BAO) and compare it with radiation exposure of EST for embolic middle cerebral artery occlusions (MCAO). Methods In this retrospective analysis of an institutional review board−appr...

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Bibliographic Details
Published in:Neuroradiology 2020-12, Vol.62 (12), p.1701-1707
Main Authors: Weyland, Charlotte S., Potreck, Arne, Neuberger, Ulf, Möhlenbruch, Markus A., Nagel, Simon, Ringleb, Peter A., Bendszus, Martin, Pfaff, Johannes A. R.
Format: Article
Language:English
Subjects:
Anesthesia
Blood vessels
Cardiovascular system
Exposure
Fluoroscopy
Imaging
Interventional Neuroradiology
Medicine
Medicine & Public Health
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Radiation
Radiation dosage
Radiation effects
Radiology
Reperfusion
Stroke
Veins & arteries
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Summary:Purpose To determine the radiation exposure in endovascular stroke treatment (EST) of acute basilar artery occlusions (BAO) and compare it with radiation exposure of EST for embolic middle cerebral artery occlusions (MCAO). Methods In this retrospective analysis of an institutional review board−approved prospective stroke database of a comprehensive stroke center, we focused on radiation exposure (as per dose area product in Gy × cm 2 , median (IQR)), procedure time, and fluoroscopy time (in minutes, median [IQR]) in patients receiving EST for BAO. Patients who received EST for BAO were matched case by case with patients who received EST for MCAO according to number of thrombectomy attempts, target vessel reperfusion result, and thrombectomy technique. Results Overall 180 patients ( n  = 90 in each group) were included in this analysis. General anesthesia was conducted more often during EST of BAO (BAO: 75 (83.3%); MCAO: 18 (31.1%), p  
ISSN:0028-3940
1432-1920
DOI:10.1007/s00234-020-02490-0