Acute Stroke Clinical Trial
Official title:
Which Factors Influence the Duration and the Success of Mechanical Thrombectomy During the Acute Phase of Cerebral Infarction?
This study aims to identify factors influencing the time span and success of reperfusion after a mechanical thrombectomy in the acute phase of cerebral infarction, and in particular the effect of intra-venous thrombolysis.
Mechanical thrombectomy (MT), associated with standard IV thrombolysis (IVT) treatment, is
effective during the acute phase of cerebral infarction with proximal occlusion of the
anterior circulation in reducing disability at three months. MT-only treatment has only been
assessed retrospectively in subgroups of controlled studies, with a significant difference in
favour of the treatment. These results have led to a discussion about the benefits of MT
without IVT in cases of proximal occlusion or carotid terminus occlusion. Recent data are in
favour of a better prognosis for patients benefiting from a combined procedure. The impact of
IVT on the implementation of MT is widely disputed, in particular the speed of execution,
which could be enhanced by IVT. The factors influencing the time span and success of
reperfusion after an MT are still not well-known, IVT in particular. The investigators have
made the assumption that IVT could have an effect on the success of MT by shortening the
duration of the procedure and increasing the likelihood of satisfactory revascularisation.
The investigators carried out a retrospective study based on data gathered prospectively by
the Franche-Comté Stroke Registry. The investigators also considered other factors which
could have affected the duration of the procedure or the rate of satisfactory
revascularisation, including location of infarct, thrombus size and stroke aetiology.
Hypothesis: the investigators have made the assumption that IVT could have an effect on the
success of MT by shortening the duration of the procedure and increasing the likelihood of
satisfactory revascularisation.
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