Differential effect of mechanical thrombectomy and intravenous thrombolysis in atrial fibrillation associated stroke.
Feras AkbikAli AlawiehC Michael CawleyBrian M HowardFrank C TongFadi NahabHassan SaadLaurie DimiskoChristian MustrophOwen B SamuelsGustavo PradillaIlko L MaierNitin GoyalRobert M StarkeAnsaar RaiKyle M FargenMarios N PsychogiosPascal M JabbourReade Andrew De LeacyJames GilesTravis M DumontPeter T KanAdam S ArthurRoberto Javier CrosaBenjamin GoryAlejandro M SpiottaJonathan A Grossbergnull nullPublished in: Journal of neurointerventional surgery (2020)
In patients treated with MT, comorbid AF is associated with faster procedural time, fewer passes, and increased rates of first pass success without increased risk of intracranial hemorrhage or worse functional outcomes. These results are in contrast to the increased hemorrhage rates and worse functional outcomes observed in AF associated stroke treated with supportive care and or IVT. These data suggest that MT negates the AF penalty in ischemic stroke.
Keyphrases
- atrial fibrillation
- oral anticoagulants
- catheter ablation
- left atrial
- left atrial appendage
- direct oral anticoagulants
- heart failure
- percutaneous coronary intervention
- healthcare
- palliative care
- pulmonary embolism
- magnetic resonance
- big data
- electronic health record
- high dose
- coronary artery disease
- computed tomography
- contrast enhanced
- pain management
- data analysis
- brain injury
- acute coronary syndrome
- optical coherence tomography