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What is a Challengi...
What is a Challenging Clot? : A DELPHI Consensus Statement from the CLOTS 7.0 Summit
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- Ospel, Johanna M. (författare)
- University of Calgary,University of South Florida,University Hospital Heidelberg
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Mirza, Mahmood (författare)
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Clarençon, Frédéric (författare)
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visa fler...
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Siddiqui, Adnan (författare)
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- Doyle, Karen (författare)
- National University of Ireland Galway
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- Consoli, Arturo (författare)
- Hospital Foch
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- Mokin, Maxim (författare)
- University of South Florida
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- Ullberg, Teresa (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Stroke policy och kvalitetsregisterforskning,Forskargrupper vid Lunds universitet,Stroke Imaging Research group,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Stroke policy and quality register research,Lund University Research Groups,Skåne University Hospital
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Zaidat, Osama (författare)
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Bourcier, Romain (författare)
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- Kulcsar, Zsolt (författare)
- University Hospital of Zurich
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- Gounis, Matthew J. (författare)
- University of Massachusetts Medical School
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- Liebeskind, David S. (författare)
- University of California, Los Angeles
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- Fiehler, Jens (författare)
- University Medical Center Hamburg-Eppendorf
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- Narata, Ana Paula (författare)
- University Hospital Southampton
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- Ribo, Marc (författare)
- Vall d'Hebron University Hospital
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- Jovin, Tudor (författare)
- Cooper University Hospital, Camden
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Sakai, Nobuyuki (författare)
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Rai, Ansaar (författare)
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McCarthy, Ray (författare)
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- Dorn, Franziska (författare)
- University Hospital Bonn
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- Andersson, Tommy (författare)
- Karolinska University Hospital
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- Majoie, Charles B.L.M. (författare)
- Vall d'Hebron University Hospital
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Hanel, Ricardo (författare)
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- Jadhav, Ashutosh (författare)
- Barrow Neurological Institute, Phoenix
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- Riedel, Christian (författare)
- University Medical Center Göttingen
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- Chamorro, Angel (författare)
- University of Barcelona
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Brinjikji, Waleed (författare)
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- Costalat, Vincent (författare)
- Gui De Chauliac Hospital
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- DeMeyer, Simon F. (författare)
- Catholic University of Leuven
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- Nogueira, Raul G. (författare)
- University of Pittsburgh Medical Center
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- Cognard, Christophe (författare)
- Toulouse University Hospital
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- Montaner, Joan (författare)
- Vall d'Hebron University Hospital
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Leung, Thomas W. (författare)
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- Molina, Carlos (författare)
- Vall d'Hebron University Hospital
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- van Beusekom, Heleen (författare)
- Erasmus University Medical Center
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- Davalos, Antoni (författare)
- Autonomous University of Barcelona
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- Weisel, John (författare)
- University of Pennsylvania
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- Chapot, Rene (författare)
- Alfried Krupp Krankenhaus
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- Möhlenbruch, Markus (författare)
- University Hospital Heidelberg
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Brouwer, Patrick (författare)
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(creator_code:org_t)
- 2023
- 2023
- Engelska.
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Ingår i: Clinical Neuroradiology. - 1869-1439 .- 1869-1447. ; 33:4, s. 1007-1016
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Predicting a challenging clot when performing mechanical thrombectomy in acute stroke can be difficult. One reason for this difficulty is a lack of agreement on how to precisely define these clots. We explored the opinions of stroke thrombectomy and clot research experts regarding challenging clots, defined as difficult to recanalize clots by endovascular approaches, and clot/patient features that may be indicative of such clots. Methods: A modified DELPHI technique was used before and during the CLOTS 7.0 Summit, which included experts in thrombectomy and clot research from different specialties. The first round included open-ended questions and the second and final rounds each consisted of 30 closed-ended questions, 29 on various clinical and clot features, and 1 on number of passes before switching techniques. Consensus was defined as agreement ≥ 50%. Features with consensus and rated ≥ 3 out of 4 on the certainty scale were included in the definition of a challenging clot. Results: Three DELPHI rounds were performed. Panelists achieved consensus on 16/30 questions, of which 8 were rated 3 or 4 on the certainty scale, namely white-colored clots (mean certainty score 3.1), calcified clots under histology (3.7) and imaging (3.7), stiff clots (3.0), sticky/adherent clots (3.1), hard clots (3.1), difficult to pass clots (3.1) and clots that are resistant to pulling (3.0). Most panelists considered switching endovascular treatment (EVT) techniques after 2–3 unsuccessful attempts. Conclusion: This DELPHI consensus identified 8 distinct features of a challenging clot. The varying degree of certainty amongst the panelists emphasizes the need for more pragmatic studies to enable accurate a priori identification of such occlusions prior to EVT.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Acute ischemic stroke
- Intracranial vessel occlusion
- Neurovascular disease
- Thrombectomy
- Thrombus
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- Av författaren/redakt...
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Ospel, Johanna M ...
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Mirza, Mahmood
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Clarençon, Frédé ...
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Siddiqui, Adnan
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Doyle, Karen
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Consoli, Arturo
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visa fler...
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Mokin, Maxim
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Ullberg, Teresa
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Zaidat, Osama
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Bourcier, Romain
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Kulcsar, Zsolt
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Gounis, Matthew ...
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Liebeskind, Davi ...
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Fiehler, Jens
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Narata, Ana Paul ...
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Ribo, Marc
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Jovin, Tudor
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Sakai, Nobuyuki
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Rai, Ansaar
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McCarthy, Ray
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Dorn, Franziska
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Andersson, Tommy
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Majoie, Charles ...
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Hanel, Ricardo
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Jadhav, Ashutosh
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Riedel, Christia ...
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Chamorro, Angel
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Brinjikji, Walee ...
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Costalat, Vincen ...
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DeMeyer, Simon F ...
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Nogueira, Raul G ...
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Cognard, Christo ...
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Montaner, Joan
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Leung, Thomas W.
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Molina, Carlos
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van Beusekom, He ...
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Davalos, Antoni
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Weisel, John
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Chapot, Rene
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Möhlenbruch, Mar ...
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Brouwer, Patrick
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