Literature DB >> 35781943

Clot composition characterization using diffuse reflectance spectroscopy in acute ischemic stroke.

Simon Skyrman1,2, Gustav Burström1,2, Oskar Aspegren3,4, Drazenko Babic5, Gerald Lucassen5, Erik Edström1,2, Fabian Arnberg1,2, Marcus Ohlsson1,2, Manfred Mueller5, Adrian Elmi-Terander1,2, Tommy Andersson1,2,1,6.   

Abstract

Acute ischemic stroke caused by large vessel occlusion is treated with endovascular thrombectomy, but treatment failure may occur when clot composition and thrombectomy technique mismatch. In this proof-of-concept study, diffuse reflectance spectroscopy (DRS) is evaluated for identification of clot composition ex vivo. DRS spectra and histology were acquired from 45 clot units retrieved from 29 stroke patients. DRS spectra correlated to clot RBC content, R= 81, p < .001, and could discriminate between RBC-rich and fibrin-rich clots, p < 0.001. Sensitivity and specificity for detection of RBC-rich clots were 0.722 and 0.846 respectively. Applied in an intravascular device, DRS could potentially provide intraprocedural information on clot composition that could increase endovascular thrombectomy efficiency.
© 2022 Optica Publishing Group under the terms of the Optica Open Access Publishing Agreement.

Entities:  

Year:  2022        PMID: 35781943      PMCID: PMC9208598          DOI: 10.1364/BOE.458445

Source DB:  PubMed          Journal:  Biomed Opt Express        ISSN: 2156-7085            Impact factor:   3.562


  44 in total

1.  Clot friction variation with fibrin content; implications for resistance to thrombectomy.

Authors:  Gillian M Gunning; Kevin McArdle; Mahmood Mirza; Sharon Duffy; Michael Gilvarry; Patrick A Brouwer
Journal:  J Neurointerv Surg       Date:  2017-01-02       Impact factor: 5.836

2.  Ischemic Stroke: Histological Thrombus Composition and Pre-Interventional CT Attenuation Are Associated with Intervention Time and Rate of Secondary Embolism.

Authors:  Peter B Sporns; Uta Hanning; Wolfram Schwindt; Aglae Velasco; Boris Buerke; Christian Cnyrim; Jens Minnerup; Walter Heindel; Astrid Jeibmann; Thomas Niederstadt
Journal:  Cerebrovasc Dis       Date:  2017-10-31       Impact factor: 2.762

3.  Thrombus heterogeneity in ischemic stroke.

Authors:  Senna Staessens; Simon F De Meyer
Journal:  Platelets       Date:  2020-04-20       Impact factor: 3.862

4.  Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials.

Authors:  Mayank Goyal; Bijoy K Menon; Wim H van Zwam; Diederik W J Dippel; Peter J Mitchell; Andrew M Demchuk; Antoni Dávalos; Charles B L M Majoie; Aad van der Lugt; Maria A de Miquel; Geoffrey A Donnan; Yvo B W E M Roos; Alain Bonafe; Reza Jahan; Hans-Christoph Diener; Lucie A van den Berg; Elad I Levy; Olvert A Berkhemer; Vitor M Pereira; Jeremy Rempel; Mònica Millán; Stephen M Davis; Daniel Roy; John Thornton; Luis San Román; Marc Ribó; Debbie Beumer; Bruce Stouch; Scott Brown; Bruce C V Campbell; Robert J van Oostenbrugge; Jeffrey L Saver; Michael D Hill; Tudor G Jovin
Journal:  Lancet       Date:  2016-02-18       Impact factor: 79.321

5.  Thrombectomy within 8 hours after symptom onset in ischemic stroke.

Authors:  Tudor G Jovin; Angel Chamorro; Erik Cobo; María A de Miquel; Carlos A Molina; Alex Rovira; Luis San Román; Joaquín Serena; Sonia Abilleira; Marc Ribó; Mònica Millán; Xabier Urra; Pere Cardona; Elena López-Cancio; Alejandro Tomasello; Carlos Castaño; Jordi Blasco; Lucía Aja; Laura Dorado; Helena Quesada; Marta Rubiera; María Hernandez-Pérez; Mayank Goyal; Andrew M Demchuk; Rüdiger von Kummer; Miquel Gallofré; Antoni Dávalos
Journal:  N Engl J Med       Date:  2015-04-17       Impact factor: 91.245

6.  Histopathologic Analysis of Retrieved Thrombi Associated With Successful Reperfusion After Acute Stroke Thrombectomy.

Authors:  Tetsuya Hashimoto; Mikito Hayakawa; Naoko Funatsu; Hiroshi Yamagami; Tetsu Satow; Jun C Takahashi; Kazuyuki Nagatsuka; Hatsue Ishibashi-Ueda; Jun-Ichi Kira; Kazunori Toyoda
Journal:  Stroke       Date:  2016-10-25       Impact factor: 7.914

7.  First Pass Effect: A New Measure for Stroke Thrombectomy Devices.

Authors:  Osama O Zaidat; Alicia C Castonguay; Italo Linfante; Rishi Gupta; Coleman O Martin; William E Holloway; Nils Mueller-Kronast; Joey D English; Guilherme Dabus; Tim W Malisch; Franklin A Marden; Hormozd Bozorgchami; Andrew Xavier; Ansaar T Rai; Michael T Froehler; Aamir Badruddin; Thanh N Nguyen; M Asif Taqi; Michael G Abraham; Albert J Yoo; Vallabh Janardhan; Hashem Shaltoni; Roberta Novakovic; Alex Abou-Chebl; Peng R Chen; Gavin W Britz; Chung-Huan J Sun; Vibhav Bansal; Ritesh Kaushal; Ashish Nanda; Raul G Nogueira
Journal:  Stroke       Date:  2018-02-19       Impact factor: 7.914

Review 8.  Evolution of Stroke Thrombectomy Techniques to Optimize First-Pass Complete Reperfusion.

Authors:  Johanna Maria Ospel; Ryan McTaggart; Nima Kashani; Marios Psychogios; Mohammed Almekhlafi; Mayank Goyal
Journal:  Semin Intervent Radiol       Date:  2020-05-14       Impact factor: 1.513

9.  Susceptibility Vessel Sign in the ASTER Trial: Higher Recanalization Rate and More Favourable Clinical Outcome after First Line Stent Retriever Compared to Contact Aspiration.

Authors:  Romain Bourcier; Mickael Mazighi; Julien Labreuche; Robert Fahed; Raphael Blanc; Benjamin Gory; Alain Duhamel; Gaultier Marnat; Suzana Saleme; Vincent Costalat; Serge Bracard; Hubert Desal; Arturo Consoli; Michel Piotin; Bertrand Lapergue
Journal:  J Stroke       Date:  2018-05-31       Impact factor: 6.967

10.  Identifying clot composition using intravascular diffuse reflectance spectroscopy in a porcine model of endovascular thrombectomy.

Authors:  Simon Skyrman; Gustav Burström; Oskar Aspegren; Gerald Lucassen; Adrian Elmi-Terander; Erik Edström; Fabian Arnberg; Marcus Ohlsson; Manfred Mueller; Tommy Andersson
Journal:  J Neurointerv Surg       Date:  2021-04-15       Impact factor: 5.836

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