von Victor Schulze-Zachau ; Nikki Rommers ; Nikos Ntoulias ; Alex Brehm ; Nadja Krug ; Ioannis Tsogkas ; Matthias Anthony Mutke ; Thilo Rusche ; Amedeo Cervo ; Claudia Rollo ; Markus Alfred Möhlenbruch ; Jessica Jesser ; Kornelia Kreiser ; Katharina Althaus ; Manuel Requena ; Marc Rodrigo-Gisbert ; Tomas Dobrocky ; Bettina L. Serrallach ; Christian H. Nolte ; Christoph Paul Riegler ; Jawed Nawabi ; Errikos Maslias ; Patrik Michel ; Guillaume Saliou ; Nathan Manning ; Alexander McQuinn ; Alon Taylor ; Christoph J. Maurer ; Ansgar Berlis ; Daniel Kaiser ; Ani Cuberi ; Manuel Moreu ; Alfonso López-Frías ; Carlos Pérez-García ; Riitta Rautio ; Ylikotila Pauli ; Nicola Limbucci ; Leonardo Renieri ; Isabel Fragata ; Tania Rodriguez-Ares ; Jan Kirschke ; Julian Schwarting ; Sami Al Kasab ; Alejandro M. Spiotta ; Ahmad Abu Qdais ; Adam A. Dmytriw ; Robert W. Regenhardt ; Aman B. Patel ; Vitor Mendes Pereira ; Nicole M. Cancelliere ; Carsten Schmeel ; Franziska Dorn ; Malte Sauer ; Grzegorz Marek Karwacki ; Jane Khalife ; Ajith Thomas ; Hamza A. Shaikh ; Christian Commodaro ; Marco Pileggi ; Roland Schwab ; Flavio Bellante ; Anne Dusart ; Jeremy Hofmeister ; Paolo Machi ; Edgar A. Samaniego ; Diego J. Ojeda ; Robert M. Starke ; Ahmed Abdelsalam ; Frans van den Bergh ; Sylvie De Raedt ; Maxim Bester ; Fabian Flottmann ; Daniel Arvid Weiß ; Marius Kaschner ; Peter T. Kan ; Gautam Edhayan ; Michael R. Levitt ; Spencer L. Raub ; Mira Katan ; Urs Fischer ; Marios-Nikos Psychogios
Introduction: Thrombectomy complications remain poorly explored. This study aims to characterize periprocedural intracranial vessel perforation including the effect of thrombolysis on patient outcomes. - Patients and methods: In this multicenter retrospective cohort study, consecutive patients with vessel perforation during thrombectomy between January 2015 and April 2023 were included. Vessel perforation was defined as active extravasation on digital subtraction angiography. The primary outcome was modified Rankin Scale (mRS) at 90 days. Factors associated with the primary outcome were assessed using proportional odds models. - Results: 459 patients with vessel perforation were included (mean age 72.5 ± 13.6 years, 59% female, 41% received thrombolysis). Mortality at 90 days was 51.9% and 16.3% of patients reached mRS 0-2 at 90 days. Thrombolysis was not associated with worse outcome at 90 days. Perforation of a large vessel (LV) as opposed to medium/distal vessel perforation was independently associated with worse outcome at 90 days (aOR 1.709, p = 0.04) and LV perforation was associated with poorer survival probability (HR 1.389, p = 0.021). Patients with active bleeding >20 min had worse survival probability, too (HR 1.797, p = 0.009). Thrombolysis was not associated with longer bleeding duration. Bleeding cessation was achieved faster by permanent vessel occlusion compared to temporary measures (median difference: 4 min, p < 0.001). - Discussion and conclusion: Vessel perforation during thrombectomy is a severe and frequently fatal complication. This study does not suggest that thrombolysis significantly attributes to worse prognosis. Prompt cessation of active bleeding within 20 min is critical, emphasizing the need for interventionalists to be trained in complication management.
European stroke journal London : Sage Publishing, 2016 10(2025), 1, Seite 63-73 Online-Ressource
von Sebastian Tobias Meyer ; Robert Ptacnik ; Helmut Hillebrand ; Holger Bessler ; Nina Buchmann ; Anne Ebeling ; Nico Eisenhauer ; Christof Engels ; Markus Fischer ; Stefan Halle ; Alexandra-Maria Klein ; Yvonne Oelmann ; Christiane Roscher ; Tanja Rottstock ; Christoph Scherber ; Stefan Scheu ; Bernhard Schmid ; Ernst-Detlef Schulze ; Vicky M. Temperton ; Teja Tscharntke ; Winfried Voigt ; Alexandra Weigelt ; Wolfgang Wilcke ; Wolfgang W. Weisser
Social groups; Triads (Sociology); Social psychology; Social interaction; Social sciences -- Philosophy; Sozialphilosophie; Soziologie; Innovation; Theorie; Soziologische TheorieDritterDreierbeziehungSoziologieSozialphilosophiePhilosophiePolitische PhilosophieSoziologische TheorieWirklichkeitswissenschaftRechtssubjekt
Sozialphilosophie. Stabilisierung und/oder Irritation : Voraussetzungen und Konsequenzen einer triadischen Sozialphilosophie
Transzendentaler Voyeurismus
Der/die oder das Dritte?
Der Herr, der Knecht und der Dritte - bei und nach Hegel
Vergesst den Vierten nicht! : kleine Strukturanalyse der europäischen Institutionen
Statt der Dyade : die Ego-Alter-Tertius-Konstellation als konstitutive Bedingung von Sozialität
Gesellschaft beginnt mit Drei : eine soziologische Triadologie
Dritte in Zweierbeziehungen
Die Entfaltung institutioneller Räume : Totemismus, Anthropismus, Gegenwart
