{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:35:31Z","timestamp":1761744931423,"version":"3.37.3"},"reference-count":10,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  Background: To compare the treatment efficacy of different types of endovascular mechanical embolectomy in acute ischemic stroke (AIS).  Material and Methods: A total of 89 patients with AIS were selected in our hospital from January 2014 to January 2016 and divided into tPA group (n=27), tPA+Trevo group (n=30) and tPA+Solitaire FR group (n=32) for different treatments. Treatment effectiveness was evaluated using NIHSS and mRS system. The NIHSS score, vascular recanalization rate and postoperative complications were compared among groups.  Results: The NIHSS score of the tPA group was significantly lower than that of other two groups at 1 d after the operation (p &lt; 0.05), but it was significantly higher than that of other two groups at 3 d and 3 w after the operation (p &lt; 0.05). After the treatment, no significant difference in NIHSS score was found between the tPA+Trevo and tPA Solitaire FR groups. The revascularization rate was significantly higher, but the mortality rate in 90 d was significantly lower in the tPA+Trevo and tPA+Solitaire FR groups than that in the tPA group (p &lt; 0.05), and no significant difference was found between the tPA+Trevo and tPA+Solitaire FR groups. The incidence rate of symptomatic intracranial hemorrhage was significantly lower in the tPA+Solitaire FR group than that in tPA+Trevo group (p &lt; 0.05) or tPA group (p &lt; 0.01). Significantly more patients with mRS no higher than 2 points were found in the tPA+Trevo and tPA+Solitaire FR groups than those in tPA group (p &lt; 0.05), and no significant difference was found between the tPA+Trevo and tPA+Solitaire FR groups.  Conclusion: TPA+Solitaire FR is a type of thrombectomy that is superior to tPA and tPA+Trevo in the treatment of patients with AIS.<\/jats:p>","DOI":"10.1590\/1806-9282.65.3.342","type":"journal-article","created":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T17:31:27Z","timestamp":1555003887000},"page":"342-347","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of different types of endovascular mechanical embolectomy in acute ischemic stroke"],"prefix":"10.1590","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5020-2829","authenticated-orcid":false,"given":"Yuan","family":"Pu","sequence":"first","affiliation":[{"name":"Nanjing Durm Tower hospital Group,  China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.envint.2016.04.001","article-title":"The burden of stroke mortality attributable to cold and hot ambient temperatures: epidemiological evidence from China","volume":"92-93","author":"Yang J","year":"2016","journal-title":"Environ Int"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/joor.12492","article-title":"Effect of head lift exercise on kinematic motion of the hyolaryngeal complex and aspiration in patients with dysphagic stroke","volume":"44","author":"Park JS","year":"2016","journal-title":"J Oral Rehabil"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1002\/ddr.21376","article-title":"NS1209\/SPD 502, a novel selective AMPA antagonist for stroke, neuropathic pain or epilepsy? Drug development lessons learned","volume":"78","author":"Keppel Hesselink JM","year":"2017","journal-title":"Drug Dev Res"},{"issue":"6","key":"ref4","article-title":"Angiogenesis in ischemic stroke and angiogenic effects of Chinese herbal medicine","volume":"5","author":"Seto SW","year":"2016","journal-title":"J Clin Med"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"397","DOI":"10.3889\/oamjms.2015.090","article-title":"Orthostatic reactivity in patients with ischemic stroke in the chronic period","volume":"3","author":"Vasileva D","year":"2015","journal-title":"Open Access Maced J Med Sci"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1155\/2016\/6810562","article-title":"Biomaterial applications in cell-based therapy in experimental stroke","volume":"2016","author":"Boisserand LS","year":"2016","journal-title":"Stem Cells Int"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.2147\/NDT.S106663","article-title":"The prevalence and risk factors of stroke in patients with chronic schizophrenia","volume":"12","author":"Liang Y","year":"2016","journal-title":"Neuropsychiatr Dis Treat"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"3020","DOI":"10.1161\/STR.0000000000000074","article-title":"2015 American Heart Association\/American Stroke Association Focused Update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"46","author":"Powers WJ","year":"2015","journal-title":"Stroke"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1056\/NEJMe1215730","article-title":"Endovascular treatment for acute ischemic stroke: still unproven","volume":"368","author":"Chimowitz MI","year":"2013","journal-title":"N Engl J Med"},{"issue":"9834","key":"ref10","doi-asserted-by":"crossref","first-page":"2364","DOI":"10.1016\/S0140-6736(12)60738-7","article-title":"Recombinant tissue plasminogen activator for acute ischaemic stroke: an updated systematic review and meta-analysis","volume":"379","author":"Wardlaw JM","year":"2012","journal-title":"Lancet"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ramb\/v65n3\/1806-9282-ramb-65-03-0342.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T10:59:14Z","timestamp":1581418754000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302019000300342&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3]]}},"alternative-id":["S0104-42302019000300342"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.65.3.342","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"type":"electronic","value":"1806-9282"},{"type":"print","value":"0104-4230"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}