Incidence, outcomes, and associated factors of isolated striatocapsular infarct after mechanical thrombectomy

A Sancho Saldaña; H Tejada Meza; M Serrano Ponz; J Ÿ Aladrén Sangrós; J M Navasa Melado; P Seral Moral; J Marta Moreno

doi:10.1016/j.nrl.2019.01.005

Incidence, outcomes, and associated factors of isolated striatocapsular infarct after mechanical thrombectomy

Neurologia (Engl Ed). 2022 May;37(4):250-256. doi: 10.1016/j.nrl.2019.01.005. Epub 2019 May 4.

[Article in English, Spanish]

Authors

A Sancho Saldaña¹, H Tejada Meza², M Serrano Ponz², J Ÿ Aladrén Sangrós³, J M Navasa Melado⁴, P Seral Moral⁴, J Marta Moreno²

Affiliations

¹ Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: agustinsanchosaldana@gmail.com.
² Unidad de Ictus, Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, España.
³ Servicio de Neurología, Hospital Universitario Miguel Servet, Zaragoza, España.
⁴ Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, España.

PMID: 31064665
DOI: 10.1016/j.nrl.2019.01.005

Abstract

Objectives: To describe baseline and procedural characteristics and clinical outcomes of isolated striatocapsular infarct (iSCI) after mechanical thrombectomy in patients with large-vessel occlusion of the anterior cerebral circulation andits clinical outcome.

Methods: We performed a longitudinal study including all patients treated with mechanical thrombectomy at our centre between 2015 and 2017; patients were divided into 2 groups (iSCI and non-iSCI) according to whether they presented iSCI in a control CT scan at 24h.

Results: Of the 83 patients identified, 22.9% developed an iSCI. There were no statically significant differences in baseline characteristics or in reperfusion times. Patients presenting iSCI showed better collateral circulation and better reperfusion rates in the bivariate analysis. No significant difference was observed for mortality at discharge or at 3 months, or for functional prognosis at 3 months.

Conclusions: Even if successful reperfusion is achieved, iSCI is a common sequela, independently of reperfusion time, especially in patients with good collateral circulation.

Keywords: Colateralidad; Collateral circulation; Infarto estriatocapsular aislado; Isolated striatocapsular infarct; Mechanical thrombectomy; Prognosis; Pronóstico; Reperfusion; Reperfusión; Trombectomía mecánica.