RESULTS from Bayonne Hospital - SFNR · RESULTS from Bayonne Hospital Time metrics Angiographic...
Transcript of RESULTS from Bayonne Hospital - SFNR · RESULTS from Bayonne Hospital Time metrics Angiographic...
RESULTS from Bayonne Hospital
Time metrics
Angiographic results TICI
Louis VEUNAC, PhD, MDRadiology DepartmentBayonne Hospital, France
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Thrombectomies performed at Bordeaux and Bayonne Hospitals
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BayonneONLY Mothership
Thrombectomy
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B60 % additional patientsWho had thrombectomy
Why 60 % increase in thrombectomy ?
Transfer is too long
Complicated to manage and organise patient’s transfer
Each team (SMUR, emergency, radiologist) actively engaged in thrombectomy
Technical Datas
Diagnosis imaging
MRI CT scan
The First 50 patients underwent a thrombectomy in Bayonne Hospital
42%
58%
Thrombolysis
No thrombolysis
60%
40%
Anesthesia
Sedation
GA
Procedure performed
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Aspiration + Stent Aspiration only Stent only
Recanalized Fail to access
* One direct carotid access
ARTS technique ADAPT technique
FlowGate 8FCello 9F
ACESOFIA 5 FSOFIA 6FCatalyst
Solitaire 6Trevo 3 et 4Embotrap II
Procedure performed
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Aspiration + Stent Aspiration only Stent only
Recanalized Fail to access
* One direct carotid access
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Tici3 2c 2b 2a Tici1 Tici0
Angiographic Results
Tici>2b/338
76%
Tici<2b/312
24%
Tici>2b/3 First pass : 17/50 : 34 %
Compass Study:
Bayonne mean operating time 01:01 (min 0:16-max 2:40)
Bordeaux mean operating time 00:47 (min 0:10-max 2:40)
Mean procedure time from puncture to recanalization
Biplane vs Monoplane
Using mostly BGC, Aspiration and stent vs mostly ADAPT technic in Bordeaux
And obviously physicians experience.
Comparable results concerning recanalization
Access to thrombectomy
Need to improve our technic and time procedure
Need to communicate our results
CONCLUSION