results from bayonne hospital - sfnr · results from bayonne hospital time metrics angiographic...
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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
A
B60 % additional patientsWho had thrombectomy
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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
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Technical Datas
Diagnosis imaging
MRI CT scan
The First 50 patients underwent a thrombectomy in Bayonne Hospital
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42%
58%
Thrombolysis
No thrombolysis
60%
40%
Anesthesia
Sedation
GA
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Procedure performed
27
15
3
1
4
5
Aspiration + Stent Aspiration only Stent only
Recanalized Fail to access
* One direct carotid access
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ARTS technique ADAPT technique
FlowGate 8FCello 9F
ACESOFIA 5 FSOFIA 6FCatalyst
Solitaire 6Trevo 3 et 4Embotrap II
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Procedure performed
27
15
3
1
4
5
Aspiration + Stent Aspiration only Stent only
Recanalized Fail to access
* One direct carotid access
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5
10
15
20
25
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:
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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.
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Comparable results concerning recanalization
Access to thrombectomy
Need to improve our technic and time procedure
Need to communicate our results
CONCLUSION