"Chopperlysis": The effect of helicopter transport on reperfusion and outcomes in large vessel occlusion strokes.
Publication/Presentation Date
10-29-2024
Abstract
BackgroundIn large vessel occlusion (LVO) stroke patients transferred to a comprehensive stroke center for thrombectomy, spontaneous reperfusion may occur during transport, and anecdotally more frequently in patients transferred via helicopter than by ground. This pattern has been more often observed in conjunction with tenecteplase (TNK) treatment prior to helicopter transport. We aim to explore the "chopperlysis" effect-how helicopter transport, particularly with thrombolytics, may affect reperfusion and clinical outcomes.MethodsA single thrombectomy capable center (TCC) registry of stroke patients was retrospectively reviewed. Included LVO patients were those who had been transferred to the TCC and received a digital subtraction angiography (DSA) upon arrival. The outcomes were rates of spontaneous reperfusion, distal clot migration, and 90-day good functional outcome. Data were summarized, and endpoints were compared between patients stratified by transport method and/or TNK treatment.ResultsOf 270 patients included, helicopter transport was associated with a higher rate of spontaneous reperfusion, particularly among patients not treated with TNK (
First Page
15910199241282721
Last Page
15910199241282721
ISSN
2385-2011
Published In/Presented At
Koneru, M., Thon, J. M., Dubinski, M. J., Fornari Caprara, A. L., Brown, D. C., Yi, Z., Elgendy, O., Ackerman, J., Penckofer, M., Shi, R., Trieu, M., Garfinkel, L., Thomas, T., Patel, K., Frost, E., Kalladanthyil, A., Sprankle, K., Oliveira, R., Santucci, J., Ballout, A. A., … Shaikh, H. A. (2024). "Chopperlysis": The effect of helicopter transport on reperfusion and outcomes in large vessel occlusion strokes. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 15910199241282721. Advance online publication. https://doi.org/10.1177/15910199241282721
Disciplines
Medicine and Health Sciences
PubMedID
39471986
Department(s)
Medical Education
Document Type
Article