Rescue endovascular thrombectomy in patients with progressive ischemic stroke within 24–72 h: A retrospective propensity score matched cohort study

医学 倾向得分匹配 回顾性队列研究 冲程(发动机) 内科学 队列 外科 闭塞 缺血性中风 缺血 机械工程 工程类
作者
Yanchun Wang,Jianzhong Shu,Ming Tao,Mingshan Tang,Chih-Chuan Pan,Donghu Zhen,Jie Wang
出处
期刊:Interdisciplinary Neurosurgery [Elsevier]
卷期号:34: 101852-101852
标识
DOI:10.1016/j.inat.2023.101852
摘要

Currently, the prediction of progressive ischemic stroke (PIS) caused by large proximal artery occlusion (LVO) is not well developed. The main aim of the study is to check the effectiveness of endovascular thrombectomy(EVT) in patients with PIS and LVO in the anterior circulation. This multicenter retrospective cohort study involved two comprehensive stroke centres having two therapeutic approaches to manage patients with minor, mild, or acute ischemic stroke harbouring LVO. Some patients who experienced early neurologic deterioration (END) were either given the best medical care (BMM) or immediate rescue endovascular thrombectomy (RET) followed by BMM. Clinical outcomes, including good prognosis defined as 90-day modified Ranking Scale (mRS) ≤ 2, mortality, and symptomatic intracerebral hemorrhagic (sICH) rate were compared between two groups. The study included 103 patients, including 48 patients in the RET+BMM group and 55 patients in the BMM group, and each group included 35 patients after propensity score matching. Compared to the BMM group, RET-treated patients had lower 90-day mRS scores at discharge (57.14% vs. 37.14%, p < 0.001). No significant differences in mortality (p = 0.315) and symptomatic intracranial haemorrhage (p = 0.487) were found. Similar results were obtained after propensity score matching. RET appears to be safe and feasible in patients with PIS due to LVO within 24-72 h. Further prospective, clinical, randomized controlled studies are warranted to validate these findings.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
1秒前
细心的冬易完成签到,获得积分20
2秒前
海晨发布了新的文献求助10
2秒前
小小小小小绿红应助曾梦采纳,获得10
2秒前
77发布了新的文献求助10
4秒前
ZZQ完成签到,获得积分10
4秒前
5秒前
猪小呆发布了新的文献求助20
5秒前
老孟发布了新的文献求助10
5秒前
生命奋斗发布了新的文献求助10
5秒前
科研通AI2S应助rossliyi采纳,获得10
8秒前
研友_VZG7GZ应助大男采纳,获得10
8秒前
传奇3应助小Q采纳,获得10
10秒前
生命奋斗完成签到,获得积分10
11秒前
完美世界应助dwls采纳,获得10
12秒前
CYH完成签到,获得积分10
14秒前
传统的凝天完成签到 ,获得积分10
14秒前
passion完成签到,获得积分10
17秒前
18秒前
圣托里尼发布了新的文献求助10
18秒前
科目三应助yoyo采纳,获得10
18秒前
19秒前
小黑板完成签到,获得积分10
19秒前
20秒前
21秒前
22秒前
22秒前
23秒前
23秒前
大个应助秦春歌采纳,获得10
24秒前
yidashi发布了新的文献求助10
24秒前
24秒前
科研通AI2S应助li采纳,获得10
24秒前
26秒前
huang完成签到,获得积分10
27秒前
27秒前
27秒前
yoyo发布了新的文献求助10
29秒前
高分求助中
The Oxford Handbook of Social Cognition (Second Edition, 2024) 1050
Kinetics of the Esterification Between 2-[(4-hydroxybutoxy)carbonyl] Benzoic Acid with 1,4-Butanediol: Tetrabutyl Orthotitanate as Catalyst 1000
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
Chen Hansheng: China’s Last Romantic Revolutionary 500
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3141156
求助须知:如何正确求助?哪些是违规求助? 2792103
关于积分的说明 7801577
捐赠科研通 2448294
什么是DOI,文献DOI怎么找? 1302503
科研通“疑难数据库(出版商)”最低求助积分说明 626591
版权声明 601237