지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Background and Purpose Predictive factors associated with stent-retriever thrombectomy for patients with acute anterior circulation stroke remain to be elucidated. This study aimed to investigate clinical and procedural factors predictive of good outcome and mortality after stent-retriever thrombectomy in a large cohort of patients with acute anterior circulation stroke.
Methods We analyzed clinical and procedural data in 335 patients with acute anterior circulation stroke treated with stent-retriever thrombectomy. A good outcome was defined as a modified Rankin Scale score of 0 to 2 at 3 months. The associations between clinical, imaging, and procedural factors and good outcome and mortality, respectively, were evaluated using logistic regression analysis.
Results Using multivariate analysis, age (odds ratio [OR], 0.965; 95% confidence interval [CI], 0.944-0.986; P=0.001), successful revascularization (OR, 4.658; 95% CI, 2.240-9.689; P<0.001), parenchymal hemorrhage (OR, 0.150; 95% CI, 0.049-0.460; P=0.001), and baseline NIHSS score (OR, 0.908; 95% CI, 0.855-0.965; P=0.002) were independent predictors of good outcome. Independent predictors of mortality were age (OR, 1.043; 95% CI, 1.002-1.086; P=0.041), successful revascularization (OR, 0.171; 95% CI, 0.079-0.370; P<0.001), parenchymal hemorrhage (OR, 2.961; 95% CI, 1.059-8.276; P=0.038), and a history of previous stroke/TIA (OR, 3.124; 95% CI, 1.340-7.281; P=0.008).
Conclusions Age, revascularization status, and parenchymal hemorrhage are independent predictors of both good outcome and mortality after stent retriever thrombectomy for acute anterior circulation stroke. In addition, NIHSS score on admission is independently associated with good outcome, whereas a history of previous stroke is independently associated with mortality.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Mishra NK / 2015 / Reperfusion of very low cerebral blood volume lesion predicts parenchymal hematoma after endovascular therapy / Stroke 46(5):1245~1249
Hankey GJ / 2003 / Long-term outcome after ischaemic stroke/transient ischaemic attack / Cerebrovasc Dis 16(Suppl 1):14~19
Carter AM / 2007 / Predictive variables for mortality after acute ischemic stroke / Stroke 38(6):1873~1880
Broderick JP / 2013 / Endovascular therapy after intravenous t-PA versus t-PA alone for stroke / N Engl J Med 368(10):893~903
Kim SK / 2016 / Outcomes are not different between patients with intermediate and high DWI-ASPECTS after stent-retriever embolectomy for acute anterior circulation stroke / AJNR Am J Neuroradiol 37:1080~1085
Hankey GJ / 2003 / Long-term outcome after ischaemic stroke/transient ischaemic attack / Cerebrovasc Dis 16(Suppl 1):14~19
Carter AM / 2007 / Predictive variables for mortality after acute ischemic stroke / Stroke 38(6):1873~1880
Broderick JP / 2013 / Endovascular therapy after intravenous t-PA versus t-PA alone for stroke / N Engl J Med 368(10):893~903
Kim SK / 2016 / Outcomes are not different between patients with intermediate and high DWI-ASPECTS after stent-retriever embolectomy for acute anterior circulation stroke / AJNR Am J Neuroradiol 37:1080~1085
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Comparative Analysis of Endovascular Stroke Therapy Using Urokinase, Penumbra System and Retrievable (Solitare) Stent
대한신경외과학회지
2015 .01
-
Efficacy of Combining Proximal Balloon Guiding Catheter and Distal Access Catheter in Thrombectomy with Stent Retriever for Anterior Circulation Ischemic Stroke
대한신경외과학회지
2019 .01
-
The Aspirations of Direct Aspiration for Thrombectomy in Ischemic Stroke: A Critical Analysis
대한뇌졸중학회지
2019 .01
-
A History of Falls is Associated with a Significant Increase in Acute Mortality in Women after Stroke
Journal of Clinical Neurology
2017 .01
-
Contrast-Induced Acute Kidney Injury after Coil Embolization for Aneurysmal Subarachnoid Hemorrhage
Yonsei Medical Journal
2018 .01
-
Mechanical Thrombectomy in Acute Stroke Patients with Moderate to Severe Pre-Stroke Disability
대한뇌졸중학회지
2022 .09
-
Endovascular Stroke Therapy Focused on Stent Retriever Thrombectomy and Direct Clot Aspiration : Historical Review and Modern Application
대한신경외과학회지
2017 .01
-
Intravenous Thrombolysis Prior to Mechanical Thrombectomy in Acute Ischemic Stroke: Silver Bullet or Useless Bystander?
대한뇌졸중학회지
2018 .01
-
Clinical Variables and Genetic Risk Factors Associated with the Acute Outcome of Ischemic Stroke: A Systematic Review
대한뇌졸중학회지
2019 .01
-
CT- versus MRI-Based Imaging for Thrombolysis and Mechanical Thrombectomy in Ischemic Stroke: Analysis from the Austrian Stroke Registry
대한뇌졸중학회지
2022 .09
-
MicroRNA 150-5p Improves Risk Classification for Mortality within 90 Days after Acute Ischemic Stroke
대한뇌졸중학회지
2017 .01
-
Family History and Functional Outcome in Korean Stroke Patients: A Preliminary Study
Annals of Rehabilitation Medicine
2015 .01
-
Predictors of Mortality in Patients with COVID-19: A Systematic Review and Meta-analysis
한국임상약학회지
2020 .01
-
Causes and Solutions of Endovascular Treatment Failure
대한뇌졸중학회지
2017 .01
-
Clinical Impact of Intracerebral Hemorrhage after Hyperacute Extracranial Stenting in Patients with Ischemic Stroke
Neurointervention
2019 .01
-
Smoking is Not a Good Prognostic Factor following First-Ever Acute Ischemic Stroke
대한뇌졸중학회지
2015 .01
-
Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society
대한뇌졸중학회지
2019 .01
-
Factors in early hospital arrival following suspected acute stroke symptoms
대한응급의학회지
2022 .10
-
뇌졸중으로 인한 운동 관련 후유증의 한의 치료 연구에서 뇌졸중 시기 및 평가 척도에 대한 국내 문헌 고찰
대한한방내과학회지
2022 .09
-
Mechanical Thrombectomy for Acute Ischemic Stroke in Metastatic Cancer Patients: A Nationwide Cross-Sectional Analysis
대한뇌졸중학회지
2023 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0