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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 467 - 473 (7page)
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초록· 키워드
오류제보하기
Objective : The aim of this study was to determine outcome of ischemic stroke patients in the anterior circulation treated with endovascular treatment (EVT) with intravenous thrombolysis (IVT) versus EVT alone group. Methods : A systemic literature review was performed using online database from January 2004 to January 2017. Primary outcomes were successful recanalization seen on finial angiography and good outcome at three months. Secondary outcomes were mortality and the development of symptomatic intracranial hemorrhage (S-ICH) after the procedure. A fixed effect model was used when heterogeneity was less than 50%. Egger's regression test was used to assess publication bias. Results : Five studies were included for final analysis. Between EVT with IVT and EVT alone group, successful recanalization (odds ratio [OR] 1.467, p=0.216), good clinical outcome at three months (OR 1.199, p=0.385), mortality (OR 0.776, p=0.371), and S-ICH (OR 1.820, p=0.280) did not differ significantly. Egger's regression intercept with 95% confidence interval (CI) was 1.99 (95% CI -2.91 to 6.89) in successful recanalization and -0.27 (95% CI -6.35 to 5.80) in good clinical outcome, respectively. Conclusion : The two treatment modalities, EVT with IVT and EVT alone, could be comparable in treating acute anterior circulation stroke. Studies to find specific beneficiary group for EVT alone, without primary IVT, are needed further.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Almekhlafi MA / 2013 / A meta-analysis of observational intra-arterial stroke therapy studies using the Merci device, penumbra system, and retrievable stents / AJNR Am J Neuroradiol 34:140~145
Begg CB / 1994 / Operating characteristics of a rank correlation test for publication bias / Biometrics 50:1088~1101
Broeg-Morvay A / 2016 / Direct mechanical intervention versus combined intravenous and mechanical intervention in large artery anterior circulation stroke: a matched-pairs analysis / Stroke 47:1037~1044
Broussalis E / 2013 / Comparison of stent-retriever devices versus the Merci retriever for endovascular treatment of acute stroke / AJNR Am J Neuroradiol 34:366~372
Bush CK / 2016 / Endovascular treatment with stent-retriever devices for acute ischemic stroke: a meta-analysis of randomized controlled trials / PloS One 11:e0147287
Begg CB / 1994 / Operating characteristics of a rank correlation test for publication bias / Biometrics 50:1088~1101
Broeg-Morvay A / 2016 / Direct mechanical intervention versus combined intravenous and mechanical intervention in large artery anterior circulation stroke: a matched-pairs analysis / Stroke 47:1037~1044
Broussalis E / 2013 / Comparison of stent-retriever devices versus the Merci retriever for endovascular treatment of acute stroke / AJNR Am J Neuroradiol 34:366~372
Bush CK / 2016 / Endovascular treatment with stent-retriever devices for acute ischemic stroke: a meta-analysis of randomized controlled trials / PloS One 11:e0147287
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