کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4233834 1282772 2013 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prognostic factors for outcomes after mechanical thrombectomy with solitaire stent
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی رادیولوژی و تصویربرداری
پیش نمایش صفحه اول مقاله
Prognostic factors for outcomes after mechanical thrombectomy with solitaire stent
چکیده انگلیسی

SummaryBackground and purposeEndovascular mechanical thrombectomy is emerging as a promising therapeutic approach for acute ischemic stroke. This study was aimed at identifying factors influencing outcomes after thrombectomy with a Solitaire stent device.Materials and methodsForty-five consecutive patients treated with thrombectomy using Solitaire FR were retrospectively included. Clinical, imaging and logistic variables were analyzed. A multivariate logistic regression analysis was used to identify variables influencing clinical outcome, based on discharge NIHSS score change and mRS at 3 months.ResultsPatient mean age and initial NIHSS score was 58 years (range 24–88) and 17 (range 6–32), respectively. An MRI was performed for 80% of patients, showing severe DWI lesion for 28% of patients and associated FLAIR hyperintensity for 58% of patients. Mean time from symptom onset to recanalization was 299 min for the 32 ACO and 473 min for the 13 PCO. Angiographic efficacy (TICI 2b-3) was achieved for 93% of patients and good clinical outcomes at discharge and at 3 months (mRS ≤ 2) were achieved for 49% and 58% of patients, respectively. Independent prognostic factors for predicting good clinical outcomes at discharge were a short time to recanalization and FLAIR negativity. At 3 months, they were a short time to recanalization and patient age. DWI lesion severity was an associated prognostic factor.ConclusionTwo main prognostic factors for predicting a good clinical outcome after thrombectomy at 3 months were short time from symptom onset to recanalization and patient age.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Neuroradiology - Volume 40, Issue 4, October 2013, Pages 252–259
نویسندگان
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