A Clinical Trial of 145 Endovascular Treatment for Acute Anterior Circulation Ischemic Stroke
- VernacularTitle: 145例急性前循环缺血性卒中血管内治疗的临床研究
- Author:
Zhongxiu WANG
1
;
Yihe ZHANG
1
;
Mingchao SHI
1
Author Information
- Publication Type:Journal Article
- Keywords: Stroke ；Acute large vessel occlusion ； Endovascular treatment ； Reperfusion ； Prognosis
- From: Journal of Apoplexy and Nervous Diseases 2020;37(3):219-221
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate clinical effectiveness outcome and risk factors of endovascular treatment for acute anterior circulation ischemic stroke to instruct emergency thrombectomy in future. Methods Between January 2016 and December 2018，stroke patients with acute anterior circulation occlusion and EVT within 24 h of symptom onset were retrospectively enrolled from stroke center in first hospital of Jilin university. The main outcomes were modified thrombolysis in cerebral ischemia （mTICI） assessing vascular recanalization，modified Rankin Scale （0~2 as functional independence） at 90 days，symptomatic intracranial hemorrhage （sICH） at 72 h，and death at 90 days. We also identified influence factors for poor functional outcomes at 90 days. Results Of the 145 patients received acute endovascular treatment，128 （88.3%） patients had vascular recanalization. Symptomatic intracranial haemorrhage occurred in 16（11%） patients. 67（46.2%） patients had functional independence at 90 days. Mortality rate at 90 days was 17.9% （26/145）. Age，hypertension，diabetes mellitus，general anesthesia，tandem or multiple vascular lesions，high baseline NIHSS score，sICH and perioperative pneumonia were risk factors of poor functional outcomes at 90 days of endovascular treatment for acute anterior circulation large vessel occlusion ischemic stroke secondary to large artery occlusion. Conclusion The vascular recanalization rate and clinical outcomes of endovascular treatment for acute anterior circulation ischemic stroke in Chinese experienced stroke center were consistent with those in developed European and American countries. Risk and mortality of emergency intervention are still high even at experienced stroke centers.
- Full text:2024080211510541037A Clinical Trial of 145 Endovascular Treatment for Acute Anterior Circulation Ischemic Stroke.pdf
