详情页 - 首都医科大学宣武医院知识库

当前位置：首页 > 详情页

Risk factors for ineffective recanalization after endovascular treatment in acute ischemic stroke.

76| 导出 | 链接全文 |

文献详情

资源类型：

WOS体系：

Pubmed体系：

收录情况： ◇ SCIE

作者：

机构： [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China [2]Department of Neurology, Affiliated Hospital of Jiang Su University, Zhejiang, China [3]Department of Neurology, The Fourth Hospital of Changsha, Changsha, China

出处：

DOI：

ISSN：

关键词： acute ischemic stroke endovascular treatment ineffective recanalization risk factor

摘要：

To assess the risk factors of early ineffective recanalization, defined as a modified Rankin scale (mRS) score of 4∼6 at two weeks after symptom onset, in acute ischemic stroke (AIS) patients receiving endovascular treatment (EVT). One hundred eighty-four AIS patients who received EVT in 01/2016-12/2018 were analyzed. The recanalization rate was 81.5 % (150/184). Patients were divided into effective (mRS 0-3) and ineffective (mRS 4-6) recanalization groups. The independent risk factors for ineffective recanalization were analyzed. The ineffective recanalization rate was 67.3 % (101/150 cases) at 14 days after symptom onset. Twenty-five patients (24.8 %) in the ineffective recanalization group had coronary heart disease, higher than that in the effective group (4 patients, 8.2 %, P = 0.016). Infratentorial pathology accounted for 34.7 % (35 cases) of the ineffective group and only 14.3 % (7 cases) of the control group (P = 0.011). Systolic blood pressure (SBP) was higher in the ineffective group than in the effective group (146 mmHg vs 140 mmHg, P = 0.038). General anesthesia was more common in the ineffective group than in the control group (49 cases, 48.5 %, vs 9 cases, 18.4 %; P = 0.000). Logistic regression showed that coronary heart disease (odds ratio (OR) = 3.399, 95 % confidence interval (CI) 1.013-11.401, P = 0.048), unconsciousness before EVT (OR = 4.292, 95 % CI 1.963-9.386, P = 0.000), SBP (OR = 1.016, 95 % CI 0.997-1.035, P = 0.090) and general anesthesia (OR = 3.378, 95 % CI 1.395-8.180, P = 0.007) were independent risk factors for ineffective recanalization. Patients with coronary heart disease, unconsciousness before EVT, elevated SBP and general anesthesia need precise assessment to benefit from EVT. Copyright © 2020 Elsevier B.V. All rights reserved.

语种：

被引次数：

WOS：

PubmedID：

中科院(CAS)分区：

出版当年[2020]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

最新[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

JCR分区：

出版当年[2019]版：

Q3 SURGERY Q4 CLINICAL NEUROLOGY

最新[2023]版：

Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子： 1.8 最新[2023版] 1.8 最新五年平均 1.53 出版当年[2019版] 1.768 出版当年五年平均 1.672 出版前一年[2018版] 1.876 出版后一年[2020版]

第一作者：

第一作者机构： [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China

共同第一作者：

通讯作者：

通讯机构： [*1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China, 100053

推荐引用方式(GB/T 7714)：

APA：

MLA：

相关文献

[1]Acute Ischemic Stroke Registry for Endovascular Treatment [2]Normobaric Hyperoxia Combined With Endovascular Treatment for Acute Ischemic Stroke [3]11例锁骨下动脉瘤腔内介入治疗体会 [4]Remote Ischemic Conditioning Paired With Endovascular Treatment for Acute Ischemic Stroke (REVISE-1) [5]Remote Ischemic Conditioning Paired With Endovascular Treatment for Acute Ischemic Stroke (REVISE-2) [6]Outcome after endovascular treatment for acute ischemic stroke by underlying etiology: Tertiary experience and meta-analysis [7]Malignant middle cerebral artery infarction during early versus late endovascular treatment in acute ischemic stroke [8]Risk and risk factor of ischemic stroke after acute retinal arterial ischemia [9]Cystatin C is an Independent Risk Factor and Therapeutic Target for Acute Ischemic Stroke [10]Controlling Blood Pressure Under Transcranial Doppler Guidance after Endovascular Treatment in Patients with Acute Ischemic Stroke.