Mechanical thrombectomy for in-hospital stroke: data from the Italian Registry of Endovascular Treatment in Acute Stroke
| العنوان: | Mechanical thrombectomy for in-hospital stroke: data from the Italian Registry of Endovascular Treatment in Acute Stroke |
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| المؤلفون: | Andrea Naldi, Giovanni Pracucci, Roberto Cavallo, Valentina Saia, Andrea Boghi, Piergiorgio Lochner, Ilaria Casetta, Fabrizio Sallustio, Andrea Zini, Enrico Fainardi, Manuel Cappellari, Rossana Tassi, Sandra Bracco, Guido Bigliardi, Stefano Vallone, Patrizia Nencini, Mauro Bergui, Salvatore Mangiafico, Danilo Toni |
| المصدر: | Journal of NeuroInterventional Surgery. :jnis-2022 |
| بيانات النشر: | BMJ, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Stroke, Intervention, Surgery, Neurology (clinical), General Medicine, Thrombectomy |
| الوصف: | BackgroundThe benefit, safety, and time intervals of mechanical thrombectomy (MT) in patients with in-hospital stroke (IHS) are unclear. We sought to evaluate the outcomes and treatment times for IHS patients compared with out-of-hospital stroke (OHS) patients receiving MT.MethodsWe analyzed data from the Italian Registry of Endovascular Treatment in Acute Stroke (IRETAS) between 2015 and 2019. We compared the functional outcomes (modified Rankin Scale (mRS) scores) at 3 months, recanalization rates, and symptomatic intracranial hemorrhage (sICH) after MT. Time intervals from stroke onset-to-imaging, onset-to-groin, and onset-to-end MT were recorded for both groups, as were door-to-imaging and door-to-groin for OHS. A multivariate analysis was performed.ResultsOf 5619 patients, 406 (7.2%) had IHS. At 3 months, IHS patients had a lower rate of mRS 0–2 (39% vs 48%, PConclusionDespite favorable time intervals for MT, IHS patients had worse functional outcomes than OHS patients. Delays in IHS management were detected. |
| تدمد: | 1759-8486 1759-8478 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a2f90d89356bef9d3c9ff26742252e43Test https://doi.org/10.1136/jnis-2022-019939Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....a2f90d89356bef9d3c9ff26742252e43 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17598486 17598478 |
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