دورية أكاديمية
Prognostic Value of Thrombus Volume and Interaction With First-Line Endovascular Treatment Device Choice
| العنوان: | Prognostic Value of Thrombus Volume and Interaction With First-Line Endovascular Treatment Device Choice |
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| المؤلفون: | van Voorst, Henk, Bruggeman, Agnetha A. E., Andriessen, Jurr W., Hoving, Jan R., Konduri, Praneeta, Yang, Wenjin, Kappelhof, Manon, Terreros, Nerea Arrarte, Roos, Yvo B. W. E. M. H., van Zwam, Wim, van der Lugt, Aad, van der Hoorn, Anouk, Boiten, Jelis, Roosendaal, Stefan, Jenniskens, Sjoerd, Caan, Matthan W. A. A., Marquering, Henk J., Emmer, Bart, Majoie, Charles B. L. M. |
| المصدر: | van Voorst , H , Bruggeman , A A E , Andriessen , J W , Hoving , J R , Konduri , P , Yang , W , Kappelhof , M , Terreros , N A , Roos , Y B W E M H , van Zwam , W , van der Lugt , A , van der Hoorn , A , Boiten , J , Roosendaal , S , Jenniskens , S , Caan , M W A A , Marquering , H J , Emmer , B & Majoie , C B L M 2023 .... |
| سنة النشر: | 2023 |
| المجموعة: | Maastricht University Research Publications |
| مصطلحات موضوعية: | functional status, ischemic stroke, prognosis, stents, thrombosis, THROMBECTOMY, STROKE, RECANALIZATION, LENGTH, GUIDELINES, IMPACT, HEART |
| الوصف: | Background:A larger thrombus in patients with acute ischemic stroke might result in more complex endovascular treatment procedures, resulting in poorer patient outcomes. Current evidence on thrombus volume and length related to procedural and functional outcomes remains contradicting. This study aimed to assess the prognostic value of thrombus volume and thrombus length and whether this relationship differs between first-line stent retrievers and aspiration devices for endovascular treatment. Methods:In this multicenter retrospective cohort study, 670 of 3279 patients from the MR CLEAN Registry (Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands) for endovascularly treated large vessel occlusions were included. Thrombus volume (0.1 mL) and length (0.1 mm) based on manual segmentations and measurements were related to reperfusion grade (expanded Treatment in Cerebral Infarction score) after endovascular treatment, the number of retrieval attempts, symptomatic intracranial hemorrhage, and a shift for functional outcome at 90 days measured with the reverted ordinal modified Rankin Scale (odds ratio >1 implies a favorable outcome). Univariable and multivariable linear and logistic regression were used to report common odds ratios (cORs)/adjusted cOR and regression coefficients (B/aB) with 95% CIs. Furthermore, a multiplicative interaction term was used to analyze the relationship between first-line device choice, stent retrievers versus aspiration device, thrombus volume, and outcomes. Results:Thrombus volume was associated with functional outcome (adjusted cOR, 0.83 [95% CI, 0.71-0.97]) and number of retrieval attempts (aB, 0.16 [95% CI, 0.16-0.28]) but not with the other outcome measures. Thrombus length was only associated with functional independence (adjusted cOR, 0.45 [95% CI, 0.24-0.85]). Patients with more voluminous thrombi had worse functional outcomes if endovascular treatment was based on first-line stent retrievers (interaction cOR, 0.67 [95% ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://cris.maastrichtuniversity.nl/en/publications/0b775969-7fae-4057-b4b6-7834ff56b5fcTest |
| DOI: | 10.1161/STROKEAHA.122.041606 |
| الإتاحة: | https://doi.org/10.1161/STROKEAHA.122.041606Test https://cris.maastrichtuniversity.nl/en/publications/0b775969-7fae-4057-b4b6-7834ff56b5fcTest https://cris.maastrichtuniversity.nl/ws/files/187337396/Zwam-2023-Prognostic-value-of-thrombus-volume-and-interaction.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.5E4D6DD9 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1161/STROKEAHA.122.041606 |
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