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Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study

Intra-arterial thrombectomy (IAT) has been increasingly applied in the treatment of acute ischemic stroke (AIS) due to large-vessel occlusion, and many related studies have been published. However, limited studies on the prognosis of failed-IAT patients are available. In this study, factors that can...

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Autores principales: Jo, Hyunjun, Lee, In-Hyoung, Ha, Sung-Kon, Lim, Dong-Jun, Choi, Jong-Il
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219692/
https://www.ncbi.nlm.nih.gov/pubmed/37233413
http://dx.doi.org/10.1097/MD.0000000000033866
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author Jo, Hyunjun
Lee, In-Hyoung
Ha, Sung-Kon
Lim, Dong-Jun
Choi, Jong-Il
author_facet Jo, Hyunjun
Lee, In-Hyoung
Ha, Sung-Kon
Lim, Dong-Jun
Choi, Jong-Il
author_sort Jo, Hyunjun
collection PubMed
description Intra-arterial thrombectomy (IAT) has been increasingly applied in the treatment of acute ischemic stroke (AIS) due to large-vessel occlusion, and many related studies have been published. However, limited studies on the prognosis of failed-IAT patients are available. In this study, factors that can predict a good prognosis in patients with failed IAT were studied. Among patients who visited our hospital between January 2016 and September 2022 and underwent IAT, we retrospectively analyzed those with failed IAT. A univariate analysis was performed on the radiological features, medical histories, and other patient characteristics expected to affect the prognosis, and a multivariate analysis was performed on some of these factors. In univariate analysis, a good collateral channel on susceptibility-weighted imaging (SWI), modified thrombolysis in cerebral infarction (mTICI) 2A recanalization, and the pre-procedural modified Rankin scale (mRS) were statistically significant. In the multivariate analysis, good collateral channels on SWI and computed tomography angiography (CTA) and mTICI 2A recanalization were statistically significant. Factors that can predict a good prognosis in patients with failed IAT include good leptomeningeal collateral channels evaluated by CTA and SWI and mTICI 2A recanalization.
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spelling pubmed-102196922023-05-27 Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study Jo, Hyunjun Lee, In-Hyoung Ha, Sung-Kon Lim, Dong-Jun Choi, Jong-Il Medicine (Baltimore) 5300 Intra-arterial thrombectomy (IAT) has been increasingly applied in the treatment of acute ischemic stroke (AIS) due to large-vessel occlusion, and many related studies have been published. However, limited studies on the prognosis of failed-IAT patients are available. In this study, factors that can predict a good prognosis in patients with failed IAT were studied. Among patients who visited our hospital between January 2016 and September 2022 and underwent IAT, we retrospectively analyzed those with failed IAT. A univariate analysis was performed on the radiological features, medical histories, and other patient characteristics expected to affect the prognosis, and a multivariate analysis was performed on some of these factors. In univariate analysis, a good collateral channel on susceptibility-weighted imaging (SWI), modified thrombolysis in cerebral infarction (mTICI) 2A recanalization, and the pre-procedural modified Rankin scale (mRS) were statistically significant. In the multivariate analysis, good collateral channels on SWI and computed tomography angiography (CTA) and mTICI 2A recanalization were statistically significant. Factors that can predict a good prognosis in patients with failed IAT include good leptomeningeal collateral channels evaluated by CTA and SWI and mTICI 2A recanalization. Lippincott Williams & Wilkins 2023-05-26 /pmc/articles/PMC10219692/ /pubmed/37233413 http://dx.doi.org/10.1097/MD.0000000000033866 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 5300
Jo, Hyunjun
Lee, In-Hyoung
Ha, Sung-Kon
Lim, Dong-Jun
Choi, Jong-Il
Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study
title Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study
title_full Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study
title_fullStr Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study
title_full_unstemmed Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study
title_short Factors predicting good prognosis of failed intra-arterial thrombectomy cases: A retrospective study
title_sort factors predicting good prognosis of failed intra-arterial thrombectomy cases: a retrospective study
topic 5300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219692/
https://www.ncbi.nlm.nih.gov/pubmed/37233413
http://dx.doi.org/10.1097/MD.0000000000033866
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