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Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray

Background: Vascular conditions can affect the recanalization rates after endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Chest radiography can assess the conditions of the aortic arch based on the presence or absence of aortic arch calcification (AoAC). The aim of this study was to...

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Autores principales: Jeong, Hyeon Yeong, Nam, Taek Min, Lee, Sang Hyuk, Jang, Ji Hwan, Kim, Young Zoon, Kim, Kyu Hong, Ryu, Kyeong Hwa, Kim, Do-Hyung, Kwan, Byung Soo, Bak, Hyerang, Kim, Seung Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573594/
https://www.ncbi.nlm.nih.gov/pubmed/37834759
http://dx.doi.org/10.3390/jcm12196115
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author Jeong, Hyeon Yeong
Nam, Taek Min
Lee, Sang Hyuk
Jang, Ji Hwan
Kim, Young Zoon
Kim, Kyu Hong
Ryu, Kyeong Hwa
Kim, Do-Hyung
Kwan, Byung Soo
Bak, Hyerang
Kim, Seung Hwan
author_facet Jeong, Hyeon Yeong
Nam, Taek Min
Lee, Sang Hyuk
Jang, Ji Hwan
Kim, Young Zoon
Kim, Kyu Hong
Ryu, Kyeong Hwa
Kim, Do-Hyung
Kwan, Byung Soo
Bak, Hyerang
Kim, Seung Hwan
author_sort Jeong, Hyeon Yeong
collection PubMed
description Background: Vascular conditions can affect the recanalization rates after endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Chest radiography can assess the conditions of the aortic arch based on the presence or absence of aortic arch calcification (AoAC). The aim of this study was to investigate the relationship between AoAC on chest radiography and first-pass successful recanalization (modified thrombolysis in cerebral infarction 2b/3 after the first-pass). Methods: We compared the rate of first-pass successful recanalization between patients with and without AoAC. A total of 193 patients with anterior circulation occlusion who underwent EVT between January 2017 and December 2021 were included. Results: AoAC was observed in 80 (41.5%) patients. Patients with AoAC were older (74.5 ± 7.78 vs. 63.9 ± 12.4 years, p < 0.001), had more EVT attempts (3.04 ± 1.95 vs. 2.01 ± 1.34 times, p < 0.001), and a longer procedural time (71.7 ± 31.2 vs. 48.7 ± 23.1 min, p < 0.001) than those without AoAC. Moreover, Patients with AoAC showed a lower incidence of first-pass successful recanalization (18.8% vs. 47.8%, p < 0.001) and a higher incidence of postprocedural hemorrhage (45.0% vs. 27.7%, p = 0.015) than those without AoAC. On multivariate analysis, AoAC was independently associated with first-pass successful recanalization (odds ratio: 0.239 [0.121–0.475], p < 0.001). Conclusions: AoAC on chest radiography can be used as a preoperative predictor of successful first-pass recanalization in patients undergoing EVT for AIS.
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spelling pubmed-105735942023-10-14 Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray Jeong, Hyeon Yeong Nam, Taek Min Lee, Sang Hyuk Jang, Ji Hwan Kim, Young Zoon Kim, Kyu Hong Ryu, Kyeong Hwa Kim, Do-Hyung Kwan, Byung Soo Bak, Hyerang Kim, Seung Hwan J Clin Med Article Background: Vascular conditions can affect the recanalization rates after endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Chest radiography can assess the conditions of the aortic arch based on the presence or absence of aortic arch calcification (AoAC). The aim of this study was to investigate the relationship between AoAC on chest radiography and first-pass successful recanalization (modified thrombolysis in cerebral infarction 2b/3 after the first-pass). Methods: We compared the rate of first-pass successful recanalization between patients with and without AoAC. A total of 193 patients with anterior circulation occlusion who underwent EVT between January 2017 and December 2021 were included. Results: AoAC was observed in 80 (41.5%) patients. Patients with AoAC were older (74.5 ± 7.78 vs. 63.9 ± 12.4 years, p < 0.001), had more EVT attempts (3.04 ± 1.95 vs. 2.01 ± 1.34 times, p < 0.001), and a longer procedural time (71.7 ± 31.2 vs. 48.7 ± 23.1 min, p < 0.001) than those without AoAC. Moreover, Patients with AoAC showed a lower incidence of first-pass successful recanalization (18.8% vs. 47.8%, p < 0.001) and a higher incidence of postprocedural hemorrhage (45.0% vs. 27.7%, p = 0.015) than those without AoAC. On multivariate analysis, AoAC was independently associated with first-pass successful recanalization (odds ratio: 0.239 [0.121–0.475], p < 0.001). Conclusions: AoAC on chest radiography can be used as a preoperative predictor of successful first-pass recanalization in patients undergoing EVT for AIS. MDPI 2023-09-22 /pmc/articles/PMC10573594/ /pubmed/37834759 http://dx.doi.org/10.3390/jcm12196115 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jeong, Hyeon Yeong
Nam, Taek Min
Lee, Sang Hyuk
Jang, Ji Hwan
Kim, Young Zoon
Kim, Kyu Hong
Ryu, Kyeong Hwa
Kim, Do-Hyung
Kwan, Byung Soo
Bak, Hyerang
Kim, Seung Hwan
Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
title Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
title_full Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
title_fullStr Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
title_full_unstemmed Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
title_short Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
title_sort impact on endovascular thrombectomy for acute ischemic stroke of aortic arch calcification on chest x-ray
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573594/
https://www.ncbi.nlm.nih.gov/pubmed/37834759
http://dx.doi.org/10.3390/jcm12196115
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