Predictors of Symptomatic Hemorrhage After Endovascular Treatment for Anterior Circulation Occlusions: Turkish Endovascular Stroke Registry.

Autor: Sengeze N; Department of Neurology, 64077Suleyman Demirel University Hospital, Isparta, Turkey., Özdemir AÖ; Department of Neurology, 53004Osmangazi University Hospital, Eskisehir, Turkey., Eren A; Department of Neurology, 64060Ataturk University Hospital, Erzurum, Turkey., Aykac Ö; Department of Neurology, 53004Osmangazi University Hospital, Eskisehir, Turkey., Sarıönder Gencer E; Department of Neurology, 218503University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey., Giray S; Department of Neurology, 64068Gaziantep University Hospital, Gaziantep, Turkey., Ali Yurekli V; Department of Neurology, 64077Suleyman Demirel University Hospital, Isparta, Turkey., Yıldırım S; Department of Neurology, University of Health Sciences Kocaeli Training and Research Hospital, Kocaeli, Turkey., Akpınar ÇK; Department of Neurology, 375269Samsun Education and Research Hospital, Samsun, Turkey., Inanc Y; Department of Neurology, 64068Gaziantep University Hospital, Gaziantep, Turkey., Acar BA; Department of Neurology, Sakarya University Hospital, Sakarya, Turkey., Baydemir R; Department of Neurology, 64212Erciyes University Hospital, Kayseri, Turkey., Milanlioglu A; Department of Neurology, 64162Yuzuncu Yil University Hospital, Van, Turkey., Cenikli U; Department of Neurology, 175646University of Health Sciences Mugla Training and Research Hospital, Mugla, Turkey., Ozkul A; Department of Neurology, 64036Adnan Menders University Medicine Faculty, Aydın, Turkey., Gurkas E; Department of Neurology, 147015Kartal Dr Lutfi Kırdar Training and Research Hospital, İstanbul, Turkey., Aytac E; Department of Neurology, 64177Firat University, Elazig, Turkey., Cabalar M; Department of Neurology, 147005İstanbul Bakırkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey., Gokce M; Department of Neurology, 123647Sutcu Imam University Hospital, Kahramanmaras, Turkey., Bas DF; Department of Neurology, 64205University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey., Asil T; Department of Neurology, 367038King Hamad University Hospital, Busaiteen, Kingdom of Baharin., Sair A; Department of Neurology, 64036Adnan Menders University Medicine Faculty, Aydın, Turkey., Karaibrahimoglu A; Department of Statistical Institute, 64076Medicine Faculty of Suleyman Demirel University, Isparta, Turkey.
Jazyk: angličtina
Zdroj: Angiology [Angiology] 2022 Oct; Vol. 73 (9), pp. 835-842. Date of Electronic Publication: 2022 Mar 06.
DOI: 10.1177/00033197221082711
Abstrakt: We evaluated the predictive factors of symptomatic intracranial hemorrhage (SICH) in endovascular treatment of stroke. We included 975 ischemic stroke patients with anterior circulation occlusion. Patients that had hemorrhage and an increase of ≥4 points in their National Institutes of Health Stroke Scale (NIHSS) after the treatment were considered as SICH. The mean age of patients was 65.2±13.1 years and 469 (48.1%) were women. The median NIHSS was 16 (13-18) and Alberta Stroke Program Early CT 9 (8-10). In 420 patients (43.1%), modified Rankin Scale was favorable (0-2) and mortality was observed in 234 (24%) patients at the end of the third month. Patients with high diastolic blood pressure ( P <.05) had significantly higher SICH. SICH was significantly higher in those with high NIHSS scores ( P <.001), high blood glucose ( P <.001), and leukocyte count at admission ( P <.05). Diabetes mellitus (DM) (OR 1.90; P <.001), NIHSS (OR 1.07; P <.05), adjuvant intra-arterial thrombolytic therapy (IA-rtPA) (OR, 1.60; P <.05), and puncture-recanalization time (OR 1.01; P <.05) were independent factors of SICH. Higher baseline NIHSS score, longer procedure time, multiple thrombectomy maneuvers, administration of IA-rtPA, and the history of DM are independent predictors of SICH in anterior circulation occlusion.
Databáze: MEDLINE
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