Endovascular Therapy Versus Medical Therapy for Acute Stroke Attributable to Isolated Cervical Internal Carotid Artery Occlusion Without Intracranial Large Vessel Occlusion

Autor: Michael J. Waters, Patrick McMullan, Peter J. Mitchell, Timothy J. Kleinig, Leonid Churilov, Rebecca Scroop, Richard J. Dowling, Steven J. Bush, Minh Nguyen, Bernard Yan
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Stroke: Vascular and Interventional Neurology, Vol 2, Iss 2 (2022)
Druh dokumentu: article
ISSN: 2694-5746
DOI: 10.1161/SVIN.121.000174
Popis: Background The optimal treatment for acute stroke attributable to isolated cervical internal carotid artery occlusion without intracranial target is unclear. The purpose of our study was to examine whether endovascular therapy for acute stroke attributable to isolated cervical internal carotid artery occlusion was associated with improved clinical outcome. Methods We identified patients from 2 comprehensive stroke centers during the period January 2009 to December 2019, with acute ischemic stroke attributable to cervical internal carotid artery occlusion without an intracranial occlusion. We categorized patients into 2 groups: endovascular therapy and medical therapy. Clinical outcome (modified Rankin scale score at 90 days poststroke) was compared between the 2 groups. Results Seventy‐three patients were included (26 women [36%]; median age, 69 [interquartile range (IQR), 60–80] years; median National Institutes of Health Stroke Scale score, 11 [IQR, 5–16]). Of these, 40 patients received endovascular therapy, and 33 patients were managed with medical therapy alone. The endovascular therapy group had a significantly higher median National Institutes of Health Stroke Scale score on presentation (13 versus 3; P
Databáze: Directory of Open Access Journals