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Feasibility of Thrombectomy in Treating Acute Ischemic Stroke Because of Cervical Artery Dissection
- Source :
- Stroke. 49:3075-3077
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- Background and Purpose— Acute ischemic stroke caused by cervical artery dissection tend to result in unfavorable outcomes even with appropriate medical treatment. This study evaluated the safety and effectiveness of endovascular thrombectomy in treating acute ischemic stroke associated with cervical artery dissection. Methods— Patients with acute ischemic stroke and with large artery occlusion associated with dissection were selected. Propensity score matching was performed to increase the comparability. Patients with a 90-day modified Rankin Scale score of 0 to 2 were defined as with favorable outcome. Results— Eighty patients with and 80 patients without thrombectomy were enrolled. After propensity score matching, 48 patients with and 48 patients without thrombectomy were matched for further analysis. Proportion of favorable outcome (modified Rankin Scale score of 0–2) was higher in patients with thrombectomy than in those without (66.7% versus 39.6%; P =0.008). There were no significance differences about the incidence of symptomatic intracranial hemorrhage (8.3% versus 4.2%; P =0.677) and the 90-day mortality (10.4% versus 6.3%; P =0.714) between matched patients with and without thrombectomy. Conclusions— Endovascular thrombectomy seems to be an effective treatment in selected patients with acute ischemic stroke associated with cervical artery dissection, but the safety of thrombectomy needs further research.
- Subjects :
- Adult
Carotid Artery Diseases
Male
medicine.medical_specialty
Cervical Artery
Dissection (medical)
Postoperative Hemorrhage
030204 cardiovascular system & hematology
Brain Ischemia
03 medical and health sciences
0302 clinical medicine
Modified Rankin Scale
medicine
Humans
Propensity Score
Acute ischemic stroke
Stroke
Thrombectomy
Advanced and Specialized Nursing
Medical treatment
business.industry
Incidence (epidemiology)
Endovascular Procedures
Infarction, Middle Cerebral Artery
Middle Aged
medicine.disease
Surgery
Aortic Dissection
Treatment Outcome
Propensity score matching
Feasibility Studies
Female
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
Intracranial Hemorrhages
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15244628 and 00392499
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Stroke
- Accession number :
- edsair.doi.dedup.....d199cdf07440336101e6e8afaaccd861