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JAMA Neurology-Intravascular thrombectomy, the faster the better, the better the prognosis

 Last Update: 2021-07-27
 Source: Internet
 Author: User

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Vessels within the thrombus resection (the EVT) has been shown to be improved before a large circulation vessel occlusion (the LVO) resulting from acute ischemic stroke prognosis in early (0-6 hr) and late (> 6-24 hours) Good imaging performance during the window period

Vascular Thrombosis Stroke

The effect of intravascular thrombectomy is also inversely proportional to the time from initial imaging to reperfusion.

This collective retrospective cohort study conducted at 6 comprehensive stroke centers in the United States and Europe recruited patients with anterior circulation LVO (branch of internal cerebral artery or middle cerebral artery) from January 1, 2014 to February 29, 2020.

Main outcome and measures: Functional independence (90-day modified Rankin scale score, 0-2) is the main outcome

A total of 1140 LVO patients received EVT treatment after transfer, including 327 (28.

Patients receiving DTA used more intravenous alteplase (200 of 327 [61.

The median time from reaching the center of the EVT to the inguinal puncture, DTA is faster, and the three-month functional independence of DTA is higher

The three-month mortality rate of DTA is relatively low

In the DTA group, as the transfer time between hospitals exceeded 3 hours, the ratio of 0 to 2 points on the modified Rankin scale decreased, but it did not decrease in the repeat imaging group

As the transfer time between hospitals exceeded 3 hours, the ratio of 0 to 2 points on the modified Rankin scale decreased, but it did not decrease in the repeat imaging group

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