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Stroke: Post-circulation ischemia, how effective is endovascular treatment

 Last Update: 2022-01-08
 Source: Internet
 Author: User

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After circulating large vascular occlusion (LVO) accounts for all ischemic cerebral stroke of 1%, with high morbidity and mortality

Vascular Stroke

However, recent trials of patients with basilar artery occlusion (BAO) stroke have not shown that EVT has advantages over optimal medical management

Manage blood clots

Therefore, more information about the results of PCS and its determinants are needed to help treatment decisions in clinical practice, and perhaps the design of future RCTs

For example, patients who choose EVT outside of BASICS may be based on favorable characteristics (for example, young age) or trial exclusion criteria, resulting in a different patient cohort compared to other clinical practice registries

They enrolled 264 patients, of which 135 (51%) received intravenous thrombolysis

115/252 (46%) patients achieved good results (modified Rankin score 0-3), and 109/252 (43%) patients died

178/238 people (75%) successfully achieved reperfusion, and 9/264 people (3%) experienced symptomatic intracranial hemorrhage

The 154 non-experimental patients who received EVT in the BASICS trial center had similar characteristics and results with the 110 patients treated in the non-experimental center (modified Rankin scale adjusted cor: 0.

The important significance of this study is that it has found that despite the high mortality rate, the treatment of PCS by EVT can achieve higher clinical effects and successful reperfusion rates

Although the mortality rate is high, the treatment of PCS by EVT can achieve high clinical effects and successful reperfusion rate

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