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Thrombectomy is a very effective method for the treatment of acute ischemic stroke in the anterior circulation caused by occlusion of large vessels , and more and more eligible patients .
Although thrombectomy is highly efficient, it may be hindered by some procedural complications, which may be related to poor clinical results .
Knowledge of the incidence, predictive factors and clinical impact of thrombectomy can optimize the procedure of thrombectomy
.
Relatively speaking, few studies describe the procedural complications of the treatment of intravascular stroke in the anterior circulation
The procedure of thrombectomy can be optimized
They used data from the ongoing prospective multi-center observation of ischemic stroke endovascular treatment registry in France
.
This study is a retrospective analysis of 4,029 former stroke patients with major vessel occlusion who underwent thrombectomy at 18 centers from January 2015 to May 2020
They found that 7.
99% of people had surgical complications (95% CI, 7.
17%-8.
ENT and poor clinical results (90-day modified Rankin scale score, 0-2; adjusted OR, 0.
4[95% CI, 0.
25-0.
63]; P<0.
001), increased mortality (adjusted OR, 1.
74 [95% CI, 1.
2-2.
53]; P<0.
001) was related to symptomatic intracerebral hemorrhage (adjusted OR, 1.
87 [95% CI, 1.
15-3.
03]; P=0.
011)
.
Perforation occurred in 1.
69% of people (95% CI, 1.
31%-2.
13%)
.
The predictor of perforation was terminal carotid artery/tandem occlusion (39.
40.
7% of patients died within 90 days.
In the case of perforation, the overall adverse consequence rate was 74.
6%
.
Vascular rupture occurred in 1.
The dissection does not affect the clinical results after 90 days
.
Except for dissection, complications have nothing to do with thrombectomy technique
The important significance of this study lies in the discovery: the complication rate of thrombectomy is not to be ignored, and ENT is the most common
The complication rate of thrombectomy cannot be ignored, ENT is the most commonOriginal source:
Happi Ngankou E, Gory B, Marnat G, et al.
Thrombectomy Complications in Large Vessel Occlusions: Incidence, Predictors, and Clinical Impact in the ETIS Registr y.
Stroke.
Published online October 28, 2021: STROKEAHA.
Thrombectomy Complications in Large Vessel Occlusions: Incidence, Predictors, and Clinical Impact in the ETIS RegistrLeave a message here
