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The effect of previous use of antiplatelet therapy (APT) on the outcome of acute ischemic stroke patients receiving endovascular therapy is not yet clear .
Vascular StrokeRecently, a research article was published in Stroke, an authoritative journal in the field of cardiovascular disease.
Researchers aimed to compare the surgical and clinical outcomes of patients who received or did not receive APT before the onset of stroke
Cardiovascular
The researchers analyzed two groups from the French Ischemic Stroke Registry for prospective multi-cardiovascular treatment in France: patients who have previously received APT (APT+) and intravascular patients who have not received APT (APT-).
Treat patients with or without intravenous thrombolysis
.
The researchers used a multi-level mixed-effect logistic model that included the center as a random effect and compared angiography (reperfusion rate at the end of the operation, surgical complications) and clinical (good and excellent outcomes, 90-day total) according to the APT subgroups.
The study analyzed a total of 2939 patients, of which 877 (29.
8%) had received APT
.
In the past, patients with APT were older, and vascular risk factors, cardiogenic stroke mechanisms, and pre-stroke disability were more common
It can be seen that the previous APT does not affect the angiography and functional outcome after endovascular treatment.
Therefore, acute revascularization strategies should not be considered
.
Therefore, acute revascularization strategies should not be considered
.
Original source:
Original source:Marie Couture.
