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    Home > Active Ingredient News > Study of Nervous System > Voice of China: What is the 5-year outcome of endovascular treatment for acute ischemic stroke with large vessel occlusion?

    Voice of China: What is the 5-year outcome of endovascular treatment for acute ischemic stroke with large vessel occlusion?

    • Last Update: 2022-03-08
    • Source: Internet
    • Author: User
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    Endovascular therapy (EVT) has become the standard of care for acute ischemic stroke with large vessel occlusion (LVO)
    .

    However, results on long-term clinical outcomes are lacking
    .

    The aim of this study was to assess the 5-year functional outcomes of patients with acute LVO in the anterior circulation undergoing EVT
    .

    The first author of this study is Professor Li Fengli from the Second Affiliated Hospital of Army Medical University (Chongqing Xinqiao Hospital)
    .

    The findings were presented as a poster abstract at the International Stroke Congress 2022 (ISC 2022)
    .

    The author of this article: Yimaitong ISC report group compiled and organized by Yimaitong, please do not reprint without authorization
    .

    STUDY INTRODUCTION This is a nationwide observational registry study of acute anterior circulation LVO patients aged 18 years and older receiving EVT in 27 comprehensive stroke centers in 12 provinces in China
    .

    The primary outcome was the proportion of patients with good function after 5 years, defined as a modified Rankin Scale score (mRS) of 2 or less
    .

    Secondary outcomes included the proportion of patients with good clinical outcomes (mRS 0-1), all-cause mortality, and risk of recurrent stroke after 5 years
    .

     MAIN STUDY RESULTS ➤ A total of 807 patients were included in the study
    .

    Of these, 642 patients (79.
    6%) had 5-year follow-up data
    .

    The proportion of favorable outcomes (40.
    7% vs 43.
    2%, P=0.
    321) and the proportions of favorable outcomes after 5 years (29.
    6% vs 27.
    0%, P=0.
    278) were similar to those at 90 days after stroke
    .

     ➤ The 5-year cumulative mortality rate (47.
    0% vs 24.
    7%, P<0.
    001) and stroke recurrence rate (19.
    9% ​​vs 1.
    6%, P<0.
    001) were significantly higher than those at 90 days, with 66.
    4% of stroke recurrence after 5 years death
    .

     ➤ Multivariate analysis found that increasing age, residual disability at 90 days, and recurrent stroke were predictors of good functional outcomes and increased risk of mortality after 5 years
    .

      CONCLUSIONS: This study shows that patients with acute anterior circulation LVO who received EVT mostly had good outcomes after 5 years, but the mortality and stroke recurrence rates were also higher
    .

    Increasing age, 90-day residual disability, and recurrent stroke were predictors of good functional outcome and increased risk of mortality after 5 years
    .

    Yimaitong compiled from: Five-year Outcome After Endovascular Treatment For Large Vessel Occlusion In Acute Ischemic Stroke.
    ISC 2022.
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