| Online-Ressource |
Verfasst von: | Seker, Fatih [VerfasserIn]  |
| Pfaff, Johannes [VerfasserIn]  |
| Schönenberger, Silvia [VerfasserIn]  |
| Herweh, Christian [VerfasserIn]  |
| Nagel, Simon [VerfasserIn]  |
| Ringleb, Peter A. [VerfasserIn]  |
| Bendszus, Martin [VerfasserIn]  |
| Möhlenbruch, Markus Alfred [VerfasserIn]  |
Titel: | Clinical outcome after thrombectomy in patients with stroke with premorbid modified rankin scale scores of 3 and 4 |
Titelzusatz: | a cohort study with 136 patients |
Verf.angabe: | F. Seker, J. Pfaff, S. Schönenberger, C. Herweh, S. Nagel, P.A. Ringleb, M. Bendszus, and M.A. Möhlenbruch |
E-Jahr: | 2019 |
Jahr: | February 13, 2019 |
Umfang: | 4 S. |
Fussnoten: | Gesehen am 29.11.2019 |
Titel Quelle: | Enthalten in: American journal of neuroradiology |
Ort Quelle: | Oak Brook, Ill. : Soc., 1980 |
Jahr Quelle: | 2019 |
Band/Heft Quelle: | 40(2019), 2, Seite 283-286 |
ISSN Quelle: | 1936-959X |
Abstract: | BACKGROUND AND PURPOSE: We aimed to analyze the clinical outcome after mechanical thrombectomy in patients with premorbid mRS 3 and 4 because there are currently no data on this patient group. - MATERIALS AND METHODS: Between January 2009 and November 2017, all patients with premorbid mRS 3 or 4 undergoing mechanical thrombectomy due to anterior circulation stroke were selected. Good outcome was defined as a clinical recovery to the status before stroke onset (ie, equal premorbid mRS and mRS at 90 days). In addition, mortality at discharge and at 90 days was analyzed. - RESULTS: One hundred thirty-six patients were included, of whom 81.6% presented with premorbid mRS 3; and 18.4%, with premorbid mRS 4; 24.0% of patients with premorbid mRS 4 achieved clinical recovery compared with 20.7% of patients with premorbid mRS 3 (P = .788). However, the proportion of hospital mortality and mortality at 90 days was nonsignificant, but markedly higher in patients with premorbid mRS 4. Multivariate analysis identified low NIHSS scores (OR, 0.92; 95% CI, 0.85-0.99; P = .040), high ASPECTS (OR, 1.45; 95% CI, 1.02-2.16; P = .049), and TICI 2b-3 (OR, 7.11; 95% CI, 1.73-49.90; P = .017) as independent predictors of good outcome. - CONCLUSIONS: Good outcome in patients with premorbid mRS 3 and 4 is less frequent compared with premorbid mRS 0-2. Nevertheless, about 20% of the patients return to their premorbid mRS, which may justify endovascular treatment. The most important predictor of good outcome is successful recanalization. |
DOI: | doi:10.3174/ajnr.A5920 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.3174/ajnr.A5920 |
| Volltext: http://www.ajnr.org/content/40/2/283 |
| DOI: https://doi.org/10.3174/ajnr.A5920 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 167755231X |
Verknüpfungen: | → Zeitschrift |
Clinical outcome after thrombectomy in patients with stroke with premorbid modified rankin scale scores of 3 and 4 / Seker, Fatih [VerfasserIn]; February 13, 2019 (Online-Ressource)