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| Verfasst von: | Purrucker, Jan [VerfasserIn]  |
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| | Ringleb, Peter A. [VerfasserIn] |
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| | Seker, Fatih [VerfasserIn] |
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| | Potreck, Arne [VerfasserIn] |
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| | Nagel, Simon [VerfasserIn] |
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| | Schönenberger, Silvia [VerfasserIn] |
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| | Berberich, Anne [VerfasserIn] |
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| | Neuberger, Ulf [VerfasserIn] |
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| | Möhlenbruch, Markus Alfred [VerfasserIn] |
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| | Weyland, Charlotte S. [VerfasserIn] |
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| Titel: | Leaving the day behind |
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| Titelzusatz: | endovascular therapy beyond 24 h in acute stroke of the anterior and posterior circulation |
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| Verf.angabe: | Jan C. Purrucker, Peter A. Ringleb, Fatih Seker, Arne Potreck, Simon Nagel, Silvia Schönenberger, Anne Berberich, Ulf Neuberger, Markus Möhlenbruch and Charlotte Weyland |
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| Jahr: | 2022 |
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| Umfang: | 11 S. |
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| Fussnoten: | Gesehen am 03.06.2022 |
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| Titel Quelle: | Enthalten in: Therapeutic advances in neurological disorders |
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| Ort Quelle: | London [u.a.] : Sage, 2008 |
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| Jahr Quelle: | 2022 |
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| Band/Heft Quelle: | 15(2022), Artikel-ID 17562864221101083, Seite 1-11 |
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| ISSN Quelle: | 1756-2864 |
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| Abstract: | Background:There is little evidence of endovascular therapy (EVT) being performed in acute ischemic stroke beyond 24 h, and that evidence is limited to anterior circulation stroke.Objective:To extend evidence of efficacy and safety of EVT after more than 24?h in both anterior and posterior circulation stroke.Methods:Local, prospectively collected registries were screened for patients with acute ischemic stroke and large-vessel occlusion who had received either EVT?>?24?h after last-seen-well but <24?h after symptom recognition (EVT>24LSW) or EVT?>?24?h since first (definitive) symptom recognition (EVT>24DEF). Patients treated <24?h served as a group for comparison. Favorable outcome was defined as modified Rankin scale (mRS) 0?2 or return to prestroke mRS at 3?months.Results:Between January 2014 and August 2021, N?=?2347 were treated with EVT at our comprehensive stroke center, of whom n?=?43 met the inclusion criteria (EVT>24LSW, n?=?16, EVT>24DEF, n?=?27). EVT>24LSW patients were treated at a median of 28.7?h [interquartile range (IQR)?=?27.3?32.8] after last-seen-well and 7.3?h (IQR?=?2.8?14.3) after symptom recognition; EVT>24DEF patients were treated 52.5?h (IQR?=?26.5?94.2) after first symptoms. Favorable outcome was achieved by 23.3% (10/43) in the EVT?>?24 compared with 39.4% (886/2250) in the EVT??24, 27.9% (12/43) versus EVT??24, 41.7% (5/12) versus EVT? |
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| DOI: | doi:10.1177/17562864221101083 |
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| URL: | kostenfrei: Volltext ; Verlag: https://doi.org/10.1177/17562864221101083 |
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| | kostenfrei: Volltext: https://journals.sagepub.com/doi/10.1177/17562864221101083 |
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| | DOI: https://doi.org/10.1177/17562864221101083 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | endovascular therapy |
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| | ischemic stroke |
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| | thrombectomy |
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| K10plus-PPN: | 1805898248 |
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| Verknüpfungen: | → Zeitschrift |
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| Lokale URL UB: |  Zum Volltext |
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