Atatürk Üniversitesi Atatürk Üniversitesi
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Makale Tam Makale Uluslararası 2022

Predictors of Symptomatic Hemorrhage After Endovascular Treatment for Anterior Circulation Occlusions: Turkish Endovascular Stroke Registry

Nihat ŞENGEZE, ATİLLA ÖZCAN ÖZDEMİR, Alper Eren, ÖZLEM AYKAÇ, Elif Sarionder Gencer, Semih Giray, Vedat Yurekli, Serhan Yildirim, Cetin K. Akpinar, Yusuf Inanc, Bilgehan A. Acar, Recep Baydemir, Aysel Milanlioglu, Utku Cenikli, Ayca Ozkul, Erdem Gurkas, Emrah Aytac, Murat Cabalar, Mustafa Gokce, Demet F. Bas, Talip Asil, Ahmet Sair, Adnan Karaibrahimoglu

ANGIOLOGY Cilt 73 · Sayı 9 · ss. 835–842 · 01.10.2022
DOI ile aç

Özet

We evaluated the predictive factors of symptomatic intracranial hemorrhage (SICH) in endovascular treatment of stroke. We included 975 ischemic stroke patients with anterior circulation occlusion. Patients that had hemorrhage and an increase of >= 4 points in their National Institutes of Health Stroke Scale (NIHSS) after the treatment were considered as SICH. The mean age of patients was 65.2 +/- 13.1 years and 469 (48.1%) were women. The median NIHSS was 16 (13-18) and Alberta Stroke Program Early CT 9 (8-10). In 420 patients (43.1%), modified Rankin Scale was favorable (0-2) and mortality was observed in 234 (24%) patients at the end of the third month. Patients with high diastolic blood pressure (P<.05) had significantly higher SICH. SICH was significantly higher in those with high NIHSS scores (P<.001), high blood glucose (P<.001), and leukocyte count at admission (P<.05). Diabetes mellitus (DM) (OR 1.90; P<.001), NIHSS (OR 1.07; P<.05), adjuvant intra-arterial thrombolytic therapy (IA-rtPA) (OR, 1.60; P<.05), and puncture-recanalization time (OR 1.01; P<.05) were independent factors of SICH. Higher baseline NIHSS score, longer procedure time, multiple thrombectomy maneuvers, administration of IA-rtPA, and the history of DM are independent predictors of SICH in anterior circulation occlusion.

Anahtar kelimeler

METAANALYSIS EFFICACY THERAPY blood pressure OUTCOMES INFARCTION STROKE Mechanical thrombectomy acute ischemic stroke anterior circulation occlusion endovascular therapy symptomatic hemorrhage INTRACRANIAL HEMORRHAGE RETRIEVER

Sürdürülebilir Kalkınma Amaçları

  • SKA 3: Sağlıklı Bireyler
  • SKA 16: Barış, Adalet ve Güçlü Kurumlar

Atıf için künye

ŞENGEZE, N., ÖZDEMİR, A. Ö., Eren, A., AYKAÇ, Ö., Gencer, E. S., Giray, S., Yurekli, V., Yildirim, S., Akpinar, C. K., Inanc, Y., Acar, B. A., Baydemir, R., Milanlioglu, A., Cenikli, U., Ozkul, A., Gurkas, E., Aytac, E., Cabalar, M., Gokce, M., … Karaibrahimoglu, A. (2022). Predictors of Symptomatic Hemorrhage After Endovascular Treatment for Anterior Circulation Occlusions: Turkish Endovascular Stroke Registry. ANGIOLOGY, 73(9), 835–842. https://doi.org/10.1177/00033197221082711

BibTeX 
@article{sengeze2022-229053,
  author = {ŞENGEZE, Nihat and ÖZDEMİR, ATİLLA ÖZCAN and Eren, Alper and AYKAÇ, ÖZLEM and Gencer, Elif Sarionder and Giray, Semih and Yurekli, Vedat and Yildirim, Serhan and Akpinar, Cetin K. and Inanc, Yusuf and Acar, Bilgehan A. and Baydemir, Recep and Milanlioglu, Aysel and Cenikli, Utku and Ozkul, Ayca and Gurkas, Erdem and Aytac, Emrah and Cabalar, Murat and Gokce, Mustafa and Bas, Demet F. and Asil, Talip and Sair, Ahmet and Karaibrahimoglu, Adnan},
  title = {Predictors of Symptomatic Hemorrhage After Endovascular Treatment for Anterior Circulation Occlusions: Turkish Endovascular Stroke Registry},
  journal = {ANGIOLOGY},
  year = {2022},
  volume = {73},
  number = {9},
  pages = {835--842},
  issn = {0003-3197},
  doi = {10.1177/00033197221082711},
  url = {https://akademik.atauni.edu.tr/yayinlar/229053-predictors-of-symptomatic-hemorrhage-after-endovascular-treatment-for-anterior}
}