Complete recanalization predicts favorable outcome in patients with distal M2-M3 middle cerebral artery occlusions following endovascular thrombectomy
— scanty articles illustrate the prognostic factors for favorable outcome after endovascular thrombectomy (EVT) in distal vessel occlusion (DMVO). Moreover, the current literature is diversified; conglomerating both primary, secondary, and anterior, posterior circulations embolic strokes in the same...
Gespeichert in:
| Veröffentlicht in: | Journal of neuroradiology 2023-03, Vol.50 (2), p.230-236 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 236 |
|---|---|
| container_issue | 2 |
| container_start_page | 230 |
| container_title | Journal of neuroradiology |
| container_volume | 50 |
| creator | ABDELRADY, Mohamed DERRAZ, Imad DARGAZANLI, Cyril CHEDDAD EL AOUNI, Mourad LEFEVRE, Pierre-Henri CAGNAZZO, Federico RIQUELME, Carlos GASCOU, Gregory ARQUIZAN, Caroline MOURAND, Isabelle BEN SALEM, Douraied COSTALAT, Vincent GENTRIC, Jean-Christophe OGNARD, Julien |
| description | — scanty articles illustrate the prognostic factors for favorable outcome after endovascular thrombectomy (EVT) in distal vessel occlusion (DMVO). Moreover, the current literature is diversified; conglomerating both primary, secondary, and anterior, posterior circulations embolic strokes in the same shell.
to identify the association between complete reperfusion and favorable outcome following EVT for DMVO in the middle cerebral artery (MCA) territory.
—we performed a retrospective analysis of prospectively maintained EVT registries at two comprehensive stroke centers between January 2015 and December 2019 for consecutive stroke patients with MCA-DMVO. DMVO was defined as an occlusion of distal M2 and M3 segments of the MCA. Only patients with primary isolated occlusions were included. A multivariate logistic regression was utilized to identify clinical and procedural-related factors associated with the 90-day favorable clinical outcome [defined as modified Rankin score (mRS) 0-2] after EVT.
—Out of 1823 within the registries; 66 patients (median age was 72 (60-78) and 59% were males) with primary isolated DMVO of the MCA were eligible for inclusion in the current study. Complete reperfusion was achieved in 56% (37/66) of the patients with no difference among the reperfusion strategies while the favorable outcome was observed in 68% (45/66). In the multivariate analysis, final complete reperfusion [modified Thrombolysis In Cerebral Infarction (mTICI) score 2c-3] was significantly associated with favorable outcome [aOR=7.69; (95% CI 1.73-34.17); p=.01], while higher baseline NIHSS score [aOR=0.82; (95% CI 0.69-0.98); p=.03] and increased imaging to puncture interval [aOR=0.99; (95% CI 0.98, 1.00); p=.01] decreased the probability of the favorable outcome.
according to our results, complete reperfusion was the most significant predictor of the favorable outcome, while higher baseline NIHSS and longer imaging to puncture interval decreased the probability of the favorable outcome. |
| doi_str_mv | 10.1016/j.neurad.2022.11.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2740909700</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0150986122001729</els_id><sourcerecordid>2740909700</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-886b2da2f299368348a8599c844bed414359666643fedc99dab6536a37e721753</originalsourceid><addsrcrecordid>eNp9kctu3CAUhlk0ai7tG1QVy2zscjM2m0jRKL1Iibpp1wjDccMImwngiaYP0uct0SRZhg0S5zv_EedD6BMlLSVUftm2C6zJuJYRxlpKW0L6d-iM0I40apD0FJ3nvCWEUSrYe3TKpeBSUnqG_m3ivAtQACewZjHB_zXFxwXvEjhvS8aT2cdkxgA4rsXGGbCv1QrBUquPvtxj53MxAd-x5o7j2TtXYQsJxlRfTSqQDjhaG9Zck2tiDCE--uUPhsXFvcl2DSbhcp_iPIItcT58QCeTCRk-Pt8X6PfXm1-b783tz28_Nte3jRVkKM0wyJE5wyamFJcDF4MZOqXsIMQITlDBOyXrEXwCZ5VyZpQdl4b30DPad_wCXR5zdyk-rJCLnn22EIJZIK5Zs14QRVRPSEXFEbUp5pxg0rvkZ5MOmhL9ZEFv9dGCfrKgKdXVQm37_DxhHWdwr00vCipwdQSg_nPvIels625tXX9VUrSL_u0J_wEOwJ_T</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2740909700</pqid></control><display><type>article</type><title>Complete recanalization predicts favorable outcome in patients with distal M2-M3 middle cerebral artery occlusions following endovascular thrombectomy</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>ABDELRADY, Mohamed ; DERRAZ, Imad ; DARGAZANLI, Cyril ; CHEDDAD EL AOUNI, Mourad ; LEFEVRE, Pierre-Henri ; CAGNAZZO, Federico ; RIQUELME, Carlos ; GASCOU, Gregory ; ARQUIZAN, Caroline ; MOURAND, Isabelle ; BEN SALEM, Douraied ; COSTALAT, Vincent ; GENTRIC, Jean-Christophe ; OGNARD, Julien</creator><creatorcontrib>ABDELRADY, Mohamed ; DERRAZ, Imad ; DARGAZANLI, Cyril ; CHEDDAD EL AOUNI, Mourad ; LEFEVRE, Pierre-Henri ; CAGNAZZO, Federico ; RIQUELME, Carlos ; GASCOU, Gregory ; ARQUIZAN, Caroline ; MOURAND, Isabelle ; BEN SALEM, Douraied ; COSTALAT, Vincent ; GENTRIC, Jean-Christophe ; OGNARD, Julien</creatorcontrib><description>— scanty articles illustrate the prognostic factors for favorable outcome after endovascular thrombectomy (EVT) in distal vessel occlusion (DMVO). Moreover, the current literature is diversified; conglomerating both primary, secondary, and anterior, posterior circulations embolic strokes in the same shell.
to identify the association between complete reperfusion and favorable outcome following EVT for DMVO in the middle cerebral artery (MCA) territory.
—we performed a retrospective analysis of prospectively maintained EVT registries at two comprehensive stroke centers between January 2015 and December 2019 for consecutive stroke patients with MCA-DMVO. DMVO was defined as an occlusion of distal M2 and M3 segments of the MCA. Only patients with primary isolated occlusions were included. A multivariate logistic regression was utilized to identify clinical and procedural-related factors associated with the 90-day favorable clinical outcome [defined as modified Rankin score (mRS) 0-2] after EVT.
—Out of 1823 within the registries; 66 patients (median age was 72 (60-78) and 59% were males) with primary isolated DMVO of the MCA were eligible for inclusion in the current study. Complete reperfusion was achieved in 56% (37/66) of the patients with no difference among the reperfusion strategies while the favorable outcome was observed in 68% (45/66). In the multivariate analysis, final complete reperfusion [modified Thrombolysis In Cerebral Infarction (mTICI) score 2c-3] was significantly associated with favorable outcome [aOR=7.69; (95% CI 1.73-34.17); p=.01], while higher baseline NIHSS score [aOR=0.82; (95% CI 0.69-0.98); p=.03] and increased imaging to puncture interval [aOR=0.99; (95% CI 0.98, 1.00); p=.01] decreased the probability of the favorable outcome.
according to our results, complete reperfusion was the most significant predictor of the favorable outcome, while higher baseline NIHSS and longer imaging to puncture interval decreased the probability of the favorable outcome.</description><identifier>ISSN: 0150-9861</identifier><identifier>DOI: 10.1016/j.neurad.2022.11.007</identifier><identifier>PMID: 36436611</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Aged ; Brain Ischemia - etiology ; Distal occlusion ; DMVO ; Endovascular Procedures - methods ; Female ; Humans ; Infarction, Middle Cerebral Artery - etiology ; Ischemic Stroke ; Male ; Outcome ; Retrospective Studies ; Stroke - etiology ; Thrombectomy ; Thrombectomy - methods ; Treatment Outcome</subject><ispartof>Journal of neuroradiology, 2023-03, Vol.50 (2), p.230-236</ispartof><rights>2022 Elsevier Masson SAS</rights><rights>Copyright © 2022 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-886b2da2f299368348a8599c844bed414359666643fedc99dab6536a37e721753</citedby><cites>FETCH-LOGICAL-c408t-886b2da2f299368348a8599c844bed414359666643fedc99dab6536a37e721753</cites><orcidid>0000-0001-5532-2208 ; 0000-0003-4495-7464 ; 0000-0002-3144-4013</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0150986122001729$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36436611$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ABDELRADY, Mohamed</creatorcontrib><creatorcontrib>DERRAZ, Imad</creatorcontrib><creatorcontrib>DARGAZANLI, Cyril</creatorcontrib><creatorcontrib>CHEDDAD EL AOUNI, Mourad</creatorcontrib><creatorcontrib>LEFEVRE, Pierre-Henri</creatorcontrib><creatorcontrib>CAGNAZZO, Federico</creatorcontrib><creatorcontrib>RIQUELME, Carlos</creatorcontrib><creatorcontrib>GASCOU, Gregory</creatorcontrib><creatorcontrib>ARQUIZAN, Caroline</creatorcontrib><creatorcontrib>MOURAND, Isabelle</creatorcontrib><creatorcontrib>BEN SALEM, Douraied</creatorcontrib><creatorcontrib>COSTALAT, Vincent</creatorcontrib><creatorcontrib>GENTRIC, Jean-Christophe</creatorcontrib><creatorcontrib>OGNARD, Julien</creatorcontrib><title>Complete recanalization predicts favorable outcome in patients with distal M2-M3 middle cerebral artery occlusions following endovascular thrombectomy</title><title>Journal of neuroradiology</title><addtitle>J Neuroradiol</addtitle><description>— scanty articles illustrate the prognostic factors for favorable outcome after endovascular thrombectomy (EVT) in distal vessel occlusion (DMVO). Moreover, the current literature is diversified; conglomerating both primary, secondary, and anterior, posterior circulations embolic strokes in the same shell.
to identify the association between complete reperfusion and favorable outcome following EVT for DMVO in the middle cerebral artery (MCA) territory.
—we performed a retrospective analysis of prospectively maintained EVT registries at two comprehensive stroke centers between January 2015 and December 2019 for consecutive stroke patients with MCA-DMVO. DMVO was defined as an occlusion of distal M2 and M3 segments of the MCA. Only patients with primary isolated occlusions were included. A multivariate logistic regression was utilized to identify clinical and procedural-related factors associated with the 90-day favorable clinical outcome [defined as modified Rankin score (mRS) 0-2] after EVT.
—Out of 1823 within the registries; 66 patients (median age was 72 (60-78) and 59% were males) with primary isolated DMVO of the MCA were eligible for inclusion in the current study. Complete reperfusion was achieved in 56% (37/66) of the patients with no difference among the reperfusion strategies while the favorable outcome was observed in 68% (45/66). In the multivariate analysis, final complete reperfusion [modified Thrombolysis In Cerebral Infarction (mTICI) score 2c-3] was significantly associated with favorable outcome [aOR=7.69; (95% CI 1.73-34.17); p=.01], while higher baseline NIHSS score [aOR=0.82; (95% CI 0.69-0.98); p=.03] and increased imaging to puncture interval [aOR=0.99; (95% CI 0.98, 1.00); p=.01] decreased the probability of the favorable outcome.
according to our results, complete reperfusion was the most significant predictor of the favorable outcome, while higher baseline NIHSS and longer imaging to puncture interval decreased the probability of the favorable outcome.</description><subject>Aged</subject><subject>Brain Ischemia - etiology</subject><subject>Distal occlusion</subject><subject>DMVO</subject><subject>Endovascular Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Infarction, Middle Cerebral Artery - etiology</subject><subject>Ischemic Stroke</subject><subject>Male</subject><subject>Outcome</subject><subject>Retrospective Studies</subject><subject>Stroke - etiology</subject><subject>Thrombectomy</subject><subject>Thrombectomy - methods</subject><subject>Treatment Outcome</subject><issn>0150-9861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu3CAUhlk0ai7tG1QVy2zscjM2m0jRKL1Iibpp1wjDccMImwngiaYP0uct0SRZhg0S5zv_EedD6BMlLSVUftm2C6zJuJYRxlpKW0L6d-iM0I40apD0FJ3nvCWEUSrYe3TKpeBSUnqG_m3ivAtQACewZjHB_zXFxwXvEjhvS8aT2cdkxgA4rsXGGbCv1QrBUquPvtxj53MxAd-x5o7j2TtXYQsJxlRfTSqQDjhaG9Zck2tiDCE--uUPhsXFvcl2DSbhcp_iPIItcT58QCeTCRk-Pt8X6PfXm1-b783tz28_Nte3jRVkKM0wyJE5wyamFJcDF4MZOqXsIMQITlDBOyXrEXwCZ5VyZpQdl4b30DPad_wCXR5zdyk-rJCLnn22EIJZIK5Zs14QRVRPSEXFEbUp5pxg0rvkZ5MOmhL9ZEFv9dGCfrKgKdXVQm37_DxhHWdwr00vCipwdQSg_nPvIels625tXX9VUrSL_u0J_wEOwJ_T</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>ABDELRADY, Mohamed</creator><creator>DERRAZ, Imad</creator><creator>DARGAZANLI, Cyril</creator><creator>CHEDDAD EL AOUNI, Mourad</creator><creator>LEFEVRE, Pierre-Henri</creator><creator>CAGNAZZO, Federico</creator><creator>RIQUELME, Carlos</creator><creator>GASCOU, Gregory</creator><creator>ARQUIZAN, Caroline</creator><creator>MOURAND, Isabelle</creator><creator>BEN SALEM, Douraied</creator><creator>COSTALAT, Vincent</creator><creator>GENTRIC, Jean-Christophe</creator><creator>OGNARD, Julien</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5532-2208</orcidid><orcidid>https://orcid.org/0000-0003-4495-7464</orcidid><orcidid>https://orcid.org/0000-0002-3144-4013</orcidid></search><sort><creationdate>202303</creationdate><title>Complete recanalization predicts favorable outcome in patients with distal M2-M3 middle cerebral artery occlusions following endovascular thrombectomy</title><author>ABDELRADY, Mohamed ; DERRAZ, Imad ; DARGAZANLI, Cyril ; CHEDDAD EL AOUNI, Mourad ; LEFEVRE, Pierre-Henri ; CAGNAZZO, Federico ; RIQUELME, Carlos ; GASCOU, Gregory ; ARQUIZAN, Caroline ; MOURAND, Isabelle ; BEN SALEM, Douraied ; COSTALAT, Vincent ; GENTRIC, Jean-Christophe ; OGNARD, Julien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-886b2da2f299368348a8599c844bed414359666643fedc99dab6536a37e721753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Brain Ischemia - etiology</topic><topic>Distal occlusion</topic><topic>DMVO</topic><topic>Endovascular Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Infarction, Middle Cerebral Artery - etiology</topic><topic>Ischemic Stroke</topic><topic>Male</topic><topic>Outcome</topic><topic>Retrospective Studies</topic><topic>Stroke - etiology</topic><topic>Thrombectomy</topic><topic>Thrombectomy - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ABDELRADY, Mohamed</creatorcontrib><creatorcontrib>DERRAZ, Imad</creatorcontrib><creatorcontrib>DARGAZANLI, Cyril</creatorcontrib><creatorcontrib>CHEDDAD EL AOUNI, Mourad</creatorcontrib><creatorcontrib>LEFEVRE, Pierre-Henri</creatorcontrib><creatorcontrib>CAGNAZZO, Federico</creatorcontrib><creatorcontrib>RIQUELME, Carlos</creatorcontrib><creatorcontrib>GASCOU, Gregory</creatorcontrib><creatorcontrib>ARQUIZAN, Caroline</creatorcontrib><creatorcontrib>MOURAND, Isabelle</creatorcontrib><creatorcontrib>BEN SALEM, Douraied</creatorcontrib><creatorcontrib>COSTALAT, Vincent</creatorcontrib><creatorcontrib>GENTRIC, Jean-Christophe</creatorcontrib><creatorcontrib>OGNARD, Julien</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ABDELRADY, Mohamed</au><au>DERRAZ, Imad</au><au>DARGAZANLI, Cyril</au><au>CHEDDAD EL AOUNI, Mourad</au><au>LEFEVRE, Pierre-Henri</au><au>CAGNAZZO, Federico</au><au>RIQUELME, Carlos</au><au>GASCOU, Gregory</au><au>ARQUIZAN, Caroline</au><au>MOURAND, Isabelle</au><au>BEN SALEM, Douraied</au><au>COSTALAT, Vincent</au><au>GENTRIC, Jean-Christophe</au><au>OGNARD, Julien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complete recanalization predicts favorable outcome in patients with distal M2-M3 middle cerebral artery occlusions following endovascular thrombectomy</atitle><jtitle>Journal of neuroradiology</jtitle><addtitle>J Neuroradiol</addtitle><date>2023-03</date><risdate>2023</risdate><volume>50</volume><issue>2</issue><spage>230</spage><epage>236</epage><pages>230-236</pages><issn>0150-9861</issn><abstract>— scanty articles illustrate the prognostic factors for favorable outcome after endovascular thrombectomy (EVT) in distal vessel occlusion (DMVO). Moreover, the current literature is diversified; conglomerating both primary, secondary, and anterior, posterior circulations embolic strokes in the same shell.
to identify the association between complete reperfusion and favorable outcome following EVT for DMVO in the middle cerebral artery (MCA) territory.
—we performed a retrospective analysis of prospectively maintained EVT registries at two comprehensive stroke centers between January 2015 and December 2019 for consecutive stroke patients with MCA-DMVO. DMVO was defined as an occlusion of distal M2 and M3 segments of the MCA. Only patients with primary isolated occlusions were included. A multivariate logistic regression was utilized to identify clinical and procedural-related factors associated with the 90-day favorable clinical outcome [defined as modified Rankin score (mRS) 0-2] after EVT.
—Out of 1823 within the registries; 66 patients (median age was 72 (60-78) and 59% were males) with primary isolated DMVO of the MCA were eligible for inclusion in the current study. Complete reperfusion was achieved in 56% (37/66) of the patients with no difference among the reperfusion strategies while the favorable outcome was observed in 68% (45/66). In the multivariate analysis, final complete reperfusion [modified Thrombolysis In Cerebral Infarction (mTICI) score 2c-3] was significantly associated with favorable outcome [aOR=7.69; (95% CI 1.73-34.17); p=.01], while higher baseline NIHSS score [aOR=0.82; (95% CI 0.69-0.98); p=.03] and increased imaging to puncture interval [aOR=0.99; (95% CI 0.98, 1.00); p=.01] decreased the probability of the favorable outcome.
according to our results, complete reperfusion was the most significant predictor of the favorable outcome, while higher baseline NIHSS and longer imaging to puncture interval decreased the probability of the favorable outcome.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>36436611</pmid><doi>10.1016/j.neurad.2022.11.007</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5532-2208</orcidid><orcidid>https://orcid.org/0000-0003-4495-7464</orcidid><orcidid>https://orcid.org/0000-0002-3144-4013</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0150-9861 |
| ispartof | Journal of neuroradiology, 2023-03, Vol.50 (2), p.230-236 |
| issn | 0150-9861 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2740909700 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Brain Ischemia - etiology Distal occlusion DMVO Endovascular Procedures - methods Female Humans Infarction, Middle Cerebral Artery - etiology Ischemic Stroke Male Outcome Retrospective Studies Stroke - etiology Thrombectomy Thrombectomy - methods Treatment Outcome |
| title | Complete recanalization predicts favorable outcome in patients with distal M2-M3 middle cerebral artery occlusions following endovascular thrombectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T13%3A41%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Complete%20recanalization%20predicts%20favorable%20outcome%20in%20patients%20with%20distal%20M2-M3%20middle%20cerebral%20artery%20occlusions%20following%20endovascular%20thrombectomy&rft.jtitle=Journal%20of%20neuroradiology&rft.au=ABDELRADY,%20Mohamed&rft.date=2023-03&rft.volume=50&rft.issue=2&rft.spage=230&rft.epage=236&rft.pages=230-236&rft.issn=0150-9861&rft_id=info:doi/10.1016/j.neurad.2022.11.007&rft_dat=%3Cproquest_cross%3E2740909700%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2740909700&rft_id=info:pmid/36436611&rft_els_id=S0150986122001729&rfr_iscdi=true |