Endovascular thrombectomy for acute ischemic stroke in Saudi Arabia: A single-center experience
This study aimed to investigate the outcomes of endovascular thrombectomy-treated patients in King Fahad Medical City, Riyadh, Saudi Arabia. A retrospective cohort study of acute ischemic stroke patients treated with endovascular thrombectomy. Patients were included in the study between January 2015...
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| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2024-04, Vol.33 (4), p.107552-107552, Article 107552 |
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| creator | Alhazmi, Hanan Ameen, Omar K. Almalki, Ziyad Alanazi, Abdulmajeed Albalawi, Ali Alshanqiti, Mahmoud Almalki, Khalid Alsaleh, Ali Khayat, Alaa Ibrahim, Hatim Almulhim, Ibrahim A. Jubran, Abdulrahman Almodarra, Nehal Almansour, Nouf Alnaaim, Saud A. Al-Senani, Fahmi Shuaib, Ashfaq Muthana, Jamal Alotaibi, Mohammed |
| description | This study aimed to investigate the outcomes of endovascular thrombectomy-treated patients in King Fahad Medical City, Riyadh, Saudi Arabia.
A retrospective cohort study of acute ischemic stroke patients treated with endovascular thrombectomy. Patients were included in the study between January 2015 and December 2022. Good outcomes were defined as a modified Rankin Scale (mRS) of 0–2 at 90 days. Multivariate logistic regression analysis was performed to identify the independent factors associated with good outcomes.
During the study period, 369 patients with acute ischemic stroke (mean ± SD age, 61/- 15.1 yrs; 55.4 % male) underwent mechanical thrombectomy. Median National Institute of Health Stroke Scale (NIHSS) 15. Intravenous thrombolysis was administered to 34.5 % of the patients. Successful recanalization in the anterior circulation was achieved in 84.8 % of patients. Data from mRS performed after 90 days in the anterior circulation were available for 71.2 % of the patients. Of these, 41 % showed a good outcome, and the mortality rate was 22.4 %. The significant factors associated with good outcomes were age, NIHSS score, Alberta Stroke Program Early Computed Tomography Score (ASPECTS), and short arterial puncture to recanalization.
The number of patients who underwent endovascular thrombectomy has increased over time. The treatment outcomes and mortality were comparable with those of previous endovascular thrombectomy registries despite the high prevalence of DM, lower ASPECT score, and prolonged onset-to-recanalization time. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2023.107552 |
| format | Article |
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A retrospective cohort study of acute ischemic stroke patients treated with endovascular thrombectomy. Patients were included in the study between January 2015 and December 2022. Good outcomes were defined as a modified Rankin Scale (mRS) of 0–2 at 90 days. Multivariate logistic regression analysis was performed to identify the independent factors associated with good outcomes.
During the study period, 369 patients with acute ischemic stroke (mean ± SD age, 61/- 15.1 yrs; 55.4 % male) underwent mechanical thrombectomy. Median National Institute of Health Stroke Scale (NIHSS) 15. Intravenous thrombolysis was administered to 34.5 % of the patients. Successful recanalization in the anterior circulation was achieved in 84.8 % of patients. Data from mRS performed after 90 days in the anterior circulation were available for 71.2 % of the patients. Of these, 41 % showed a good outcome, and the mortality rate was 22.4 %. The significant factors associated with good outcomes were age, NIHSS score, Alberta Stroke Program Early Computed Tomography Score (ASPECTS), and short arterial puncture to recanalization.
The number of patients who underwent endovascular thrombectomy has increased over time. The treatment outcomes and mortality were comparable with those of previous endovascular thrombectomy registries despite the high prevalence of DM, lower ASPECT score, and prolonged onset-to-recanalization time.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2023.107552</identifier><identifier>PMID: 38277959</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute ischemic stroke ; Brain Ischemia - diagnostic imaging ; Brain Ischemia - therapy ; Endovascular Procedures - adverse effects ; Endovascular thrombectomy ; Female ; Humans ; Ischemic Stroke - diagnostic imaging ; Ischemic Stroke - therapy ; Male ; Reperfusion therapy ; Retrospective Studies ; Saudi Arabia ; Stroke - diagnostic imaging ; Stroke - therapy ; Thrombectomy - adverse effects ; Thrombectomy - methods ; Treatment Outcome</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2024-04, Vol.33 (4), p.107552-107552, Article 107552</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c339t-a9afb261d9206973ff33ad67b41b3a17361b1145a4d7d98882cd74456552b1c13</cites><orcidid>0000-0002-0316-2908</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2023.107552$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38277959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alhazmi, Hanan</creatorcontrib><creatorcontrib>Ameen, Omar K.</creatorcontrib><creatorcontrib>Almalki, Ziyad</creatorcontrib><creatorcontrib>Alanazi, Abdulmajeed</creatorcontrib><creatorcontrib>Albalawi, Ali</creatorcontrib><creatorcontrib>Alshanqiti, Mahmoud</creatorcontrib><creatorcontrib>Almalki, Khalid</creatorcontrib><creatorcontrib>Alsaleh, Ali</creatorcontrib><creatorcontrib>Khayat, Alaa</creatorcontrib><creatorcontrib>Ibrahim, Hatim</creatorcontrib><creatorcontrib>Almulhim, Ibrahim A.</creatorcontrib><creatorcontrib>Jubran, Abdulrahman</creatorcontrib><creatorcontrib>Almodarra, Nehal</creatorcontrib><creatorcontrib>Almansour, Nouf</creatorcontrib><creatorcontrib>Alnaaim, Saud A.</creatorcontrib><creatorcontrib>Al-Senani, Fahmi</creatorcontrib><creatorcontrib>Shuaib, Ashfaq</creatorcontrib><creatorcontrib>Muthana, Jamal</creatorcontrib><creatorcontrib>Alotaibi, Mohammed</creatorcontrib><title>Endovascular thrombectomy for acute ischemic stroke in Saudi Arabia: A single-center experience</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>This study aimed to investigate the outcomes of endovascular thrombectomy-treated patients in King Fahad Medical City, Riyadh, Saudi Arabia.
A retrospective cohort study of acute ischemic stroke patients treated with endovascular thrombectomy. Patients were included in the study between January 2015 and December 2022. Good outcomes were defined as a modified Rankin Scale (mRS) of 0–2 at 90 days. Multivariate logistic regression analysis was performed to identify the independent factors associated with good outcomes.
During the study period, 369 patients with acute ischemic stroke (mean ± SD age, 61/- 15.1 yrs; 55.4 % male) underwent mechanical thrombectomy. Median National Institute of Health Stroke Scale (NIHSS) 15. Intravenous thrombolysis was administered to 34.5 % of the patients. Successful recanalization in the anterior circulation was achieved in 84.8 % of patients. Data from mRS performed after 90 days in the anterior circulation were available for 71.2 % of the patients. Of these, 41 % showed a good outcome, and the mortality rate was 22.4 %. The significant factors associated with good outcomes were age, NIHSS score, Alberta Stroke Program Early Computed Tomography Score (ASPECTS), and short arterial puncture to recanalization.
The number of patients who underwent endovascular thrombectomy has increased over time. The treatment outcomes and mortality were comparable with those of previous endovascular thrombectomy registries despite the high prevalence of DM, lower ASPECT score, and prolonged onset-to-recanalization time.</description><subject>Acute ischemic stroke</subject><subject>Brain Ischemia - diagnostic imaging</subject><subject>Brain Ischemia - therapy</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Endovascular thrombectomy</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemic Stroke - diagnostic imaging</subject><subject>Ischemic Stroke - therapy</subject><subject>Male</subject><subject>Reperfusion therapy</subject><subject>Retrospective Studies</subject><subject>Saudi Arabia</subject><subject>Stroke - diagnostic imaging</subject><subject>Stroke - therapy</subject><subject>Thrombectomy - adverse effects</subject><subject>Thrombectomy - methods</subject><subject>Treatment Outcome</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkLtu3DAQRYkgRvzKLwQsjQBa8yGKYrqN4RewQIrENcHHKOZGEjekZNh_b67luHKTaqY4uHfmIPSVkhUltDnfrrZ5SvEPOEhgU3ww2Ye8YoTxAkgh2Ad0RAVnVSso_Vh2IljFiZCH6DjnLSGUilZ8Qoe8ZVIqoY6Qvhz9PsjNvUl4uk9xsOCmODzhLiZs3DwBDtndwxAcXupxGPFPM_uA18nYYL7hNc5h_N1D5WCcIGF43EEKMDo4RQed6TN8fp0n6O7q8tfFTbX5cX17sd5UjnM1VUaZzrKGesVIoyTvOs6Nb6StqeWGSt5QS2ktTO2lV23bMudlXYumPG2po_wEnS25uxT_zpAnPZSroe_NCHHOmimmSNMoURf0-4K6FHNO0OldCoNJT5oSvRett_o90XovWi-iS8iX177ZDuDfIv6ZLcBmAaB8_RAg6exejPiQimDtY_ifvmfPBJ3N</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Alhazmi, Hanan</creator><creator>Ameen, Omar K.</creator><creator>Almalki, Ziyad</creator><creator>Alanazi, Abdulmajeed</creator><creator>Albalawi, Ali</creator><creator>Alshanqiti, Mahmoud</creator><creator>Almalki, Khalid</creator><creator>Alsaleh, Ali</creator><creator>Khayat, Alaa</creator><creator>Ibrahim, Hatim</creator><creator>Almulhim, Ibrahim A.</creator><creator>Jubran, Abdulrahman</creator><creator>Almodarra, Nehal</creator><creator>Almansour, Nouf</creator><creator>Alnaaim, Saud A.</creator><creator>Al-Senani, Fahmi</creator><creator>Shuaib, Ashfaq</creator><creator>Muthana, Jamal</creator><creator>Alotaibi, Mohammed</creator><general>Elsevier Inc</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/0000-0002-0316-2908</orcidid></search><sort><creationdate>202404</creationdate><title>Endovascular thrombectomy for acute ischemic stroke in Saudi Arabia: A single-center experience</title><author>Alhazmi, Hanan ; Ameen, Omar K. ; Almalki, Ziyad ; Alanazi, Abdulmajeed ; Albalawi, Ali ; Alshanqiti, Mahmoud ; Almalki, Khalid ; Alsaleh, Ali ; Khayat, Alaa ; Ibrahim, Hatim ; Almulhim, Ibrahim A. ; Jubran, Abdulrahman ; Almodarra, Nehal ; Almansour, Nouf ; Alnaaim, Saud A. ; Al-Senani, Fahmi ; Shuaib, Ashfaq ; Muthana, Jamal ; Alotaibi, Mohammed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-a9afb261d9206973ff33ad67b41b3a17361b1145a4d7d98882cd74456552b1c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acute ischemic stroke</topic><topic>Brain Ischemia - diagnostic imaging</topic><topic>Brain Ischemia - therapy</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Endovascular thrombectomy</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemic Stroke - diagnostic imaging</topic><topic>Ischemic Stroke - therapy</topic><topic>Male</topic><topic>Reperfusion therapy</topic><topic>Retrospective Studies</topic><topic>Saudi Arabia</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - therapy</topic><topic>Thrombectomy - adverse effects</topic><topic>Thrombectomy - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alhazmi, Hanan</creatorcontrib><creatorcontrib>Ameen, Omar K.</creatorcontrib><creatorcontrib>Almalki, Ziyad</creatorcontrib><creatorcontrib>Alanazi, Abdulmajeed</creatorcontrib><creatorcontrib>Albalawi, Ali</creatorcontrib><creatorcontrib>Alshanqiti, Mahmoud</creatorcontrib><creatorcontrib>Almalki, Khalid</creatorcontrib><creatorcontrib>Alsaleh, Ali</creatorcontrib><creatorcontrib>Khayat, Alaa</creatorcontrib><creatorcontrib>Ibrahim, Hatim</creatorcontrib><creatorcontrib>Almulhim, Ibrahim A.</creatorcontrib><creatorcontrib>Jubran, Abdulrahman</creatorcontrib><creatorcontrib>Almodarra, Nehal</creatorcontrib><creatorcontrib>Almansour, Nouf</creatorcontrib><creatorcontrib>Alnaaim, Saud A.</creatorcontrib><creatorcontrib>Al-Senani, Fahmi</creatorcontrib><creatorcontrib>Shuaib, Ashfaq</creatorcontrib><creatorcontrib>Muthana, Jamal</creatorcontrib><creatorcontrib>Alotaibi, Mohammed</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 stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alhazmi, Hanan</au><au>Ameen, Omar K.</au><au>Almalki, Ziyad</au><au>Alanazi, Abdulmajeed</au><au>Albalawi, Ali</au><au>Alshanqiti, Mahmoud</au><au>Almalki, Khalid</au><au>Alsaleh, Ali</au><au>Khayat, Alaa</au><au>Ibrahim, Hatim</au><au>Almulhim, Ibrahim A.</au><au>Jubran, Abdulrahman</au><au>Almodarra, Nehal</au><au>Almansour, Nouf</au><au>Alnaaim, Saud A.</au><au>Al-Senani, Fahmi</au><au>Shuaib, Ashfaq</au><au>Muthana, Jamal</au><au>Alotaibi, Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular thrombectomy for acute ischemic stroke in Saudi Arabia: A single-center experience</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2024-04</date><risdate>2024</risdate><volume>33</volume><issue>4</issue><spage>107552</spage><epage>107552</epage><pages>107552-107552</pages><artnum>107552</artnum><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>This study aimed to investigate the outcomes of endovascular thrombectomy-treated patients in King Fahad Medical City, Riyadh, Saudi Arabia.
A retrospective cohort study of acute ischemic stroke patients treated with endovascular thrombectomy. Patients were included in the study between January 2015 and December 2022. Good outcomes were defined as a modified Rankin Scale (mRS) of 0–2 at 90 days. Multivariate logistic regression analysis was performed to identify the independent factors associated with good outcomes.
During the study period, 369 patients with acute ischemic stroke (mean ± SD age, 61/- 15.1 yrs; 55.4 % male) underwent mechanical thrombectomy. Median National Institute of Health Stroke Scale (NIHSS) 15. Intravenous thrombolysis was administered to 34.5 % of the patients. Successful recanalization in the anterior circulation was achieved in 84.8 % of patients. Data from mRS performed after 90 days in the anterior circulation were available for 71.2 % of the patients. Of these, 41 % showed a good outcome, and the mortality rate was 22.4 %. The significant factors associated with good outcomes were age, NIHSS score, Alberta Stroke Program Early Computed Tomography Score (ASPECTS), and short arterial puncture to recanalization.
The number of patients who underwent endovascular thrombectomy has increased over time. The treatment outcomes and mortality were comparable with those of previous endovascular thrombectomy registries despite the high prevalence of DM, lower ASPECT score, and prolonged onset-to-recanalization time.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38277959</pmid><doi>10.1016/j.jstrokecerebrovasdis.2023.107552</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0316-2908</orcidid></addata></record> |
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| ispartof | Journal of stroke and cerebrovascular diseases, 2024-04, Vol.33 (4), p.107552-107552, Article 107552 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Acute ischemic stroke Brain Ischemia - diagnostic imaging Brain Ischemia - therapy Endovascular Procedures - adverse effects Endovascular thrombectomy Female Humans Ischemic Stroke - diagnostic imaging Ischemic Stroke - therapy Male Reperfusion therapy Retrospective Studies Saudi Arabia Stroke - diagnostic imaging Stroke - therapy Thrombectomy - adverse effects Thrombectomy - methods Treatment Outcome |
| title | Endovascular thrombectomy for acute ischemic stroke in Saudi Arabia: A single-center experience |
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