Titre :

Pre-procedural predictive factors of symptomatic intracranial hemorrhage after thrombectomy in stroke.

Auteur(s) :

Venditti, L. [Auteur]

Chassin, O. [Auteur]
Ancelet, C. [Auteur]
Université Paris-Saclay
Legris, N. [Auteur]
Sarov, M. [Auteur]
Lapergue, B. [Auteur]
Mihalea, C. [Auteur]
Ozanne, A. [Auteur]
Gallas, S. [Auteur]
Cortese, J. [Auteur]
Chalumeau, V. [Auteur]
Ikka, L. [Auteur]
Caroff, J. [Auteur]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Spelle, L. [Auteur]
Denier, C. [Auteur]

Titre de la revue :

Journal of Neurology

Nom court de la revue :

J Neurol

Numéro :

268

Pagination :

p. 1867–1875

Date de publication :

2021

ISSN :

1432-1459

Mot(s)-clé(s) en anglais :

Ischemic stroke
Symptomatic intracranial hemorrhage
Predictive factors
Thrombectomy

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objective Symptomatic intracerebral hemorrhage (sICH) is a common complication of acute ischemic stroke (AIS) associated with limited treatments and poor outcomes. We aimed to identify predictive factors of sICH in ...
Lire la suite >Objective Symptomatic intracerebral hemorrhage (sICH) is a common complication of acute ischemic stroke (AIS) associated with limited treatments and poor outcomes. We aimed to identify predictive factors of sICH in patients with AIS following mechanical thrombectomy (MT) in a real-world setting. Methods Patients with large vessel occlusion of the anterior circulation treated with MT were consecutively included in a prospective monocentric cohort. Clinical, biological, and radiological parameters were collected to identify pre-procedural predictors for sICH. Results 637 patients were included in our study. Magnetic resonance imaging was performed on most patients (86.7%). sICH occurred in 55 patients (8.6%). 428 patients (67.2%) were treated with intravenous thrombolysis. After multivariate analysis, prior use of antiplatelet therapies (odd ratio (OR) 1.84, 95% confidence interval (CI) 1.01–3.32), high C-reactive protein (OR per standard deviation (SD) increase 1.28, 95% 1.01–1.63), elevated mean arterial blood pressure (OR per 10 mmHg increase 1.22, 95% CI 1.03–1.44), hyperglycemia (OR per one SD-log increase 1.38, 95% CI 1.02–1.87), and low ASPECTS (OR per 1-point decrease 1.42, 95% CI 1.12–1.80) were found to be independent predictive factors of sICH. The pre-procedural predictors did not change when the absence of successful recanalization was considered as a covariate. Patients with strokes of unknown onset time were not especially vulnerable for sICH. Conclusion sICH after MT was associated with several pre-procedural risk factors: prior use of antiplatelet therapies, high C-reactive protein and hyperglycemia at baseline, elevated mean arterial blood pressure, and low ASPECTS.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T07:26:09Z
2024-02-21T08:19:23Z