Admission Blood Pressure and Outcome of ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Admission Blood Pressure and Outcome of Endovascular Therapy: Secondary Analysis of ASTER Trial.
Auteur(s) :
Anadani, Mohnammd [Auteur]
Washington University School of Medicine [Saint Louis, MO]
Lapergue, Bertrand [Auteur]
Hôpital Foch [Suresnes]
Blanc, Raphael [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Kyheng, MaÉva [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Machaa, Malek Ben [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Duhamel, Alain [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Marnat, Gautier [Auteur]
Département de Neuro-Radiologie [Bordeaux] [DNR - Bordeaux]
Saleme, Suzana [Auteur]
Service de Neuroradiologie interventionnelle [CHU Limoges]
Costalat, Vincent [Auteur]
Département de Neuroradiologie[Montpellier]
Bracard, Serge [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Anxionnat, René [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Spiotta, Alejandro M. [Auteur]
Medical University of South Carolina [Charleston] [MUSC]
Dehavenon, Adam [Auteur]
University of Utah
Richard, Sébastien [Auteur]
Service de neurologie [CHRU Nancy]
Desal, Hubert [Auteur]
Service de neurologie [Nantes]
Mazighi, Mikael [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Consoli, Arturo [Auteur]
Hôpital Foch [Suresnes]
Piotin, Michel [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Gory, Benjamin [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Washington University School of Medicine [Saint Louis, MO]
Lapergue, Bertrand [Auteur]
Hôpital Foch [Suresnes]
Blanc, Raphael [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Kyheng, MaÉva [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Labreuche, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Machaa, Malek Ben [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Duhamel, Alain [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Marnat, Gautier [Auteur]
Département de Neuro-Radiologie [Bordeaux] [DNR - Bordeaux]
Saleme, Suzana [Auteur]
Service de Neuroradiologie interventionnelle [CHU Limoges]
Costalat, Vincent [Auteur]
Département de Neuroradiologie[Montpellier]
Bracard, Serge [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Anxionnat, René [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Spiotta, Alejandro M. [Auteur]
Medical University of South Carolina [Charleston] [MUSC]
Dehavenon, Adam [Auteur]
University of Utah
Richard, Sébastien [Auteur]
Service de neurologie [CHRU Nancy]
Desal, Hubert [Auteur]
Service de neurologie [Nantes]
Mazighi, Mikael [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Consoli, Arturo [Auteur]
Hôpital Foch [Suresnes]
Piotin, Michel [Auteur]
Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild [AP-HP]
Gory, Benjamin [Auteur]
Département de neuroradiologie diagnostique et thérapeutique [CHRU Nancy]
Titre de la revue :
Journal of Stroke and Cerebrovascular Diseases
Nom court de la revue :
J Stroke Cerebrovasc Dis
Numéro :
29
Pagination :
105347
Date de publication :
2020-10-10
ISSN :
1532-8511
Mot(s)-clé(s) en anglais :
Blood pressure
Cerebral hemorrhage
Stroke
Thrombectomy
Cerebral hemorrhage
Stroke
Thrombectomy
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Background
Elevated blood pressure (BP) is common among patients presenting with acute ischemic stroke due to large vessel occlusions. The literature is inconsistent regarding the association between admission BP and ...
Lire la suite >Background Elevated blood pressure (BP) is common among patients presenting with acute ischemic stroke due to large vessel occlusions. The literature is inconsistent regarding the association between admission BP and outcome of mechanical thrombectomy (MT). Moreover, it is unclear whether the first line thrombectomy strategy (stent retriever [SR] versus contact aspiration [CA]) modifies the relationship between BP and outcome. Methods This is a post hoc analysis of the ASTER (Contact Aspiration Versus Stent Retriever for Successful Revascularization) randomized trial. BP was measured prior to randomization in all included patients. Co-primary outcomes included 90-day functional independence (modified Rankin Scale [mRS] 0-2) and successful revascularization (modified Treatment in Cerebral Ischemia [mTICI] 2b-3). Secondary outcomes included symptomatic intracerebral hemorrhage (sICH) and parenchymal hemorrhage (PH) within 24 hours. Results A total of 381 patients were included in the present study. Mean (SD) systolic BP (SBP) and diastolic BP (DBP) were 148 (26) mm Hg and 81 (16) mm Hg, respectively. There was no association between SBP or DBP and successful revascularization or 90-day functional independence. Similarly, there was no association between admission SBP or DBP with sICH or PH. Subgroup analysis based on the first-line thrombectomy strategy revealed similar results with no heterogeneity across groups. Conclusion Admission BP was not associated with functional, angiographic or safety outcomes. Results were similar in both CA and CA groups.Lire moins >
Lire la suite >Background Elevated blood pressure (BP) is common among patients presenting with acute ischemic stroke due to large vessel occlusions. The literature is inconsistent regarding the association between admission BP and outcome of mechanical thrombectomy (MT). Moreover, it is unclear whether the first line thrombectomy strategy (stent retriever [SR] versus contact aspiration [CA]) modifies the relationship between BP and outcome. Methods This is a post hoc analysis of the ASTER (Contact Aspiration Versus Stent Retriever for Successful Revascularization) randomized trial. BP was measured prior to randomization in all included patients. Co-primary outcomes included 90-day functional independence (modified Rankin Scale [mRS] 0-2) and successful revascularization (modified Treatment in Cerebral Ischemia [mTICI] 2b-3). Secondary outcomes included symptomatic intracerebral hemorrhage (sICH) and parenchymal hemorrhage (PH) within 24 hours. Results A total of 381 patients were included in the present study. Mean (SD) systolic BP (SBP) and diastolic BP (DBP) were 148 (26) mm Hg and 81 (16) mm Hg, respectively. There was no association between SBP or DBP and successful revascularization or 90-day functional independence. Similarly, there was no association between admission SBP or DBP with sICH or PH. Subgroup analysis based on the first-line thrombectomy strategy revealed similar results with no heterogeneity across groups. Conclusion Admission BP was not associated with functional, angiographic or safety outcomes. Results were similar in both CA and CA groups.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-11-15T08:02:40Z
2023-12-20T13:21:59Z
2023-12-20T13:21:59Z
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