Predictors of Acute Neurological Worsening after Endovascular Thrombectomy
Author(s) -
Jazba Soomro,
Liang Zhu,
Sean I. Savitz,
Amrou Sarraj
Publication year - 2019
Publication title -
interventional neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.07
H-Index - 5
eISSN - 1664-9737
pISSN - 1664-5545
DOI - 10.1159/000499973
Subject(s) - medicine , stroke (engine) , modified rankin scale , univariate analysis , retrospective cohort study , cardiology , thrombosis , occlusion , cohort , penumbra , multivariate analysis , surgery , ischemic stroke , ischemia , mechanical engineering , engineering
Successful reperfusion after endovascular thrombectomy (EVT) correlates with good outcome. However, radiographic reperfusion does not always translate into good clinical outcomes even if the reperfusion occurs early after the stroke onset. Reasons for neurological worsening (NW) are thought to be many, such as progression of the stroke, hemorrhagic conversion post tissue plasminogen activator and/or EVT, and procedural complications such as vessel dissection or perforation, distal emboli, and re-occlusion. Data on patients worsening in the acute phase after EVT are limited.
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