Absence of Collaterals is Associated with Larger Infarct Volume and Worse Outcome in Patients with Large Vessel Occlusion and Mild Symptoms
Absence of Collaterals is Associated with Larger Infarct Volume and Worse Outcome in Patients with Large Vessel Occlusion and Mild Symptoms
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DOI：
10.1016/j.jstrokecerebrovasdis.2019.03.032
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发表时间：
2019-07-01
影响因子：
2.5
通讯作者：
Samaniego, Edgar A.
中科院分区：
文献类型：
--
作者：
Kimmel, Eric R.;Al Kasab, Sami;Samaniego, Edgar A.
背景：机械取栓是治疗症状严重的大血管闭塞（LVO）患者的标准治疗方法；然而，对于 LVO 和轻度症状患者的最佳治疗方法知之甚少。缺乏良好的侧支循环与 LVO 患者的预后较差有关。在本研究中，我们的目的是评估使用附带评分来识别可能受益于机械血栓切除术 (MT) 的 LVO 和轻度症状患者。方法：对轻度缺血性卒中患者前瞻性收集的数据进行回顾性分析（美国国立卫生研究院卒中量表 [NIHSS]
Background: Mechanical thrombectomy is the standard of care for patients with large vessel occlusion (LVO) presenting with severe symptoms; however, little is known about the best treatment for patients with LVO and mild symptoms. The absence of good collaterals has been associated with a worse outcome in patients with LVO. In this study, we aim to assess the use of collateral score to identify patients with LVO and mild symptoms that might benefit from mechanical thrombectomy (MT). Methods: A retrospective review of prospectively collected data on patients presenting with mild ischemic stroke (National Institute of Health Stroke Scale [NIHSS]