Impact of Modified TICI 3 versus Modified TICI 2b Reperfusion Score to Predict Good Outcome following Endovascular Therapy
Impact of Modified TICI 3 versus Modified TICI 2b Reperfusion Score to Predict Good Outcome following Endovascular Therapy
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DOI：
10.3174/ajnr.a4968
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发表时间：
2017-01-01
影响因子：
3.5
通讯作者：
Lapergue, B.
中科院分区：
文献类型：
--
作者：
Dargazanli, C.;Consoli, A.;Lapergue, B.
背景与目的：TICI评分被广泛用于评价脑卒中血管内治疗前后的脑灌注。最近的研究表明机械取栓的有效性和安全性结合改良的TICI 2b和改良的TICI 3来评估血管内治疗的技术成功。本研究的目的是确定改良tici2b和改良tici3再灌注患者的临床结果有多大差异。材料和方法：我们分析了222例连续的急性颅内大动脉闭塞的前循环患者，这些患者在取栓后达到改良的TICI 2b或改良的TICI 3再灌注。主要终点为3个月时达到修正兰金量表0-2分的有利转归率。结果：改良tici3的患者通常具有良好的侧支循环和动脉粥样硬化病因学，从发病到再灌注时间比改良tici2b的患者短(均P
BACKGROUND AND PURPOSE: The TICI score is widely used to evaluate cerebral perfusion before and after the endovascular treatment of stroke. Recent studies showing the effectiveness and safety of mechanical thrombectomy combine modified TICI 2b and modified TICI 3 to assess the technical success of endovascular treatment. The purpose of this study was to determine how much clinical outcomes differ between patients achieving modified TICI 2b and modified TICI 3 reperfusion.MATERIALS AND METHODS: We analyzed 222 consecutive patients with acute large intracranial artery occlusion of the anterior circulation having achieved modified TICI 2b or modified TICI 3 reperfusion after thrombectomy. The primary end point was the rate of favorable outcome defined as the achievement of a modified Rankin Scale score of 0-2 at 3 months.RESULTS: Patients with modified TICI 3 more often had favorable collateral circulation and atherosclerosis etiology, with a shorter time from onset to reperfusion than patients with modified TICI 2b (all P