Impact of introducing endovascular treatment on acute ischemic stroke outcomes: A shift from an era of medical management to thrombectomy in Japan
Impact of introducing endovascular treatment on acute ischemic stroke outcomes: A shift from an era of medical management to thrombectomy in Japan
复制标题
DOI：
10.1016/j.heliyon.2020.e03945
复制
发表时间：
2020-05-01
期刊：
影响因子：
4
通讯作者：
Kohmura, Eiji
中科院分区：
文献类型：
--
作者：
Imahori, Taichiro;Koyama, Junji;Kohmura, Eiji
背景：血管内治疗（EVT）日益成为急性脑大血管闭塞（LVO）的标准治疗方法。我们在一个此前仅将静脉溶栓（IVT）作为唯一再通治疗方法的单中心评估了引入EVT对LVO治疗的影响。
材料与方法：2013年4月至2017年3月，对我院收治的354例连续的LVO患者进行了分析。我们比较了2015年4月引入EVT之前（EVT前组）和之后（EVT后组）按时间顺序划分的两组患者的预后情况。我们评估了良好预后（改良Rankin量表评分……（此处原文未完整给出评分相关内容））的预后因素。
Background: Endovascular treatment (EVT) has increasingly become the standard treatment of acute cerebral large vessel occlusion (LVO). We evaluated the impact of introducing EVT on LVO therapy in a single center where intravenous thrombolysis (IVT) had been the only recanalization therapy.Materials and methods: Between April 2013 and March 2017, 354 consecutive patients with LVO admitted to our institution were analyzed. We compared outcomes between two chronological groups before (Pre-EVT group) and after (Post-EVT group) introducing EVT in April 2015. We assessed prognostic factors for favorable outcomes (modified Rankin scale score