Analysis of risk factors of poor prognosis after recanalization treatment of anterior and posterior circulation tandem lesions.
Objective To analyze the prognosis and risk factors of the anterior and posterior circulation tandem lesions (TLs) patients after recanalization treatment. Methods The general and clinical data of 42 patients with TLs who received recanalization treatment in Shijiazhuang People's Hospital from April...
| Publicado en: | Chinese Journal of Contemporary Neurology & Neurosurgery Vol. 24; no. 11; pp. 927 - 933 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Chinese Journal of Contemporary Neurology & Neurosurgery
Nov2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181466928&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181466928 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16726731 FDQ6 jtl: Chinese Journal of Contemporary Neurology & Neurosurgery issn: 16726731 maglogo: N pubinfo: dt: Nov2024 vid: 24 iid: 11 pid: 80951 pub: Chinese Journal of Contemporary Neurology & Neurosurgery artinfo: ui: 181466928 181466928 181466928 10.3969/j.issn.1672-6731.2024.11.009 181466928 ppf: 927 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Analysis of risk factors of poor prognosis after recanalization treatment of anterior and posterior circulation tandem lesions. aug: au: YANG Lei HAN Yong-feng ZHANG Dong-liang SU Xian-hui JIN Wen-cai ZHANG Xue-jing affil: Department of Neurosurgery, Shijiazhuang People's Hospital, Shijiazhuang 050000, Hebei, China sug: subj: Ischemic Stroke Surgery Ischemic Stroke Prognosis Thrombectomy Postoperative Complications Risk Factors Human China Retrospective Design Record Review Step-Wise Multiple Regression Endovascular Procedures Descriptive Statistics Chi Square Test Odds Ratio Confidence Intervals Severity of Illness NIH Stroke Scale Scales ab: Objective To analyze the prognosis and risk factors of the anterior and posterior circulation tandem lesions (TLs) patients after recanalization treatment. Methods The general and clinical data of 42 patients with TLs who received recanalization treatment in Shijiazhuang People's Hospital from April 2019 to August 2022 were retrospectively collected. The prognosis of 90 d after surgery was evaluated by the modified Rankin Scale (mRS). Univariate and multivariate stepwise Logistic regression analyses were used to investigated the risk factors of poor prognosis of TLs. Results According to mRS scores at the 90 d after surgery, the patients were divided into good prognosis group (mRS ≤ 2, n = 21) and poor prognosis group (mRS > 2, n = 21). The National Institutes of Health Stroke Scale (NIHSS) score at admission (Z = - 2.916, P = 0.004), time from onset to recanalization (Z = - 2.048, P = 0.041), mechanical thrombectomy times ≥ 3 (χ² = 4.725, P = 0.030) and the proportion of hematoma type hemorrhagic transformation (χ² = 8.400, P = 0.004) in the poor prognosis group were higher than those in good prognosis group. Logistic regression analysis showed that high NIHSS score at admission (OR = 12.457, 95%CI: 2.066-75.120; P = 0.006), mechanical thrombectomy times ≥ 3 (OR = 9.387, 95%CI: 1.222-72.140; P = 0.031) and postoperative hemorrhagic transformation (OR = 7.237, 95%CI: 1.019-51.403; P = 0.048) were risk factors of poor prognosis of TLs. Conclusions Anterior and posterior circulation TLs patients with lower NHISS score at admission, mechanical thrombectomy times < 3 and without postoperative hemorrhagic transformation may have good prognosis. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Chinese refInfo: holdings: @attributes: islocal: N |
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