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Date Published: 09/10/2022
Abstract Views: 109
Views PDF: 115
DOI: https://doi.org/10.51298/vmj.v518i2.3433
Issue
Vol. 518 No. 2 (2022)
Section
Các bài báo
How to Cite
Thế Nhân, V. ., & Ngọc Hoà, N. . (2022). PREDICTORS OF SYMPTOMATIC INTRACRANIAL HEMORRHAGE AFTER MECHANICAL THROMBECTOMY AT NGHE AN FRIENDSHIP GENERAL HOSPITAL. Vietnam Medical Journal, 518(2). https://doi.org/10.51298/vmj.v518i2.3433

PREDICTORS OF SYMPTOMATIC INTRACRANIAL HEMORRHAGE AFTER MECHANICAL THROMBECTOMY AT NGHE AN FRIENDSHIP GENERAL HOSPITAL

Võ Thế Nhân1,, Nguyễn Ngọc Hoà1
1 Nghe An Friendship General Hospital

Main Article Content

Abstract

Background and purpose. Symptomatic intracranial hemorrhage (sICH), associated with poor outcome, is a potentially serious complication of mechanical thrombectomy (MT) for acute ischemic stroke patients. This study aimed to identify predictive factors of sICH post MT at Nghệ An Friendship General Hospital. Methods. This case-control study enrolled 230 acute ischemic stroke patients with large vessel occlusion undergoing MT. Participants were divided into two groups: sICH group (n=31) and control group (n=199). sICH was diagnosed according to the Heidelberg Bleeding Classification. Univariate analysis and multivariate logistic regression were used to determine the predictors of sICH. Results. After multivariate analysis, baseline platelet count <180 × 109/L (OR 5,48, 95%CI 1,69-19,50), admission ASPECTS (OR per 1-point increase 0,37, 95%CI
0,20-0,63), poor collateral circulation (OR 8,04, 95%CI 2,54-28,3) and groin-to-recanalization time >60 minutes (OR 5,43, 95%CI 1,55-22,5) were found to be independent predictive factors of sICH. Conclusions. Several predictive factors of sICH post MT were identified. This knowledge plays an important role in benefit - risk counseling, selection of treatment strategies, improvement of patient monitoring protocol, enhancement of the therapeutic outcome and prognosis of MT.

Article Details

Keywords

symptomatic intracranial hemorrhage, mechanical thrombectomy, predictor

References

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