69 98

Cited 0 times in

Association between CHADS 2, CHA 2 DS 2-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients

Authors
 Hyung Jun Kim  ;  Moo-Seok Park  ;  Joonsang Yoo  ;  Young Dae Kim  ;  Hyungjong Park  ;  Byung Moon Kim  ;  Oh Young Bang  ;  Hyeon Chang Kim  ;  Euna Han  ;  Dong Joon Kim  ;  JoonNyung Heo  ;  Jin Kyo Choi  ;  Kyung-Yul Lee  ;  Hye Sun Lee  ;  Dong Hoon Shin  ;  Hye-Yeon Choi  ;  Sung-Il Sohn  ;  Jeong-Ho Hong  ;  Jong Yun Lee  ;  Jang-Hyun Baek  ;  Gyu Sik Kim  ;  Woo-Keun Seo  ;  Jong-Won Chung  ;  Seo Hyun Kim  ;  Sang Won Han  ;  Joong Hyun Park  ;  Jinkwon Kim  ;  Yo Han Jung  ;  Han-Jin Cho  ;  Seong Hwan Ahn  ;  Sung Ik Lee  ;  Kwon-Duk Seo  ;  Yoonkyung Chang  ;  Tae-Jin Song  ;  Hyo Suk Nam 
Citation
 JOURNAL OF CLINICAL MEDICINE, Vol.11(1) : 274, 2022-01 
Journal Title
JOURNAL OF CLINICAL MEDICINE
Issue Date
2022-01
Keywords
ischemic stroke ; recanalization ; stroke risk score ; thrombectomy
Abstract
Background: The CHADS2, CHA2DS2-VASc, ATRIA, and Essen scores have been developed for predicting vascular outcomes in stroke patients. We investigated the association between these stroke risk scores and unsuccessful recanalization after endovascular thrombectomy (EVT).

Methods: From the nationwide multicenter registry (Selection Criteria in Endovascular Thrombectomy and Thrombolytic therapy (SECRET)) (Clinicaltrials.gov NCT02964052), we consecutively included 501 patients who underwent EVT. We identified pre-admission stroke risk scores in each included patient.

Results: Among 501 patients who underwent EVT, 410 (81.8%) patients achieved successful recanalization (mTICI ≥ 2b). Adjusting for body mass index and p < 0.1 in univariable analysis revealed the association between all stroke risk scores and unsuccessful recanalization (CHADS2 score: odds ratio (OR) 1.551, 95% confidence interval (CI) 1.198-2.009, p = 0.001; CHA2DS2VASc score: OR 1.269, 95% CI 1.080-1.492, p = 0.004; ATRIA score: OR 1.089, 95% CI 1.011-1.174, p = 0.024; and Essen score: OR 1.469, 95% CI 1.167-1.849, p = 0.001). The CHADS2 score had the highest AUC value and differed significantly only from the Essen score (AUC of CHADS2 score; 0.618, 95% CI 0.554-0.681).

Conclusion: All stroke risk scores were associated with unsuccessful recanalization after EVT. Our study suggests that these stroke risk scores could be used to predict recanalization in stroke patients undergoing EVT.
Files in This Item:
T202200360.pdf Download
DOI
10.3390/jcm11010274
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Kim, Young Dae(김영대) ORCID logo https://orcid.org/0000-0001-5750-2616
Kim, Jinkwon(김진권) ORCID logo https://orcid.org/0000-0003-0156-9736
Kim, Hyeon Chang(김현창) ORCID logo https://orcid.org/0000-0001-7867-1240
Nam, Hyo Suk(남효석) ORCID logo https://orcid.org/0000-0002-4415-3995
Yoo, Joon Sang(유준상) ORCID logo https://orcid.org/0000-0003-1169-6798
Lee, Kyung Yul(이경열) ORCID logo https://orcid.org/0000-0001-5585-7739
Lee, Hye Sun(이혜선) ORCID logo https://orcid.org/0000-0001-6328-6948
Jung, Yo Han(정요한)
Heo, JoonNyung(허준녕)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187969
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links