Top

Published in:

Open Access 01-12-2024 | Research article

Functional long-term outcome following endovascular thrombectomy in patients with acute ischemic stroke

Authors: Andreas Rogalewski, Nele Klein, Anja Friedrich, Alkisti Kitsiou, Marie Schäbitz, Frédéric Zuhorn, Burkhard Gess, Björn Berger, Randolf Klingebiel, Wolf-Rüdiger Schäbitz

Published in: Neurological Research and Practice | Issue 1/2024

Abstract

Endovascular thrombectomy (EVT) is the most effective treatment for acute ischemic stroke caused by large vessel occlusion (LVO). Yet, long-term outcome (LTO) and health-related quality of life (HRQoL) in these patients have rarely been addressed, as opposed to modified Rankin scale (mRS) recordings. We analysed demographic data, treatment and neuroimaging parameters in 694 consecutive stroke patients in a maximum care hospital. In 138 of these patients with respect on receipt of written informed consent, LTO and HRQoL were collected over a period of 48 months after EVT using a standardised telephone survey (median 2.1 years after EVT). Age < 70 years (OR 4.82), lower NIHSS on admission (OR 1.11), NIHSS ≤ 10 after 24 h (OR 11.23) and complete recanalisation (mTICI3) (OR 7.79) were identified as independent predictors of favourable LTO. Occurrence of an infection requiring treatment within the first 72 h was recognised as a negative predictor for good long-term outcome (OR 0.22). Patients with mRS > 2 according to the telephone survey more often had complaints regarding mobility, self‐care, and usual activity domains of the HRQoL. Our results underline a sustainable positive effect of effective EVT on the quality of life in LVO stroke. Additionally, predictive parameters of outcome were identified, that may support clinical decision making in LVO stroke.

Albers, G. W., Marks, M. P., Kemp, S., Christensen, S., Tsai, J. P., Ortega-Gutierrez, S., McTaggart, R. A., Torbey, M. T., Kim-Tenser, M., Leslie-Mazwi, T., Sarraj, A., Kasner, S. E., Ansari, S. A., Yeatts, S. D., Hamilton, S., Mlynash, M., Heit, J. J., Zaharchuk, G., Kim, S., & Lansberg, M. G. (2018). Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. New England Journal of Medicine, 378(8), 708–718. https://doi.org/10.1056/NEJMoa1713973CrossRefPubMed

Algurén, B., Fridlund, B., Cieza, A., Sunnerhagen, K. S., & Christensson, L. (2012). Factors associated with health-related quality of life after stroke: A 1-year prospective cohort study. Neurorehabilitation and Neural Repair, 26(3), 266–274. https://doi.org/10.1177/1545968311414204CrossRefPubMed

Amitrano, D., da Silva, I. R. F., Liberato, B. B., Batistella, V., Oliveira, J., & Nascimento, O. J. M. (2016). Simple prediction model for unfavorable outcome in ischemic stroke after intravenous thrombolytic therapy. Arquivos de Neuro-Psiquiatria, 74(12), 986–989. https://doi.org/10.1590/0004-282X20160152CrossRefPubMed

Berkhemer, O. A., Fransen, P. S. S., Beumer, D., van den Berg, L. A., Lingsma, H. F., Yoo, A. J., Schonewille, W. J., Vos, J. A., Nederkoorn, P. J., Wermer, M. J. H., van Walderveen, M. A. A., Staals, J., Hofmeijer, J., van Oostayen, J. A., Lycklamaà Nijeholt, G. J., Boiten, J., Brouwer, P. A., Emmer, B. J., de Bruijn, S. F., & Dippel, D. W. J. (2015). A randomized trial of intraarterial treatment for acute ischemic stroke. New England Journal of Medicine, 372(1), 11–20. https://doi.org/10.1056/NEJMOA1411587/SUPPL_FILE/NEJMOA1411587_DISCLOSURES.PDFCrossRefPubMed

Beyeler, M., Weber, L., Buffle, E., Kurmann, C. C., Piechowiak, I., Branca, M., Meinel, R., Jung, S., Seiffge, D., Heldner, M. R., Pilgram-Pastor, S. M., Dobrocky, T., Mordasini, P., Arnold, M., Gralla, J., Fischer, U., & Kaesmacher, J. (2022). Long-term outcome and quality of life in patients with stroke presenting with extensive early infarction. Stroke: Vascular and Interventional Neurology. https://doi.org/10.1161/SVIN.121.000303CrossRef

Bland, J. M., & Altman, D. G. (1995). Multiple significance tests: The Bonferroni method. BMJ, 310(6973), 170. https://doi.org/10.1136/BMJ.310.6973.170CrossRefPubMedPubMedCentral

Brooks, R., & De Charro, F. (1996). EuroQol: The current state of play. Health Policy, 37(1), 53–72. https://doi.org/10.1016/0168-8510(96)00822-6CrossRefPubMed

Campbell, B. C. V., Mitchell, P. J., Kleinig, T. J., Dewey, H. M., Churilov, L., Yassi, N., Yan, B., Dowling, R. J., Parsons, M. W., Oxley, T. J., Wu, T. Y., Brooks, M., Simpson, M. A., Miteff, F., Levi, C. R., Krause, M., Harrington, T. J., Faulder, K. C., Steinfort, B. S., & Davis, S. M. (2015). Endovascular therapy for ischemic stroke with perfusion-imaging selection. The New England Journal of Medicine, 372(11), 1009–1018. https://doi.org/10.1056/NEJMOA1414792CrossRefPubMed

De Silva, D. A., Ebinger, M., Christensen, S., Parsons, M. W., Levi, C., Butcher, K., Barber, P. A., Bladin, C., Donnan, G. A., & Davis, S. M. (2010). Baseline diabetic status and admission blood glucose were poor prognostic factors in the EPITHET trial. Cerebrovascular Diseases, 29(1), 14–21. https://doi.org/10.1159/000255969CrossRefPubMed

10.

Deb-Chatterji, M., Pinnschmidt, H., Flottmann, F., Leischner, H., Broocks, G., Alegiani, A., Brekenfeld, C., Fiehler, J., Gerloff, C., & Thomalla, G. (2020). Predictors of independent outcome of thrombectomy in stroke patients with large baseline infarcts in clinical practice: A multicenter analysis. Journal of Neurointerventional Surgery, 12(11), 1064–1068. https://doi.org/10.1136/NEURINTSURG-2019-015641CrossRefPubMed

11.

Desilles, J.-P., Syvannarath, V., Ollivier, V., Journé, C., Delbosc, S., Ducroux, C., Boisseau, W., Louedec, L., Di Meglio, L., Loyau, S., Jandrot-Perrus, M., Potier, L., Michel, J.-B., Mazighi, M., & Ho-Tin-Noé, B. (2017). Exacerbation of thromboinflammation by hyperglycemia precipitates cerebral infarct growth and hemorrhagic transformation. Stroke, 48(7), 1932–1940. https://doi.org/10.1161/STROKEAHA.117.017080CrossRefPubMed

12.

Elwan, M. E., Mansour, O. Y., Lashin, M. E., & Melake, M. S. (2022). Factors affecting mechanical thrombectomy outcome in acute ischemic stroke patients: An Egyptian sample. Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 58(1), 1–9. https://doi.org/10.1186/S41983-022-00491-9/TABLES/3CrossRef

13.

EuroQol--a new facility for the measurement of health-related quality of life. (1990). Health Policy (Amsterdam, Netherlands), 16(3), 199–208. https://doi.org/10.1016/0168-8510(90)90421-9

14.

Fuhrer, H., Forner, L., Pruellage, P., Weber, S., Beume, L. A., Schacht, H., Egger, K., Bardutzky, J., Weiller, C., Urbach, H., Niesen, W. D., & Meckel, S. (2019). Long-term outcome changes after mechanical thrombectomy for anterior circulation acute ischemic stroke. Journal of Neurology, 267(4), 1026–1034. https://doi.org/10.1007/S00415-019-09670-WCrossRefPubMed

15.

Golicki, D., Niewada, M., Buczek, J., Karlinska, A., Kobayashi, A., Janssen, M. F., & Pickard, A. S. (2014). Validity of the Eq-5d-5l in Stroke Patients. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 17(7), A570. https://doi.org/10.1016/J.JVAL.2014.08.1906CrossRefPubMed

16.

Gong, C., Huang, J., Kong, W., Li, F., Liu, C., Yang, J., Liu, S., Qiu, Z., Lin, M., Guo, Z., Yan, Z., Huang, X., Zhang, S., Ling, W., Zhou, P., Wang, Z., Liu, Y., Xue, D., Zhong, Y., & Yang, Q. (2022). Five-year outcomes after endovascular treatment for large vessel occlusion stroke. Frontiers in Neuroscience, 16, 1098. https://doi.org/10.3389/FNINS.2022.920731/BIBTEXCrossRef

17.

Goyal, M., Demchuk, A. M., Menon, B. K., Eesa, M., Rempel, J. L., Thornton, J., Roy, D., Jovin, T. G., Willinsky, R. A., Sapkota, B. L., Dowlatshahi, D., Frei, D. F., Kamal, N. R., Montanera, W. J., Poppe, A. Y., Ryckborst, K. J., Silver, F. L., Shuaib, A., Tampieri, D., & Hill, M. D. (2015). Randomized assessment of rapid endovascular treatment of ischemic stroke. The New England Journal of Medicine, 372(11), 1019–1030. https://doi.org/10.1056/NEJMOA1414905CrossRefPubMed

18.

Goyal, M., Menon, B. K., Van Zwam, W. H., Dippel, D. W. J., Mitchell, P. J., Demchuk, A. M., Dávalos, A., Majoie, C. B. L. M., Van Der Lugt, A., De Miquel, M. A., Donnan, G. A., Roos, Y. B. W. E. M., Bonafe, A., Jahan, R., Diener, H. C., Van Den Berg, L. A., Levy, E. I., Berkhemer, O. A., Pereira, V. M., & Jovin, T. G. (2016). Endovascular thrombectomy after large-vessel ischaemic stroke: A meta-analysis of individual patient data from five randomised trials. The Lancet, 387(10029), 1723–1731. https://doi.org/10.1016/S0140-6736(16)00163-XCrossRef

19.

Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., Bonsel, G., & Badia, X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20(10), 1727–1736. https://doi.org/10.1007/S11136-011-9903-XCrossRefPubMedPubMedCentral

20.

Howard, J. F., Bril, V., Vu, T., Karam, C., Peric, S., Margania, T., Murai, H., Bilinska, M., Shakarishvili, R., Smilowski, M., Guglietta, A., Ulrichts, P., Vangeneugden, T., Utsugisawa, K., Verschuuren, J., Mantegazza, R., De Bleeker, J., De Koning, K., De Mey, K., & Frishberg, B. (2021). Safety, efficacy, and tolerability of efgartigimod in patients with generalised myasthenia gravis (ADAPT): A multicentre, randomised, placebo-controlled, phase 3 trial. The Lancet. Neurology, 20(7), 526–536. https://doi.org/10.1016/S1474-4422(21)00159-9CrossRefPubMed

21.

Howard, J. F., Utsugisawa, K., Benatar, M., Murai, H., Barohn, R. J., Illa, I., Jacob, S., Vissing, J., Burns, T. M., Kissel, J. T., Muppidi, S., Nowak, R. J., O’Brien, F., Wang, J. J., Mantegazza, R., Mazia, C. G., Wilken, M., Ortea, C., Saba, J., & Vu, H. (2017). Safety and efficacy of eculizumab in anti-acetylcholine receptor antibody-positive refractory generalised myasthenia gravis (REGAIN): A phase 3, randomised, double-blind, placebo-controlled, multicentre study. The Lancet. Neurology, 16(12), 976–986. https://doi.org/10.1016/S1474-4422(17)30369-1CrossRefPubMed

22.

Janssen, M. F., Pickard, A. S., Golicki, D., Gudex, C., Niewada, M., Scalone, L., Swinburn, P., & Busschbach, J. (2013). Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: A multi-country study. Quality of Life Research, 22(7), 1717–1727. https://doi.org/10.1007/S11136-012-0322-4CrossRefPubMed

23.

Jovin, T. G., Chamorro, A., Cobo, E., de Miquel, M. A., Molina, C. A., Rovira, A., San Román, L., Serena, J., Abilleira, S., Ribó, M., Millán, M., Urra, X., Cardona, P., López-Cancio, E., Tomasello, A., Castaño, C., Blasco, J., Aja, L., Dorado, L., & Dávalos, A. (2015). Thrombectomy within 8 hours after symptom onset in ischemic stroke. The New England Journal of Medicine, 372(24), 2296–2306. https://doi.org/10.1056/NEJMOA1503780CrossRefPubMed

24.

Jovin, T. G., Li, C., Wu, L., Wu, C., Chen, J., Jiang, C., Shi, Z., Gao, Z., Song, C., Chen, W., Peng, Y., Yao, C., Wei, M., Li, T., Wei, L., Xiao, G., Yang, H., Ren, M., Duan, J., & Ji, X. (2022). Trial of thrombectomy 6 to 24 hours after stroke due to basilar-artery occlusion. The New England Journal of Medicine, 387(15), 1373–1384. https://doi.org/10.1056/NEJMoa2207576CrossRefPubMed

25.

Kainz, A., Meisinger, C., Linseisen, J., Kirchberger, I., Zickler, P., Naumann, M., & Ertl, M. (2021). Changes of health-related quality of life within the 1st year after stroke-results from a prospective stroke cohort study. Frontiers in Neurology. https://doi.org/10.3389/FNEUR.2021.715313CrossRefPubMedPubMedCentral

26.

Kurre, W., Aguilar-Pérez, M., Niehaus, L., Fischer, S., Schmid, E., Bäzner, H., & Henkes, H. (2013). Predictors of outcome after mechanical thrombectomy for anterior circulation large vessel occlusion in patients aged ≥80 years. Cerebrovascular Diseases, 36(5–6), 430–436. https://doi.org/10.1159/000356186CrossRefPubMed

27.

Kwon, S. Y., Park, J. H., Kim, W. S., Han, K., Lee, Y., & Paik, N. J. (2018). Health-related quality of life and related factors in stroke survivors: data from korea national health and nutrition examination survey (KNHANES) 2008 to 2014. PLoS ONE, 13(4), e0195713. https://doi.org/10.1371/JOURNAL.PONE.0195713CrossRefPubMedPubMedCentral

28.

Lin, A. (2022). Factors Associated with Mortality After Undergoing Thrombectomy for Acute Ischemic Stroke. https://doi.org/10.13028/Q3TW-N078

29.

Ludwig, K., Graf von der Schulenburg, J. M., & Greiner, W. (2018). German value set for the EQ-5D-5L. PharmacoEconomics, 36(6), 663–674. https://doi.org/10.1007/S40273-018-0615-8/FIGURES/6CrossRefPubMedPubMedCentral

30.

Mahesh, P. K. B., Gunathunga, M. W., Jayasinghe, S., Arnold, S. M., & Liyanage, S. N. (2017). Factors influencing pre-stroke and post-stroke quality of life among stroke survivors in a lower middle-income country. Neurological Sciences, 39(2), 287–295. https://doi.org/10.1007/S10072-017-3172-6CrossRefPubMed

31.

Meyer, L., Broocks, G., Bechstein, M., Flottmann, F., Leischner, H., Brekenfeld, C., Schön, G., Deb-Chatterji, M., Alegiani, A., Thomalla, G., Fiehler, J., Kniep, H., & Hanning, U. (2020). Early clinical surrogates for outcome prediction after stroke thrombectomy in daily clinical practice. Journal of Neurology, Neurosurgery & Psychiatry, 91(10), 1055–1059. https://doi.org/10.1136/JNNP-2020-323742CrossRef

32.

Millán, M., Ramos-Pachón, A., Dorado, L., Bustamante, A., Hernández-Pérez, M., Rodríguez-Esparragoza, L., Gomis, M., Remollo, S., Castaño, C., Werner, M., Wenger, D., Rubio, S., Domínguez-Lizarbe, M., Terceño, M., Paipa, A. J., Rodríguez-Vázquez, A., Boned, S., Camps-Renom, P., Cánovas, D., & Pérez De La Ossa, N. (2022). Predictors of functional outcome after thrombectomy in patients with prestroke disability in clinical practice. Stroke, 29(2), 845–854. https://doi.org/10.1161/STROKEAHA.121.034960CrossRef

33.

Mutke, M. A., Madai, V. I., Hilbert, A., Zihni, E., Potreck, A., Weyland, C. S., Möhlenbruch, M. A., Heiland, S., Ringleb, P. A., Nagel, S., Bendszus, M., & Frey, D. (2022). Comparing poor and favorable outcome prediction with machine learning after mechanical thrombectomy in acute ischemic stroke. Frontiers in Neurology, 13, 760. https://doi.org/10.3389/FNEUR.2022.737667/BIBTEXCrossRef

34.

Nogueira, R. G., Jadhav, A. P., Haussen, D. C., Bonafe, A., Budzik, R. F., Bhuva, P., Yavagal, D. R., Ribo, M., Cognard, C., Hanel, R. A., Sila, C. A., Hassan, A. E., Millan, M., Levy, E. I., Mitchell, P., Chen, M., English, J. D., Shah, Q. A., Silver, F. L., & Jovin, T. G. (2018). Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. New England Journal of Medicine, 378(1), 11–21. https://doi.org/10.1056/NEJMoa1706442CrossRefPubMed

35.

Olive-Gadea, M., Cano, D., Rodrigo-Gisbert, M., Muchada, M., Montiel, E., Baladas, M., Sanchez-Gavilan, E., Paredes, C., Garcia-Tornel, A., Rubiera, M., Requena, M., Ribo, M., & Molina, C. A. (2023). Redefining disability: Patient-reported outcome measures after minor stroke and transient ischemic attack. Stroke, 54(1), 144–150. https://doi.org/10.1161/STROKEAHA.122.040409CrossRefPubMed

36.

Ota, T., Shigeta, K., Inoue, M., Matsumaru, Y., Shiokawa, Y., & Hirano, T. (2020). Long-term outcomes of acute endovascular thrombectomy: tokyo/tama-registry of acute endovascular thrombectomy (TREAT). World Neurosurgery, 142, e271–e277. https://doi.org/10.1016/J.WNEU.2020.06.209CrossRefPubMed

37.

Peisker, T., Vaško, P., Mikulenka, P., Lauer, D., Kožnar, B., Sulženko, J., Roháč, F., Kučera, D., Girsa, D., Kremeňová, K., Widimský, P., & Štětkářová, I. (2022). Clinical and radiological factors predicting stroke outcome after successful mechanical intervention in anterior circulation. European Heart Journal Supplements, 24(Suppl B), B48. https://doi.org/10.1093/EURHEARTJSUPP/SUAC010CrossRefPubMedPubMedCentral

38.

Rajan, J. E., Kannath, S. K., Sabarish, S., Arun, K., Varma, P. R., Sreedharan, S. E., Sukumaran, S., & Sylaja, P. N. (2022). Mechanical thrombectomy in acute ischemic stroke: Angiographic predictors of outcome. Neurology India, 70(4), 1407. https://doi.org/10.4103/0028-3886.355085CrossRefPubMed

39.

Reeves, M., Lisabeth, L., Williams, L., Katzan, I., Kapral, M., Deutsch, A., & Prvu-Bettger, J. (2018). Patient-reported outcome measures (PROMs) for acute stroke: Rationale methods and future directions. Stroke, 49(6), 1549–1556. https://doi.org/10.1161/STROKEAHA.117.018912CrossRefPubMed

40.

Rom, S., Zuluaga-Ramirez, V., Gajghate, S., Seliga, A., Winfield, M., Heldt, N. A., Kolpakov, M. A., Bashkirova, Y. V., Sabri, A. K., & Persidsky, Y. (2019). Hyperglycemia-driven neuroinflammation compromises BBB leading to memory loss in both diabetes mellitus (DM) type 1 and type 2 mouse models. Molecular Neurobiology, 56(3), 1883–1896. https://doi.org/10.1007/s12035-018-1195-5CrossRefPubMed

41.

Rosso, C., Pires, C., Corvol, J.-C., Baronnet, F., Crozier, S., Leger, A., Deltour, S., Valabregue, R., Amor-Sahli, M., Lehéricy, S., Dormont, D., & Samson, Y. (2015). Hyperglycaemia, insulin therapy and critical penumbral regions for prognosis in acute stroke: Further insights from the INSULINFARCT trial. PLoS ONE, 10(3), e0120230. https://doi.org/10.1371/journal.pone.0120230CrossRefPubMedPubMedCentral

42.

Saver, J. L., Goyal, M., Bonafe, A., Diener, H.-C., Levy, E. I., Pereira, V. M., Albers, G. W., Cognard, C., Cohen, D. J., Hacke, W., Jansen, O., Jovin, T. G., Mattle, H. P., Nogueira, R. G., Siddiqui, A. H., Yavagal, D. R., Baxter, B. W., Devlin, T. G., Lopes, D. K., & Jahan, R. (2015). Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. The New England Journal of Medicine, 372(24), 2285–2295. https://doi.org/10.1056/NEJMOA1415061CrossRefPubMed

43.

Schäbitz, M., Möller, L., Friedrich, A., Klein, N., Kitsiou, A., Greeve, I., Gerstner, A., Wulff, L., Schäbitz, W.-R., Timmermann, L., & Rogalewski, A. (2023). Long-term functional outcome and quality of life 2.5 years after thrombolysis in acute ischemic stroke. Neurological Research and Practice, 5(1), 62. https://doi.org/10.1186/s42466-023-00291-3CrossRefPubMedPubMedCentral

44.

Schneider, S., Taba, N., Saapar, M., Vibo, R., & Kõrv, J. (2021). Determinants of long-term health-related quality of life in young ischemic stroke patients. Journal of Stroke and Cerebrovascular Diseases, 30(2), 105499. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105499CrossRefPubMed

45.

Segerdahl, M., Hansson, P.-O., Samuelsson, C. M., & Persson, C. U. (2023). Health-related quality of life in stroke survivors: A 5-year follow-up of the fall study of gothenburg (FallsGOT). BMC Geriatrics, 23(1), 584. https://doi.org/10.1186/s12877-023-04308-zCrossRefPubMedPubMedCentral

46.

Sojka, M., Szmygin, M., Pyra, K., Tarkowski, P., Luchowski, P., Wojczal, J., Drelich-Zbroja, A., & Jargiełło, T. (2021). Predictors of outcome after mechanical thrombectomy for acute ischemic stroke in patients aged ≥90 years. Clinical Neurology and Neurosurgery. https://doi.org/10.1016/J.CLINEURO.2020.106354CrossRefPubMed

47.

Szmygin, M., Sojka, M., Tarkowski, P., Pyra, K., Luchowski, P., Wojczal, J., Ficek, R., Drelich-Zbroja, A., & Jargiełło, T. (2021). Predictors of favorable outcome after endovascular thrombectomy for acute ischemic stroke due to large vessel occlusion in young patients. https://doi.org/10.1177/02841851211056476

48.

Tao, C., Nogueira, R. G., Zhu, Y., Sun, J., Han, H., Yuan, G., Wen, C., Zhou, P., Chen, W., Zeng, G., Li, Y., Ma, Z., Yu, C., Su, J., Zhou, Z., Chen, Z., Liao, G., Sun, Y., Ren, Y., & Hu, W. (2022). Trial of endovascular treatment of acute basilar-artery occlusion. The New England Journal of Medicine, 387(15), 1361–1372. https://doi.org/10.1056/NEJMoa2206317CrossRefPubMed

49.

Wang, Y., Jiang, G., Zhang, J., Wang, J., You, W., & Zhu, J. (2023). Blood glucose level affects prognosis of patients who received intravenous thrombolysis after acute ischemic stroke? A meta-analysis. Frontiers in Endocrinology, 14, 256. https://doi.org/10.3389/FENDO.2023.1120779CrossRef

50.

Wirtz, M. M., Hendrix, P., Goren, O., Beckett, L. A., Dicristina, H. R., Schirmer, C. M., Dalal, S., Weiner, G., Foreman, P. M., Zand, R., & Griessenauer, C. J. (2019). Predictor of 90-day functional outcome after mechanical thrombectomy for large vessel occlusion stroke: NIHSS score of 10 or less at 24 hours. Journal of Neurosurgery, 134(1), 115–121. https://doi.org/10.3171/2019.10.JNS191991CrossRefPubMed

51.

Wu, X., Liu, G., Zhou, W., Ou, A., Liu, X., Wang, Y., Zhou, S., Luo, W., & Liu, B. (2019). Outcome prediction for patients with anterior circulation acute ischemic stroke following endovascular treatment: A single-center study. Experimental and Therapeutic Medicine. https://doi.org/10.3892/ETM.2019.8054CrossRefPubMedPubMedCentral

52.

Yoon, W., Kim, S. K., Park, M. S., Baek, B. H., & Lee, Y. Y. (2017). Predictive factors for good outcome and mortality after stent-retriever thrombectomy in patients with acute anterior circulation stroke. Journal of Stroke, 19(1), 97–103. https://doi.org/10.5853/JOS.2016.00675CrossRefPubMedPubMedCentral

53.

Zhao, W., Shang, S., Li, C., Wu, L., Wu, C., Chen, J., Song, H., Zhang, H., Zhang, Y., Duan, J., Feng, W., & Ji, X. (2018). Long-term outcomes of acute ischemic stroke patients treated with endovascular thrombectomy: A real-world experience. Journal of the Neurological Sciences, 390, 77–83. https://doi.org/10.1016/j.jns.2018.03.004CrossRefPubMed

Title: Functional long-term outcome following endovascular thrombectomy in patients with acute ischemic stroke
Authors: Andreas Rogalewski
Nele Klein
Anja Friedrich
Alkisti Kitsiou
Marie Schäbitz
Frédéric Zuhorn
Burkhard Gess
Björn Berger
Randolf Klingebiel
Wolf-Rüdiger Schäbitz
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: Neurological Research and Practice / Issue 1/2024
Electronic ISSN: 2524-3489
DOI: https://doi.org/10.1186/s42466-023-00301-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Functional long-term outcome following endovascular thrombectomy in patients with acute ischemic stroke

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2024

The evolution of acute stroke care in Germany from 2019 to 2021: analysis of nation-wide administrative datasets

Repetitive head injuries in German American football players do not change blood-based biomarker candidates for CTE during a single season

Prospective study validating a multidimensional treatment decision score predicting the 24-month outcome in untreated patients with clinically isolated syndrome and early relapsing–remitting multiple sclerosis, the ProVal-MS study

Characteristics associated with occurrence of stroke in patients with infective endocarditis – a retrospective cohort study

Brivaracetam and topiramate serum levels during pregnancy and delivery: a case report and a review of literature

Systematic approach to contextualize findings of flexible endoscopic evaluation of swallowing in neurogenic dysphagia– towards an integrated FEES report