Abstract Details

Title Cerebral Reperfusion and Clinical Outcomes after Endovascular Treatment for Acute Ischemic Stroke

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) IN7 - (-)

Poster/Presentation
Number 009

Objective

Background In a number of clinical trials, case series and comparative nonrandomized studies reported in the last decade, improvement over time of recanalization rate was not paralleled by a consistent amelioration of clinical outcomes. We hypothesized that, given case selection, these studies may not reflect real world variability of ischemic stroke.

Design/Methods The Italian Registry of Endovascular Treatment in Acute Stroke (IRETAS) consecutively records patients treated with intra-arterial thrombolysis or trombectomy in 25 tertiary stroke centres . We studied successful reperfusion, defined as Thrombolysis in Cerebral Infarction (TICI) score 2b-3, as independent predictor of good functional outcome (3 months modified Rankin scale < 2), controlling for confounders. Safety measures included symptomatic intracranial hemorrhage (s-ICH), according to ECASS definition, peri-procedural adverse events and death.

Results From 2008 to 2012, 748 patients were registered. Outcome data were complete for 527 (70.5%) patients . Outcome predictors were similarly prevalent comparing patients who were included to those excluded from the analysis. Median age of the 527 patients was 68 (54-75) years; 56.5% were males. Baseline median NIHSS was 18 (13-22). s-ICH occurs in 51 (9.7%) patients, procedural adverse events in 25 (4.7%) patients. Complete reperfusion was achieved in 303 (57.5%) patients. Two hundred twenty five (42.7%) patients had a good functional outcome. Death rate was 24.9% After adjusting for age, gender, baseline NIHSS, time from onset to groin puncture, site of occlusion, treatment modality, successful reperfusion strongly predicted good functional outcome (OR 1.92, 95%CI, 1.60-2.31).

Conclusions In a real word practice scenario good functional outcome was strongly associated with successful reperfusion.

Authors/Disclosures
Domenico Inzitari, MD (Careggi Hospital) PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Alfonso Ciccone	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file

��ɫ��

��ɫ��