Effectiveness and safety of bridging therapy and endovascular therapy in patients with large cerebral infarctions: from ANGEL-ASPECT Article Swipe
Guangxiong Yuan
,
Jun Zhang
,
Zekang Ye
,
Jingping Sun
,
Xiaochuan Huo
,
Yuesong Pan
,
Mengxing Wang
,
Xiao Yong Peng
,
Chanjuan Zheng
,
Xueyao Lei
,
Zhongrong Miao
,
Xueli Cai
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/svn-2024-003120
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/svn-2024-003120
Background and purpose The benefits of thrombolytic therapy before endovascular thrombectomy in cases of acute ischaemic stroke, with a large infarction volume, remain unclear. This analysis aims to evaluate the effectiveness and safety of bridging therapy and endovascular therapy among patients with large cerebral infarctions. Methods In this post-hoc analysis of the multicentre prospective study of ANGEL-ASPECT (Acute Anterior Circulation Large Vessel Occlusive Patients with a Large Infarct Core), participants were divided into two groups: an endovascular therapy group and a bridging therapy group. The primary outcome was the modified Rankin Scale (mRS) score at 90 days. The primary safety outcome was symptomatic intracranial haemorrhage. Ordinal logistic regression was performed to compare the primary endpoint between the two groups. Subgroup analyses were conducted to further explore potential risk factors associated with the outcomes. Results 122 patients were included, of whom 77 (63%) underwent endovascular therapy and 45 (37%) underwent bridging therapy. The median scores on mRS at 90 days of the bridging therapy group and the endovascular therapy group were 3 (2–5) and 4 (2–6), with no significant differences (common OR 1.36; 95% CI 0.71 to 2.61). Symptomatic intracranial haemorrhage was reported in three patients who were in the endovascular and bridging therapy groups (relative risk (RR) 1.71; 95% CI 0.36 to 8.12). The mortality between two groups did not differ (RR 0.75; 95% CI 0.37 to 1.54). Conclusions Our study indicated that endovascular therapy alone might be a viable option for patients with large cerebral infarctions, displaying no noticeable disparity in outcomes compared with bridging therapy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/svn-2024-003120
- https://svn.bmj.com/content/svnbmj/early/2024/05/21/svn-2024-003120.full.pdf
- OA Status
- gold
- Cited By
- 3
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4398217999
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4398217999Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/svn-2024-003120Digital Object Identifier
- Title
-
Effectiveness and safety of bridging therapy and endovascular therapy in patients with large cerebral infarctions: from ANGEL-ASPECTWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-21Full publication date if available
- Authors
-
Guangxiong Yuan, Jun Zhang, Zekang Ye, Jingping Sun, Xiaochuan Huo, Yuesong Pan, Mengxing Wang, Xiao Yong Peng, Chanjuan Zheng, Xueyao Lei, Zhongrong Miao, Xueli CaiList of authors in order
- Landing page
-
https://doi.org/10.1136/svn-2024-003120Publisher landing page
- PDF URL
-
https://svn.bmj.com/content/svnbmj/early/2024/05/21/svn-2024-003120.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://svn.bmj.com/content/svnbmj/early/2024/05/21/svn-2024-003120.full.pdfDirect OA link when available
- Concepts
-
Medicine, Modified Rankin Scale, Clinical endpoint, Surgery, Endovascular treatment, Bridging (networking), Stroke (engine), Internal medicine, Randomized controlled trial, Ischemic stroke, Aneurysm, Ischemia, Computer network, Engineering, Mechanical engineering, Computer scienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 2Per-year citation counts (last 5 years)
- References (count)
-
27Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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