Temporal trends in results of endovascular treatment of anterior intracranial large cerebral vessel occlusion: A 7-year study Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1177/23969873231180338
Background: Technical improvements in devices, changes in angiographic grading scales and various confounding factors have made difficult the detection of the temporal evolution of angiographic and clinical results after endovascular treatment (EVT) for acute ischemic Stroke (AIS). We analyzed this evolution in time using the Endovascular Treatment in Ischemic Stroke (ETIS) registry. Materials and Methods: We analyzed the efficacy outcomes of EVT performed from January 2015 to January 2022, and modelized the temporal trends using mixed logistic regression models, further adjusted for age, intravenous thrombolysis prior to EVT, general anesthesia, occlusion site, balloon catheter use and the type of first-line EVT strategy. We assessed heterogeneity in temporal trends according to occlusion site, balloon catheter use, cardio embolic etiology, age (3 EVT device passes (43.1%–17.5%) and favorable outcome (35.8%–28.9%) decrease significantly over time. A significant heterogeneity in temporal trends in successful reperfusion according to the first-line EVT strategy was found (p-het = 0.018). The temporal trend of increasing successful reperfusion rate was only significant in patients treated with contact aspiration in first-line (adjusted overall effect p = 0.010). Conclusion: In this 7-year-old large registry of ischemic stroke cases treated with EVT, we observed a significant increase with time in the rate of recanalization whereas there was a tendency toward a decrease in the rate of favorable outcome over the same period.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/23969873231180338
- https://journals.sagepub.com/doi/pdf/10.1177/23969873231180338
- OA Status
- bronze
- Cited By
- 7
- References
- 49
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4379769561
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4379769561Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/23969873231180338Digital Object Identifier
- Title
-
Temporal trends in results of endovascular treatment of anterior intracranial large cerebral vessel occlusion: A 7-year studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-08Full publication date if available
- Authors
-
Romain Bourcier, Arturo Consoli, Jean-Philippe Desilles, Julien Labreuche, Maéva Kyheng, Hubert Desal, Quentin Alias, Benjamin Gory, Cyril Dargazanli, Kévin Janot, François Zhu, Bertrand Lapergue, Gaultier MarnatList of authors in order
- Landing page
-
https://doi.org/10.1177/23969873231180338Publisher landing page
- PDF URL
-
https://journals.sagepub.com/doi/pdf/10.1177/23969873231180338Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://journals.sagepub.com/doi/pdf/10.1177/23969873231180338Direct OA link when available
- Concepts
-
Medicine, Thrombolysis, Logistic regression, Confounding, Occlusion, Catheter, Endovascular treatment, Stroke (engine), Balloon, Cardiology, Internal medicine, Surgery, Myocardial infarction, Aneurysm, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 4Per-year citation counts (last 5 years)
- References (count)
-
49Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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