Clinical and Non-Clinical Determinants of the Effect of Mechanical Thrombectomy and Post-Stroke Functional Status of Patients in Short and Long-Term Follow-Up.

functional state stroke thrombectomy

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
29 Oct 2021
Historique:
received: 29 08 2021
revised: 10 10 2021
accepted: 26 10 2021
entrez: 13 11 2021
pubmed: 14 11 2021
medline: 14 11 2021
Statut: epublish

Résumé

To date, inconsistent results evaluating the effect of parameters on mechanical thrombectomy (MT) outcomes in stroke-patients have been published. This study aimed to identify the key parameters for functional status after MT in stroke-patients in short and long-term follow-up. The study analysis focused on the relevance of selected clinical and non-clinical parameters to the functional status of the patients after MT. 417 stroke-patients (mean age 67.8 ± 13.2 years) were qualified. Atrial fibrillation, and leukocytosis were significant for the neurological status on the first day of stroke ( Age and neurological status in the ultra-acute phase of stroke are crucial for the functional status in short and long-term observations of patients treated with mechanical thrombectomy. Atrial fibrillation, hyperglycemia, and inflammatory state are relevant to the short-term post-stroke functional status. First pass effect and the degree of post-interventional reperfusion are important technical parameters to the short-term functional status. Neurological status and white blood count during the acute phase are associated with a high rate of post-procedural intracranial bleeding.

Identifiants

pubmed: 34768603
pii: jcm10215084
doi: 10.3390/jcm10215084
pmc: PMC8584929
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Anetta Lasek-Bal (A)

Department of Neurology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland.
Department of Neurology, Upper-Silesian Medical Centre, Medical University of Silesia, 40-055 Katowice, Poland.

Łukasz Binek (Ł)

Department of Neurology, Upper-Silesian Medical Centre, Medical University of Silesia, 40-055 Katowice, Poland.

Amadeusz Żak (A)

Department of Neurology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland.
Department of Neurology, Upper-Silesian Medical Centre, Medical University of Silesia, 40-055 Katowice, Poland.

Sebastian Student (S)

Faculty of Automatic Control, Electronics and Computer Science, Silesian University of Technology, 44-100 Gliwice, Poland.
Biotechnology Center, Silesian University of Technology, 44-100 Gliwice, Poland.

Aleksandra Krzan (A)

Department of Neurology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland.
Department of Neurology, Upper-Silesian Medical Centre, Medical University of Silesia, 40-055 Katowice, Poland.

Przemysław Puz (P)

Department of Neurology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland.
Department of Neurology, Upper-Silesian Medical Centre, Medical University of Silesia, 40-055 Katowice, Poland.

Wiesław Bal (W)

Department of Outpatient Chemotherapy, Maria Skłodowska-Curie Memorial Cancer Centre and Institute of Oncology, 44-101 Gliwice, Poland.

Urszula Uchwat (U)

Department of Neurology, Upper-Silesian Medical Centre, Medical University of Silesia, 40-055 Katowice, Poland.

Classifications MeSH