Sex differences in outcome after thrombectomy for acute ischemic stroke. A propensity score-matched study.

Ischemic stroke sex thrombectomy

Journal

European stroke journal
ISSN: 2396-9881
Titre abrégé: Eur Stroke J
Pays: England
ID NLM: 101688446

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 14 01 2022
accepted: 14 03 2022
entrez: 1 6 2022
pubmed: 2 6 2022
medline: 2 6 2022
Statut: ppublish

Résumé

We sought to investigate whether there are gender differences in clinical outcome after stroke due to large vessel occlusion (LVO) after mechanical thrombectomy (EVT) in a large population of real-world patients. From the Italian Registry of Endovascular Thrombectomy, we extracted clinical and outcome data of patients treated for stroke due to large vessel occlusion. We compared clinical and safety outcomes in men and women who underwent EVT alone or in combination with intravenous thrombolysis (IVT) in the total population and in a Propensity Score matched set. Among 3422 patients included in the study, 1801 (52.6%) were women. Despite older age at onset (mean 72.4 vs 68.7; Subject to the limitations of a non-randomized comparison, women with stroke due to LVO treated with mechanical thrombectomy had a better chance to achieve complete recanalization, and 3-month functional independence than men. The results could be driven by women who underwent combined treatment.

Sections du résumé

Background and purpose UNASSIGNED
We sought to investigate whether there are gender differences in clinical outcome after stroke due to large vessel occlusion (LVO) after mechanical thrombectomy (EVT) in a large population of real-world patients.
Methods UNASSIGNED
From the Italian Registry of Endovascular Thrombectomy, we extracted clinical and outcome data of patients treated for stroke due to large vessel occlusion. We compared clinical and safety outcomes in men and women who underwent EVT alone or in combination with intravenous thrombolysis (IVT) in the total population and in a Propensity Score matched set.
Results UNASSIGNED
Among 3422 patients included in the study, 1801 (52.6%) were women. Despite older age at onset (mean 72.4 vs 68.7;
Conclusions UNASSIGNED
Subject to the limitations of a non-randomized comparison, women with stroke due to LVO treated with mechanical thrombectomy had a better chance to achieve complete recanalization, and 3-month functional independence than men. The results could be driven by women who underwent combined treatment.

Identifiants

pubmed: 35647312
doi: 10.1177/23969873221091648
pii: 10.1177_23969873221091648
pmc: PMC9134778
doi:

Types de publication

Journal Article

Langues

eng

Pagination

151-157

Informations de copyright

© European Stroke Organisation 2022.

Déclaration de conflit d'intérêts

Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: MB: Consultant for Penumbra Inc., Stryker Italia; AS: Consultant for Stryker; ADV: Consultant for Boehringer Ingelheim, Daichi Sankyo; AZ: speaker fees and consulting fees from Boehringer-Ingelheim, Medtronic, Cerenovus and advisory board from Daiichi Sankyo and Boehringer-Ingelheim and Stryker; MC: speaker fees and consulting fees from Daiichi Sankyo and Bristol Myers Squibb, advisory board from Boehringer-Ingelheim; NPN: Consultant for Penumbra Inc., Acandis GmbH; SS: personal fees and non-financial support from Allergan, Abbott, Eli Lilly, Novartis, TEVA, participation to Advisory Board for Astra Zeneca, and research support from Laborest; AM: Consultant for Boehringer Ingelheim, DR: Proctor for Penumbra. Other Authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

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Auteurs

Ilaria Casetta (I)

Clinical Neurology, University of Ferrara, Ferrara, Italy.

Enrico Fainardi (E)

University of Florence, Florence, Italy.

Giovanni Pracucci (G)

University of Florence, Florence, Italy.

Valentina Saia (V)

Hospital Santa Corona Pietra Ligure, Pietra Ligure, Italy.

Fabrizio Sallustio (F)

Ospedale dei Castelli-ASL, RM, Ariccia, Italy.

Valerio da Ros (V)

University of Rome Tor Vergata, RM, Roma, Italy.

Sergio Nappini (S)

Careggi University Hospital, Florence, Italy.

Patrizia Nencini (P)

Careggi University Hospital, Florence, Italy.

Guido Bigliardi (G)

University Hospital Modena, Modena, Italy.

Sergio Vinci (S)

University of Messina, Messina, Italy.

Francesco Grillo (F)

University of Messina, Messina, Italy.

Sandra Bracco (S)

Santa Maria alle Scotte Hospital, Siena, Italy.

Rossana Tassi (R)

Santa Maria alle Scotte Hospital, Siena, Italy.

Mauro Bergui (M)

University of Turin, Torino, Italy.

Paolo Cerrato (P)

AOU Città della Salute, Torino, Italy.

Andrea Saletti (A)

Azienda Ospedaliero Universitaria di Ferrara, Ferrara, Italy.

Alessandro De Vito (A)

Azienda Ospedaliero Universitaria di Ferrara, Ferrara, Italy.

Roberto Gasparotti (R)

University of Brescia, Brescia, Italy.

Mauro Magoni (M)

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Brescia, Italy.

Luigi Simonetti (L)

Ospedale Maggiore, Bologna, Italy.

Andrea Zini (A)

IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy.

Maria Ruggiero (M)

Bufalini Hospital, Cesena, Italy.

Marco Longoni (M)

Bufalini Hospital, Cesena, Italy.

Lucio Castellan (L)

IRCCS Ospedale Policlinico San Martino, Genova, Italy.

Laura Malfatto (L)

IRCCS Ospedale Policlinico San Martino, Genova, Italy.

Paola Castellini (P)

Ospedale Maggiore di Parma, Parma, Italy.

Mirco Cosottini (M)

University of Pisa, Pisa, Italy.

Alessio Comai (A)

Bolzano Hospital, Bolzano, Italy.

Enrica Franchini (E)

Bolzano Hospital, Bolzano, Italy.

Giacomo Della Marca (G)

University Hospital Agostino Gemelli, RM, Roma, Italy.

Alfonsina Casalena (A)

ASL 4 Teramo, Teramo, Italy.

Claudio Baracchini (C)

University of Padua, Padua, Italy.

Daniele Savio (D)

Ospedale San Giovanni Bosco, Torino, Italy.

Enrica Duc (E)

Ospedale San Giovanni Bosco, Torino, Italy.

Luigi Chiumarulo (L)

University of Bari, Bari, Italy.

Marco Petruzzellis (M)

University of Bari, Bari, Italy.

Anna Cavallini (A)

IRCCS Fondazione C. Mondino, Pavia, Italy.

Nicola Cavasin (N)

Ospedale dell'Angelo, Mestre, Italy.

Adriana Critelli (A)

Ospedale dell'Angelo, Mestre, Italy.

Nicola Burdi (N)

AO SS. Annunziata, Taranto, Italy.

Giovanni Boero (G)

AO SS. Annunziata, Taranto, Italy.

Andrea Giorgianni (A)

ASST Sette Laghi, Varese, Italy.

Maurizio Versino (M)

University of Insubria, Varese, Italy.

Francesco Biraschi (F)

University of Rome La Sapienza, RM, Roma, Italy.

Ettore Nicolini (E)

University of Rome La Sapienza, RM, Roma, Italy.

Simone Comelli (S)

Ospedale Botzu, Cagliari, Italy.

Maurizio Melis (M)

Ospedale Botzu, Cagliari, Italy.

Riccardo Padolecchia (R)

Hospital Santa Corona Pietra Ligure, Pietra Ligure, Italy.

Tiziana Tassinari (T)

Hospital Santa Corona Pietra Ligure, Pietra Ligure, Italy.

Nunzio Paolo Nuzzi (N)

IRCCS Humanitas Research Hospital, Milan, Italy.

Simona Marcheselli (S)

IRCCS Humanitas Research Hospital, Milan, Italy.

Simona Sacco (S)

University of L'Aquila, L' Aquila, Italy.

Paolo Invernizzi (P)

Fondazione Poliambulanza, Brescia, Italy.

Ivan Gallesio (I)

Ospedale Casale Monferrato, Alessandria, Italy.

Delfina Ferrandi (D)

Ospedale Casale Monferrato, Alessandria, Italy.

Maria Fancello (M)

Hospital San Francesco, Nuoro, Italy.

Maria Valeria Saddi (M)

Hospital San Francesco, Nuoro, Italy.

Monia Russo (M)

Ospedale Rovigo, Rovigo, Italy.

Aldo Pischedda (A)

AOU Sassari, Sassari, Italy.

Antonio Baule (A)

AOU Sassari, Sassari, Italy.

Marina Mannino (M)

Palermo Hospital, Palermo, Italy.

Francesco Florio (F)

Fondazione di Religione e di Culto Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.

Vincenzo Inchingolo (V)

Fondazione di Religione e di Culto Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.

Maria Elena Flacco (M)

University of Ferrara, Ferrara, Italy.

Daniele Romano (D)

AOU S. Giovanni di Dio Ruggi D'Aragona, Salerno, Italy.

Umberto Silvagni (U)

AO Cosenza, Cosenza, Italy.

Domenico Inzitari (D)

University of Florence, Florence, Italy.

Salvatore Mangiafico (S)

Careggi University Hospital, Florence, Italy.

Danilo Toni (D)

University of Rome La Sapienza, RM, Roma, Italy.

Classifications MeSH