TAGE Score for Symptomatic Intracranial Hemorrhage Prediction After Successful Endovascular Treatment in Acute Ischemic Stroke.

Blood Glucose Endovascular Procedures / adverse effects Humans Intracranial Hemorrhages / etiology Ischemic Stroke / surgery Prospective Studies Treatment Outcome
hemorrhage ischemic stroke prognosis risk factors thrombectomy

Journal

Stroke
ISSN: 1524-4628
Titre abrégé: Stroke
Pays: United States
ID NLM: 0235266

Informations de publication

Date de publication:
09 2022
Historique:
pubmed: 15 6 2022
medline: 25 8 2022
entrez: 14 6 2022
Statut: ppublish

Résumé

Determine if early venous filling (EVF) after complete successful recanalization with mechanical thrombectomy in acute ischemic stroke is an independent predictor of symptomatic intracranial hemorrhage (sICH) and integrate EVF into a risk score for sICH prediction. Consecutive patients with anterior acute ischemic stroke treated by mechanical thrombectomy issued from patients enrolled in the THRACE trial (Thrombectomie des Artères Cérébrales) and from 2 prospective registries were included and divided into a derivation (Center I; n=402) and validation cohorts (THRACE and center 2; n=507). EVF was evaluated by 2 blinded readers. sICH was defined according to the modified European cooperative acute stroke study II. Clinical and radiological data were analyzed in the derivation cohort (C1) to identify independent predictors of sICH and construct a predictive score test on the validation cohort (THRACE + C2). Symptomatic ICH rate was similar between the two cohorts (9.9% and 8.9% respectively, Time-Alberta Stroke Program Early CT-Glycemia-EVF score is a simple tool with readily available clinical variables with good performances for sICH prediction after mechanical thrombectomy. URL: https://www. gov; Unique identifier: NCT01062698.

Sections du résumé

BACKGROUND
Determine if early venous filling (EVF) after complete successful recanalization with mechanical thrombectomy in acute ischemic stroke is an independent predictor of symptomatic intracranial hemorrhage (sICH) and integrate EVF into a risk score for sICH prediction.
METHODS
Consecutive patients with anterior acute ischemic stroke treated by mechanical thrombectomy issued from patients enrolled in the THRACE trial (Thrombectomie des Artères Cérébrales) and from 2 prospective registries were included and divided into a derivation (Center I; n=402) and validation cohorts (THRACE and center 2; n=507). EVF was evaluated by 2 blinded readers. sICH was defined according to the modified European cooperative acute stroke study II. Clinical and radiological data were analyzed in the derivation cohort (C1) to identify independent predictors of sICH and construct a predictive score test on the validation cohort (THRACE + C2).
RESULTS
Symptomatic ICH rate was similar between the two cohorts (9.9% and 8.9% respectively,
CONCLUSIONS
Time-Alberta Stroke Program Early CT-Glycemia-EVF score is a simple tool with readily available clinical variables with good performances for sICH prediction after mechanical thrombectomy.
REGISTRATION
URL: https://www.
CLINICALTRIALS
gov; Unique identifier: NCT01062698.

Identifiants

DOI: 10.1161/STROKEAHA.121.038088 PMID: 35698971
pubmed: 35698971
doi: 10.1161/STROKEAHA.121.038088
doi:

Substances chimiques

Blood Glucose 0

Banques de données

ClinicalTrials.gov
['NCT01062698']

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2809-2817

Auteurs

Paul Janvier (P)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.
ORCID: 0000-0002-1902-5609

Basile Kerleroux (B)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.
ORCID: 0000-0003-0642-3955

Guillaume Turc (G)

Neurology (G.T.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.

Marco Pasi (M)

Department of Neurology (M.P., H.H.), Lille University, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU Lille, France.

Wassim Farhat (W)

Department of Neurology, Saint-Joseph Hospital, Paris, France (W.F.).

Nicolas Bricout (N)

Department of Interventional Neuroradiology (N.B.), Lille University, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU Lille, France.

Joseph Benzakoun (J)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.

Laurence Legrand (L)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.
ORCID: 0000-0003-3951-7405

Frédéric Clarençon (F)

Department of Neuroradiology, Sorbonne University, AP-HP, Pitié Salpêtrière - Charles Foix Hospital, Paris, France (F.C.).
ORCID: 0000-0002-6442-8239

Serge Bracard (S)

Department of Neuroradiology, Nancy University (S.B.).

Catherine Oppenheim (C)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.

Grégoire Boulouis (G)

Diagnostic and Interventional Neuroradiology Department, INSERM U1253 iBrain, University Hospital of Tours, Centre Val de Loire Region, France (G.B.).

Hilde Henon (H)

Department of Neurology (M.P., H.H.), Lille University, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU Lille, France.

Olivier Naggara (O)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.
ORCID: 0000-0002-9544-379X

Wagih Ben Hassen (W)

Department of Neuroradiology (P.J., B.K., J.B., L.L., C.O., O.N., W.B.H.), Université de Paris, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, GHU-Paris Psychiatrie et Neurosciences, Hôpital Sainte Anne, France.

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Classifications MeSH

questionsmedicales.fr › Glucides › Sucres › Oses › Hexose › Glucose › Glycémie › TAGE Score for Symptomatic Intracranial...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Procédures endovasculaires › TAGE Score for Symptomatic Intracranial...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › TAGE Score for Symptomatic Intracranial...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Hémorragie › Hémorragies intracrâniennes › TAGE Score for Symptomatic Intracranial...
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Angiopathies intracrâniennes › Accident vasculaire cérébral › Accident vasculaire cérébral ischémique › TAGE Score for Symptomatic Intracranial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › TAGE Score for Symptomatic Intracranial...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › TAGE Score for Symptomatic Intracranial...