2021
Patient-Relevant Deficits Dictate Endovascular Thrombectomy Decision-Making in Patients with Low NIHSS Scores with Medium-Vessel Occlusion Stroke
MCDONOUGH, R., Petra CIMFLOVÁ, N. KASHANI, J. M. OSPEL, M. KAPPELHOF et. al.Základní údaje
Originální název
Patient-Relevant Deficits Dictate Endovascular Thrombectomy Decision-Making in Patients with Low NIHSS Scores with Medium-Vessel Occlusion Stroke
Autoři
MCDONOUGH, R., Petra CIMFLOVÁ (203 Česká republika, domácí), N. KASHANI, J. M. OSPEL, M. KAPPELHOF, N. SINGH, A. SEHGAL, N. SAKAI, J. FIEHLER, M. CHEN a M. GOYAL (garant)
Vydání
American Journal of Neuroradiology, Denville, American Society of Neuroradiology, 2021, 0195-6108
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30224 Radiology, nuclear medicine and medical imaging
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 4.966
Kód RIV
RIV/00216224:14110/21:00124156
Organizační jednotka
Lékařská fakulta
UT WoS
000687635300001
Klíčová slova anglicky
Endovascular Thrombectomy; Low NIHSS Scores; Medium-Vessel Occlusion Stroke
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 15. 2. 2022 10:09, Mgr. Tereza Miškechová
Anotace
V originále
BACKGROUND AND PURPOSE: There is a paucity of evidence regarding the safety of endovascular treatment for patients with acute ischemic stroke due to primary medium-vessel occlusion. The aim of this study was to examine the willingness among stroke physicians to perform endovascular treatment in patients with mild-yet-disabling deficits due to medium-vessel occlusion. MATERIALS AND METHODS: In an international cross-sectional survey consisting of 7 primary medium-vessel occlusion case scenarios, participants were asked whether the presence of personally disabling deficits would influence their decision-making for endovascular treatment despite the patients having low NIHSS scores (<6). Decision rates were calculated on the basis of physician characteristics. Univariable logistic regression clustered by respondent and scenario identity was performed. RESULTS: Three hundred sixty-six participants from 44 countries provided 2562 answers to the 7 medium-vessel occlusion scenarios included in this study. In scenarios in which the deficit was relevant to the patient?s profession, 56.9% of respondents opted to perform immediate endovascular treatment compared with 41.0% when no information regarding the patient?s profession was provided (risk ratio = 1.39, P?100 endovascular treatments per year (risk ratio = 1.63; 95% CI, 1.22?2.17). CONCLUSIONS: The presence of a patient-relevant deficit in low-NIHSS acute ischemic stroke due to medium-vessel occlusion is an important factor for endovascular treatment decision-making. This may have relevance for the conduct and interpretation of low-NIHSS endovascular treatment in randomized trials.