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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Laterality is an Independent Predictor of Endovascular Thrombectomy in Patients With Low National Institute of Health Stroke Scale
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Laterality is an Independent Predictor of Endovascular Thrombectomy in Patients With Low National Institute of Health Stroke Scale

机译：横向是低国家卫生冲程规模患者血管内血栓切除术的独立预测因子

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ObjectiveEndovascular thrombectomy (ET) for acute ischemic stroke (AIS) due to large-vessel occlusion (LVO) is offered to select patients meeting strict criteria. One of the criteria is stroke severity as indicated by the National Institute of Health Stroke Scale (NIHSS). Inherently, NIHSS is biased towards left hemisphere strokes (LHS) with median NIHSS score 4 points higher than right hemisphere strokes (RHS). This may potentially affect clinical decision making and thrombectomy eligibility. We sought to test this hypothesis. MethodsData were analyzed from consecutive AIS patients with LVO admitted to our comprehensive stroke center (June 2015-December 2016).? Following variables were studied: NIHSS score, occlusion location, time to presentation, and treatment received. ResultsThree hundred and fifty-one proximal-anterior circulation LVOs (ACLVO) were identified. 211 patients harboring a proximal ACLVO, were treated 12 range, 88% of LHS and RHS received ET (P= .93). In the NIHSS score 6-12 range, 81% of LHS and 52% of RHS received ET (P= .03). ConclusionsWe find comparable rates of ET between right and LHS in patients with high NIHSS but lower rates of ET of RHS than LHS in patients at lower NIHSS. ?A hemisphere-laterality based adjustment to the NIHSS may better identify the full extent of patients that may benefit from ET.
机译：由于大容器闭塞（LVO），急性缺血性卒中（AIS）的旨在表明血管血液切除术（ET），可选择符合严格标准的患者。其中一个标准是卒中严重程度，如国家卫生冲程量表（NIHSS）所示。本质上，NIHSS偏向于左半球中风（LHS），中位数NIHSS得分高于右半球中风（RHS）。这可能会影响临床决策和血栓性资格。我们试图测试这个假设。 MethableDATA从连续的AIS患者分析了LVO综合中风中心（2016年6月 - 2016年12月）。研究了以下变量：NIHSS得分，闭塞位置，时间到呈现，并收到治疗。鉴定了成果百分之一和五十一近前循环液溶液（ACLVO）。 211例患有近端ACLVO的患者接受了12种范围，占LHS和RHS的88％（P = .93）。在NIHSS中，评分6-12级，81％的LHS和52％的RHS接受（P = .03）。结论我们在高NIHSS患者中找到了右侧和LHS之间的ET和LHS的相当率，但在较低NIHSS的患者中比LHS较低。 ？基于半球的基于半球对NIHS的调整可能更好地确定可能受益于ET的患者的全部范围。

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