Dataset Information

Association between CHADS₂, CHA₂DS₂-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.

ABSTRACT:

Background

The CHADS₂, CHA₂DS₂-VASc, ATRIA, and Essen scores have been developed for predicting vascular outcomes in stroke patients. We investigated the association between these stroke risk scores and unsuccessful recanalization after endovascular thrombectomy (EVT).

Methods

From the nationwide multicenter registry (Selection Criteria in Endovascular Thrombectomy and Thrombolytic therapy (SECRET)) (Clinicaltrials.gov NCT02964052), we consecutively included 501 patients who underwent EVT. We identified pre-admission stroke risk scores in each included patient.

Results

Among 501 patients who underwent EVT, 410 (81.8%) patients achieved successful recanalization (mTICI ≥ 2b). Adjusting for body mass index and p < 0.1 in univariable analysis revealed the association between all stroke risk scores and unsuccessful recanalization (CHADS₂ score: odds ratio (OR) 1.551, 95% confidence interval (CI) 1.198-2.009, p = 0.001; CHA₂DS₂VASc score: OR 1.269, 95% CI 1.080-1.492, p = 0.004; ATRIA score: OR 1.089, 95% CI 1.011-1.174, p = 0.024; and Essen score: OR 1.469, 95% CI 1.167-1.849, p = 0.001). The CHADS₂ score had the highest AUC value and differed significantly only from the Essen score (AUC of CHADS₂ score; 0.618, 95% CI 0.554-0.681).

Conclusion

All stroke risk scores were associated with unsuccessful recanalization after EVT. Our study suggests that these stroke risk scores could be used to predict recanalization in stroke patients undergoing EVT.

SUBMITTER: Kim HJ

PROVIDER: S-EPMC8746082 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

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Publications

Association between CHADS<sub>2</sub>, CHA<sub>2</sub>DS<sub>2</sub>-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.

Kim Hyung Jun HJ Park Moo-Seok MS Yoo Joonsang J Kim Young Dae YD Park Hyungjong H Kim Byung Moon BM Bang Oh Young OY Kim Hyeon Chang HC Han Euna E Kim Dong Joon DJ Heo JoonNyung J Choi Jin Kyo JK Lee Kyung-Yul KY Lee Hye Sun HS Shin Dong Hoon DH Choi Hye-Yeon HY Sohn Sung-Il SI Hong Jeong-Ho JH Lee Jong Yun JY Baek Jang-Hyun JH Kim Gyu Sik GS Seo Woo-Keun WK Chung Jong-Won JW Kim Seo Hyun SH Han Sang Won SW Park Joong Hyun JH Kim Jinkwon J Jung Yo Han YH Cho Han-Jin HJ Ahn Seong Hwan SH Lee Sung Ik SI Seo Kwon-Duk KD Chang Yoonkyung Y Song Tae-Jin TJ Nam Hyo Suk HS

Journal of clinical medicine 20220105 1

<h4>Background</h4>The CHADS<sub>2</sub>, CHA<sub>2</sub>DS<sub>2</sub>-VASc, ATRIA, and Essen scores have been developed for predicting vascular outcomes in stroke patients. We investigated the association between these stroke risk scores and unsuccessful recanalization after endovascular thrombectomy (EVT).<h4>Methods</h4>From the nationwide multicenter registry (Selection Criteria in Endovascular Thrombectomy and Thrombolytic therapy (SECRET)) (Clinicaltrials.gov NCT02964052), we consecutivel ...[more]

PMID: 35012015

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Dataset Information

Association between CHADS₂, CHA₂DS₂-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.

Background

Methods

Results

Conclusion

Publications

Association between CHADS<sub>2</sub>, CHA<sub>2</sub>DS<sub>2</sub>-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.

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Tweets

Dataset Information

Association between CHADS2, CHA2DS2-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.

Background

Methods

Results

Conclusion

Publications

Association between CHADS<sub>2</sub>, CHA<sub>2</sub>DS<sub>2</sub>-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets

Association between CHADS₂, CHA₂DS₂-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients.