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Erschienen in: Clinical Neuroradiology 1/2023

03.08.2022 | Review Article

Neurological Functional Independence After Endovascular Thrombectomy and Different Imaging Modalities for Large Infarct Core Assessment

A Systematic Review and Meta-analysis

verfasst von: Jian Wang, Jianting Qiu, Yujie Wang

Erschienen in: Clinical Neuroradiology | Ausgabe 1/2023

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Abstract

Purpose

To investigate the rate of neurological functional independence (NFI) at 90 days in patients with large infarct core (LIC), which was evaluated by different imaging modalities before endovascular thrombectomy (EVT).

Methods

PubMed and EMBASE were searched for original studies on clinical functional outcomes at 90 days in LIC patients who received EVT treatment from inception to 28 September 2021. The pooled NFI rates were calculated using random effects model according to different imaging modalities and criteria.

Results

We included 34 studies enrolling 2997 LIC patients. The NFI rates were 23% (95% confidence interval, CI 15–32%) and 24% (95% CI 10–38%) when LIC was defined as core volume ≥50 ml and ≥ 70 ml separately on computed tomography perfusion, 36% (95% CI 23–48%) and 21% (95% CI 17–25%) when LIC was defined as core volume ≥ 50 ml and ≥ 70 ml separately on magnetic resonance diffusion-weighted imaging (DWI), 28% (95% CI 24–32%) and 37% (95% CI 21–53%) when LIC was defined as DWI-ASPECTS ≤ 5 and ≤ 6 separately, 23% (95% CI 19–27%) and 32% (95% CI 18–46%) when LIC was defined as NCCT-ASPECTS ≤ 5 and ≤ 6 separately.

Conclusion

Similar NFI rates could be obtained after EVT in LIC patients if proper LIC criteria were select according to the imaging modality.
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Metadaten
Titel
Neurological Functional Independence After Endovascular Thrombectomy and Different Imaging Modalities for Large Infarct Core Assessment
A Systematic Review and Meta-analysis
verfasst von
Jian Wang
Jianting Qiu
Yujie Wang
Publikationsdatum
03.08.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Neuroradiology / Ausgabe 1/2023
Print ISSN: 1869-1439
Elektronische ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-022-01202-w

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Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Radiologie

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