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Reocclusion after successful endovascular treatment in acute ischemic stroke: systematic review and meta-analysis.

Author: AbdalkaderMohamad, Aboul-NourHassan, Aguiar de SousaDiana, Al-BayatiAlhamza R, Bou CheblAlex, Carvalho DiasMariana, CorreiaManuel A, FifiJohanna T, HaussenDiogo C, MarinHoria, MartoJoão Pedro, MayerStephan A, MohamedGhada A, MohammadenMahmoud H, NetoLia Lucas, NguyenThanh N, NogueiraRaul G, OliveiraRenato, Ortega-GutierrezSantiago, TsivgoulisGeorgios, YavagalDileep R

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

This systematic review found that 5% of patients with acute ischemic stroke due to large vessel occlusion experienced reocclusion within 7 days after successful endovascular treatment (EVT). Repeated EVT was found to be a safe and effective treatment option for selected patients with reocclusion.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Endovascular treatment (EVT) is the standard of care for selected patients with acute ischemic stroke (AIS) due to large vessel occlusion (LVO). OBJECTIVE: To systematically review the available data on: (1) incidence, predictors, and outcomes of patients with reocclusion after successf...See full text at original site
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引用元：
https://doi.org/10.1136/jnis-2022-019382

データ提供：米国国立医学図書館（NLM）

Reocclusion After Stroke Treatment: A Look at the Challenges and Strategies

In the field of [neurology and stroke treatment], endovascular treatment (EVT) has emerged as a crucial tool for restoring blood flow to the brain after a stroke. However, a significant challenge remains: reocclusion, where the blocked blood vessel becomes blocked again after successful treatment. This systematic review and meta-analysis delve into the complexities of reocclusion, exploring its incidence, predictors, and potential treatments.

Reocclusion After Stroke Treatment: A Look at the Challenges and Strategies

The analysis revealed that a concerning 5% of patients experienced reocclusion within 7 days of successful EVT. The researchers identified factors that contribute to reocclusion, such as the underlying cause of the stroke and the use of intravenous thrombolysis. They also found that repeat EVT (rEVT) can be a safe and effective treatment option for selected patients who experience reocclusion.

Reocclusion After Stroke Treatment: A Look at the Challenges and Strategies

This research underscores the importance of vigilance and prompt action when it comes to managing reocclusion after stroke treatment. It's a reminder that the battle against stroke isn't always over after the initial treatment, and ongoing monitoring and intervention may be necessary to ensure optimal patient outcomes.

Dr. Camel's Conclusion

This research reminds me of the vastness of the desert, where even after finding an oasis, challenges can still arise. Just as a traveler must be prepared for unexpected storms, healthcare professionals must be vigilant about potential reocclusion and ready to implement the necessary interventions to ensure the best possible outcomes for stroke patients.

Date :
  1. Date Completed 2023-09-18
  2. Date Revised 2023-09-18
Further Info :

Pubmed ID

36328479

DOI: Digital Object Identifier

10.1136/jnis-2022-019382

Related Literature

Article Analysis
・Effective treatment of ischemic stroke
SNS
PICO Info
in preparation
Languages

English

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