prikaz prve stranice dokumenta Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes
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Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes
Journal of Stroke, 20 (2018), 3; 373-384. https://doi.org/doi:10.5853/jos.2018.01305
Pikija, Slaven; Trkulja, Vladimir; Ramesmayer, Christian; Mutzenbach, Johannes S.; Killer-Oberpfalzer, Monika; Hecker, Constantin; Bubel, Nele; Füssel, Michael Ulrich; Sellner, Johann

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Pikija, S., Trkulja, V., Ramesmayer, C., Mutzenbach, J. S., Killer Oberpfalzer, M., Hecker, C. ... Sellner, J. (2018). Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes. Journal of Stroke, 20. (3), 373-384. doi: doi:10.5853/jos.2018.01305

Pikija, Slaven, et al. "Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes." Journal of Stroke, vol. 20, br. 3, 2018, str. 373-384. https://doi.org/doi:10.5853/jos.2018.01305

Pikija, Slaven, Vladimir Trkulja, Christian Ramesmayer, Johannes S. Mutzenbach, Monika Killer Oberpfalzer, Constantin Hecker, Nele Bubel, Michael Ulrich Füssel i Johann Sellner. "Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes." Journal of Stroke 20, br. 3 (2018): 373-384. https://doi.org/doi:10.5853/jos.2018.01305

Pikija, S., et al. (2018) 'Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes', Journal of Stroke, 20(3), str. 373-384. doi: doi:10.5853/jos.2018.01305

Pikija S, Trkulja V, Ramesmayer C, Mutzenbach JS, Killer Oberpfalzer M, Hecker C, i sur.. Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes. Journal of Stroke [Internet]. 20.09.2018. [pristupljeno 20.10.2024.];20(3):373-384. doi: doi:10.5853/jos.2018.01305

S. Pikija, et al., "Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes", Journal of Stroke, vol. 20, br. 3, str. 373-384, Rujan 2018. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:609494. [Citirano: 20.10.2024.]

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Naslov (engleski)Higher blood pressure duringeEndovascular thrombectomy in anterior circulation stroke is associated with better outcomes
AutorSlaven Pikija
AutorVladimir Trkulja
AutorChristian Ramesmayer
AutorJohannes S. Mutzenbach
AutorMonika Killer-Oberpfalzer
AutorConstantin Hecker
AutorNele Bubel
AutorMichael Ulrich Füssel
AutorJohann Sellner
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
BACKGROUND AND PURPOSE: Reports investigating the relationship between in-procedure blood pressure (BP) and outcomes in patients undergoing endovascular thrombectomy (EVT) due to anterior circulation stroke are sparse and contradictory. ----- METHODS: Consecutive EVT-treated adults (modern stent retrievers, BP managed in line with the recommendations, general anesthesia, invasive BP measurements) were evaluated for associations of the rate of in-procedure systolic BP (SBP) and mean arterial pressure (MAP) excursions to >120%/<80% of the reference values (serial measurements at anesthesia induction) and of the reference BP/weighted in-procedure mean BP with post-procedure imaging outcomes (ischemic lesion volume [ILV], hemorrhages) and 3-month functional outcome (modified Rankin Scale [mRS], score 0 to 2 vs. 3 to 6). ----- RESULTS: Overall 164 patients (70.7% pharmacological reperfusion, 80.5% with good collaterals, 73.8% with successful reperfusion) were evaluated for ILV (range, 0 to 581 cm3) and hemorrhages (incidence 17.7%). Higher rate of in-procedure SBP/MAP excursions to >120% was independently associated with lower ILV, while higher in-procedure mean SBP/MAP was associated with lower odds of hemorrhages. mRS 0-2 was achieved in 75/155 (48.4%) evaluated patients (nine had missing mRS data). Higher rate of SBP/MAP excursions to >120% and higher reference SBP/MAP were independently associated with higher odds of mRS 0-2, while higher ILV was associated with lower odds of mRS 0-2. Rate of SBP/MAP excursions to <80% was not associated with any outcome. ----- CONCLUSION: s In the EVT-treated patients with BP managed within the recommended limits, a better functional outcome might be achieved by targeting in-procedure BP that exceeds the preprocedure values by more than 20%.
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaJournal of Stroke
Brojčani podacivol. 20, br. 3, str. 373-384
p-ISSN2287-6391
DOIhttps://doi.org/doi:10.5853/jos.2018.01305
URN:NBNurn:nbn:hr:105:609494
Datum objave publikacije2018-09-20
URL dokumentahttp://doi.org/10.5853/jos.2018.01305
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
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Datum i vrijeme pohrane2024-03-28 10:03:18