Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray
Background: Vascular conditions can affect the recanalization rates after endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Chest radiography can assess the conditions of the aortic arch based on the presence or absence of aortic arch calcification (AoAC). The aim of this study was to...
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| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/19/6115 |
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| author | Hyeon Yeong Jeong Taek Min Nam Sang Hyuk Lee Ji Hwan Jang Young Zoon Kim Kyu Hong Kim Kyeong Hwa Ryu Do-Hyung Kim Byung Soo Kwan Hyerang Bak Seung Hwan Kim |
| author_facet | Hyeon Yeong Jeong Taek Min Nam Sang Hyuk Lee Ji Hwan Jang Young Zoon Kim Kyu Hong Kim Kyeong Hwa Ryu Do-Hyung Kim Byung Soo Kwan Hyerang Bak Seung Hwan Kim |
| author_sort | Hyeon Yeong Jeong |
| collection | DOAJ |
| description | Background: Vascular conditions can affect the recanalization rates after endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Chest radiography can assess the conditions of the aortic arch based on the presence or absence of aortic arch calcification (AoAC). The aim of this study was to investigate the relationship between AoAC on chest radiography and first-pass successful recanalization (modified thrombolysis in cerebral infarction 2b/3 after the first-pass). Methods: We compared the rate of first-pass successful recanalization between patients with and without AoAC. A total of 193 patients with anterior circulation occlusion who underwent EVT between January 2017 and December 2021 were included. Results: AoAC was observed in 80 (41.5%) patients. Patients with AoAC were older (74.5 ± 7.78 vs. 63.9 ± 12.4 years, <i>p</i> < 0.001), had more EVT attempts (3.04 ± 1.95 vs. 2.01 ± 1.34 times, <i>p</i> < 0.001), and a longer procedural time (71.7 ± 31.2 vs. 48.7 ± 23.1 min, <i>p</i> < 0.001) than those without AoAC. Moreover, Patients with AoAC showed a lower incidence of first-pass successful recanalization (18.8% vs. 47.8%, <i>p</i> < 0.001) and a higher incidence of postprocedural hemorrhage (45.0% vs. 27.7%, <i>p</i> = 0.015) than those without AoAC. On multivariate analysis, AoAC was independently associated with first-pass successful recanalization (odds ratio: 0.239 [0.121–0.475], <i>p</i> < 0.001). Conclusions: AoAC on chest radiography can be used as a preoperative predictor of successful first-pass recanalization in patients undergoing EVT for AIS. |
| first_indexed | 2024-03-10T21:43:11Z |
| format | Article |
| id | doaj.art-ddcb34bb208546ecb70d4ab3de6c0a89 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:43:11Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ddcb34bb208546ecb70d4ab3de6c0a892023-11-19T14:34:18ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011219611510.3390/jcm12196115Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-rayHyeon Yeong Jeong0Taek Min Nam1Sang Hyuk Lee2Ji Hwan Jang3Young Zoon Kim4Kyu Hong Kim5Kyeong Hwa Ryu6Do-Hyung Kim7Byung Soo Kwan8Hyerang Bak9Seung Hwan Kim10Department of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Radiology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Family Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaDepartment of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Republic of KoreaBackground: Vascular conditions can affect the recanalization rates after endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Chest radiography can assess the conditions of the aortic arch based on the presence or absence of aortic arch calcification (AoAC). The aim of this study was to investigate the relationship between AoAC on chest radiography and first-pass successful recanalization (modified thrombolysis in cerebral infarction 2b/3 after the first-pass). Methods: We compared the rate of first-pass successful recanalization between patients with and without AoAC. A total of 193 patients with anterior circulation occlusion who underwent EVT between January 2017 and December 2021 were included. Results: AoAC was observed in 80 (41.5%) patients. Patients with AoAC were older (74.5 ± 7.78 vs. 63.9 ± 12.4 years, <i>p</i> < 0.001), had more EVT attempts (3.04 ± 1.95 vs. 2.01 ± 1.34 times, <i>p</i> < 0.001), and a longer procedural time (71.7 ± 31.2 vs. 48.7 ± 23.1 min, <i>p</i> < 0.001) than those without AoAC. Moreover, Patients with AoAC showed a lower incidence of first-pass successful recanalization (18.8% vs. 47.8%, <i>p</i> < 0.001) and a higher incidence of postprocedural hemorrhage (45.0% vs. 27.7%, <i>p</i> = 0.015) than those without AoAC. On multivariate analysis, AoAC was independently associated with first-pass successful recanalization (odds ratio: 0.239 [0.121–0.475], <i>p</i> < 0.001). Conclusions: AoAC on chest radiography can be used as a preoperative predictor of successful first-pass recanalization in patients undergoing EVT for AIS.https://www.mdpi.com/2077-0383/12/19/6115aortic archcalcificationendovascular thrombectomyacute ischemic strokesuccessful recanalization |
| spellingShingle | Hyeon Yeong Jeong Taek Min Nam Sang Hyuk Lee Ji Hwan Jang Young Zoon Kim Kyu Hong Kim Kyeong Hwa Ryu Do-Hyung Kim Byung Soo Kwan Hyerang Bak Seung Hwan Kim Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray Journal of Clinical Medicine aortic arch calcification endovascular thrombectomy acute ischemic stroke successful recanalization |
| title | Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray |
| title_full | Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray |
| title_fullStr | Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray |
| title_full_unstemmed | Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray |
| title_short | Impact on Endovascular Thrombectomy for Acute Ischemic Stroke of Aortic Arch Calcification on Chest X-ray |
| title_sort | impact on endovascular thrombectomy for acute ischemic stroke of aortic arch calcification on chest x ray |
| topic | aortic arch calcification endovascular thrombectomy acute ischemic stroke successful recanalization |
| url | https://www.mdpi.com/2077-0383/12/19/6115 |
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