Association between CHADS(2), CHA(2)DS(2)-VASc, ATRIA, and Essen Stroke Risk Scores and Unsuccessful Recanalization after Endovascular Thrombectomy in Acute Ischemic Stroke Patients
- Authors
- Kim, H.J.; Park, M.-S.; Yoo, J.; Kim, Y.D.; Park, H.; Kim, B.M.; Bang, O.Y.; Kim, H.C.; Han, E.; Kim, D.J.; Heo, J.; Choi, J.K.; Lee, K.-Y.; Lee, H.S.; Shin, D.H.; Choi, H.-Y.; Sohn, S.-I.; Hong, J.-H.; Lee, J.Y.; Baek, J.-H.; Kim, G.S.; Seo, W.-K.; Chung, J.-W.; Kim, S.H.; Han, S.W.; Park, J.H.; Kim, J.; Jung, Y.H.; Cho, H.-J.; Ahn, S.H.; Lee, S.I.; Seo, K.-D.; Chang, Y.; Song, T.-J.; Nam, H.S.
- Issue Date
- Jan-2022
- Publisher
- MDPI
- Keywords
- Ischemic stroke; Recanalization; Stroke risk score; Thrombectomy
- Citation
- Journal of Clinical Medicine, v.11, no.1
- Journal Title
- Journal of Clinical Medicine
- Volume
- 11
- Number
- 1
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/83334
- DOI
- 10.3390/jcm11010274
- ISSN
- 2077-0383
- Abstract
- Background: The CHADS2, CHA2 DS2-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; CHA2 DS2 VASc 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. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
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