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

The CHADS , CHA DS -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). From the nationwide multicenter registry...

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Published inJournal of clinical medicine Vol. 11; no. 1
Main Authors Kim, Hyung Jun, Park, Moo-Seok, Yoo, Joonsang, Kim, Young Dae, Park, Hyungjong, Kim, Byung Moon, Bang, Oh Young, Kim, Hyeon Chang, Han, Euna, Kim, Dong Joon, Heo, JoonNyung, Choi, Jin Kyo, Lee, Kyung-Yul, Lee, Hye Sun, Shin, Dong Hoon, Choi, Hye-Yeon, Sohn, Sung-Il, Hong, Jeong-Ho, Lee, Jong Yun, Baek, Jang-Hyun, Kim, Gyu Sik, Seo, Woo-Keun, Chung, Jong-Won, Kim, Seo Hyun, Han, Sang Won, Park, Joong Hyun, Kim, Jinkwon, Jung, Yo Han, Cho, Han-Jin, Ahn, Seong Hwan, Lee, Sung Ik, Seo, Kwon-Duk, Chang, Yoonkyung, Song, Tae-Jin, Nam, Hyo Suk
Format Journal Article
LanguageEnglish
Published Switzerland 05.01.2022
Subjects
stroke risk score
thrombectomy
recanalization
ischemic stroke
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Summary:The CHADS , CHA DS -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). 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. Among 501 patients who underwent EVT, 410 (81.8%) patients achieved successful recanalization (mTICI ≥ 2b). Adjusting for body mass index and < 0.1 in univariable analysis revealed the association between all stroke risk scores and unsuccessful recanalization (CHADS score: odds ratio (OR) 1.551, 95% confidence interval (CI) 1.198-2.009, = 0.001; CHA DS VASc score: OR 1.269, 95% CI 1.080-1.492, = 0.004; ATRIA score: OR 1.089, 95% CI 1.011-1.174, = 0.024; and Essen score: OR 1.469, 95% CI 1.167-1.849, = 0.001). The CHADS score had the highest AUC value and differed significantly only from the Essen score (AUC of CHADS score; 0.618, 95% CI 0.554-0.681). 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.
ISSN:2077-0383
2077-0383