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Research ArticleInterventional

Impact of Age and Baseline NIHSS Scores on Clinical Outcomes in the Mechanical Thrombectomy Using Solitaire FR in Acute Ischemic Stroke Study

M.A. Almekhlafi, A. Davalos, A. Bonafe, R. Chapot, J. Gralla, V.M. Pereira and M. Goyal on behalf of the STAR Registry Investigators
American Journal of Neuroradiology July 2014, 35 (7) 1337-1340; DOI: https://doi.org/10.3174/ajnr.A3855
M.A. Almekhlafi
aFrom the Departments of Clinical Neurosciences (M.A.A.)
bRadiology (M.A.A., M.G.), University of Calgary, Calgary, Alberta, Canada
cFaculty of Medicine (M.A.A.), King Abdulaziz University, Jeddah, Saudi Arabia
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A. Davalos
dDepartment of Neurology (A.D.), University Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain
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A. Bonafe
eDepartment of Neuroradiology (A.B.), Centre Hospitalier Universitaire de Montpellie-Guy de Chauliac, Montpellier, France
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R. Chapot
fDepartment of Neuroradiology (R.C.), Alfred Krupp Krankenhaus, Essen, Germany
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J. Gralla
gDepartment of Diagnostic and Interventional Neuroradiology (J.G.), Inselspital, University of Bern, Bern, Switzerland
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V.M. Pereira
hDepartment of Neuroradiology (V.M.P.), University Hospital of Geneva, Geneva, Switzerland
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M. Goyal
bRadiology (M.A.A., M.G.), University of Calgary, Calgary, Alberta, Canada
iDepartment for Radiology (M.G.), Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
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    Fig 1.

    Ninety-day modified Rankin Scale scores. The distribution of 90-day modified Rankin Scale scores among patients according to the SPAN-100 index. The lines indicate the mRS category (mRS 0–2 and mRS 5–6) between SPAN-100 groups. P value refers to the significance level of the χ2 test for proportion comparison.

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    Table 1:

    Outcome measures

    OutcomeEntire Cohort (N = 202)SPAN-100-Positive (n = 15)SPAN-100-Negative (n = 181)
    Median time from stroke onset to groin puncture (min) (range)238 (72–714)280 (140–450)235 (72–714)
    Successful recanalization (after rescue therapy) as per core laba88% (171/194)93% (14/15)87% (151/173)
    Median time from stroke onset to TICI 2b or 3 (or final DSA run) (min) (range)282 (100–800)322 (188–483)282 (100–800)
    Stroke onset to successful revascularization categories
        0–4.5 hr46% (92/201)20% (3/15)47% (84/180)
        4.5–8 hr50% (101/201)73% (11/15)49% (89/180)
        ≥8 hr4% (8/201)7% (1/15)4% (7/180)
    Device- or procedure-related serious adverse events7% (15/202)7% (1/15)8% (14/181)
    Any intracranial hemorrhage19% (38/202)27% (4/15)19% (34/181)
    Symptomatic intracranial hemorrhage1% (3/202)0% (0/15)2% (3/181)
    90-Day clinical outcomes
        Death from any cause7% (14/202)27% (4/15)6% (10/181)
        Good functional recovery (modified Rankin Scale score 0–2)58% (117/202)27% (4/15)61% (110/181)
    • ↵a Core laboratory missed the primary end point data of 8 subjects.

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    Table 2:

    Univariable and multivariable logistic regressions of favorable clinical outcome (mRS ≤2)

    VariableUnivariableMultivariable
    Odds Ratio95% CIP ValueOdds Ratio95% CIP Value
    SPAN-100-positive0.23(0.07–0.77).020.25(0.07–0.91).04
    Baseline ASPECTS1.32(1.10–1.59).0031.28(1.04–1.58).02
    Time from stroke onset to TICI 2b or 3 (or final DSA run, hr)0.70(0.58–0.84)<.0010.68(0.55–0.84)<.001
    Primary end point success1.81(0.82–3.96).141.73(0.74–4.03).21
    IV-tPA administered (vs contraindicated or bridging)1.05(0.59–1.87).871.27(0.64–2.52).49
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American Journal of Neuroradiology: 35 (7)
American Journal of Neuroradiology
Vol. 35, Issue 7
1 Jul 2014
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Impact of Age and Baseline NIHSS Scores on Clinical Outcomes in the Mechanical Thrombectomy Using Solitaire FR in Acute Ischemic Stroke Study
M.A. Almekhlafi, A. Davalos, A. Bonafe, R. Chapot, J. Gralla, V.M. Pereira, M. Goyal
American Journal of Neuroradiology Jul 2014, 35 (7) 1337-1340; DOI: 10.3174/ajnr.A3855

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Impact of Age and Baseline NIHSS Scores on Clinical Outcomes in the Mechanical Thrombectomy Using Solitaire FR in Acute Ischemic Stroke Study
M.A. Almekhlafi, A. Davalos, A. Bonafe, R. Chapot, J. Gralla, V.M. Pereira, M. Goyal
American Journal of Neuroradiology Jul 2014, 35 (7) 1337-1340; DOI: 10.3174/ajnr.A3855
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