TY - T1的调查结果Post-Endovascular血栓切除术在急性中风患者癌症JF -神经学乔-神经病学SP - e2583 LP - e2592做- 10.1212 / WNL。首页0000000000201208六世- 99 - 23 AU -史蒂芬·d·夏皮罗盟硅镁层巴斯克斯AU - Ankita Das盟何塞·f·多明格斯AU -哈里斯Kamal盟霁庄盟-斯蒂芬a . Mayer AU - Gurmeen Kaur盟是甘地盟Fawaz Al-Mufti Y1 - 2022/12/06 UR - //www.ez-admanager.com/content/99/23/e2583.abstract N2 -背景和目标癌症是一种常见的急性缺血性中风患者合并症(AIS)。首页随机对照试验,建立了血管内血栓切除术(EVT)作为照顾大血管闭塞的标准通常排除癌症患者。因此,血管内血栓切除术的临床效益在癌症人口目前糟糕的建立。我们检查癌症患者的临床结果进行了EVT住院数据库,使用大型全国住院病人样本(NIS)。方法NIS查询AIS承认在2016年至2019年之间,和癌症患者被发现。基线人口统计学、并发症、再灌注疗法,和结果之间的比较AIS患者并没有癌症。对病人EVT,倾向得分匹配是用于研究主要成果如颅内出血的危险,医院住院时间和放电处理。结果在研究期间,2677200与AIS患者住院,228800(8.5%)人有癌症的诊断。共有132210名患者接受了EVT,其中8935(6.8%)得了癌症。超过20%的癌症患者接受了EVT有良好的常规放电没有服务的结果。倾向分数调整分析,癌症患者接受了EVT有类似的颅内出血(置信区间0.79 - -1.33或1.03,p = 0.90)和放电的家里,与更高的长期住院大于10天(置信区间1.07 - -1.68或1.34,p = 0.01)。 Compared with patients without cancer, patients with metastatic cancer who underwent EVT also had similar rates of intracranial hemorrhage (OR 1.03, CI 0.64–1.67, p = 1.00) and likelihood of routine discharge (OR 0.83, CI 0.51–1.35, p = 0.54) but higher rates of in-hospital mortality (OR 2.72, CI 1.52–4.90, p < 0.01).Discussion Our findings show that in contemporary medical practice, patients with acute stroke with comorbid cancer or metastatic cancer who undergo endovascular thrombectomy have similar rates of intracranial hemorrhage and favorable discharges as patients without cancer. This suggests that patients with AIS who meet the criteria for reperfusion therapy may be considered in the setting of a comorbid cancer diagnosis.AIS=acute ischemic stroke; EVT=endovascular thrombectomy; NIS=National Inpatient Sample; Cancer-AIS=cancer–acute ischemic stroke; Noncancer-AIS=noncancer–acute ischemic stroke; Cancer-EVT=cancer–endovascular thrombectomy; Noncancer-EVT=noncancer–endovascular thrombectomy; AF=atrial fibrillation; DM=diabetes mellitus; HTN=hypertension; HLD=hyperlipidemia; CHF=chronic heart failure; CKD=chronic kidney disease; NIHSS=NIH Stroke Scale; DHC=decompressive hemicraniectomy; PEG=percutaneous endoscopic gastrostomy; DVT=deep venous thrombosis; PE=pulmonary embolism; UTI=urinary tract infection; MI=myocardial infarction; AKI=acute kidney injury; SNF=skilled nursing facility; CRF=chronic renal failure; OSA=obstructive sleep apnea ER -