Symptomatic Intracranial Hemorrhage after Mechanical Thrombectomy – the Difference between Iso-Osmolar and Low-Osmolar Contrast Media

DOI Web Site Web Site 被引用文献1件 参考文献11件
  • Wada Takeshi
    Department of Interventional Neuroradiology/Radiology, Kouseikai Takai Hospital, Tenri, Nara, Japan
  • Takayama Katsutoshi
    Department of Interventional Neuroradiology/Radiology, Kouseikai Takai Hospital, Tenri, Nara, Japan
  • Myouchin Kaoru
    Department of Interventional Neuroradiology/Radiology, Kouseikai Takai Hospital, Tenri, Nara, Japan
  • Kishida Hayato
    Department of Radiology, Nara Medical University, Kashihara, Nara, Japan
  • Chanoki Yuto
    Department of Radiology, Nara Medical University, Kashihara, Nara, Japan
  • Oshima Keisuke
    Department of Radiology, Nara Medical University, Kashihara, Nara, Japan
  • Masutani Takahiro
    Departments of Neurosurgery, Ishinkai Yao General Hospital, Yao, Osaka, Japan
  • Uchiyama Yoshitomo
    Departments of Neurosurgery, Ishinkai Yao General Hospital, Yao, Osaka, Japan
  • Tanaka Toshihiro
    Department of Radiology, Nara Medical University, Kashihara, Nara, Japan

この論文をさがす

説明

<p>Objective: Symptomatic intracranial hemorrhage (SICH) after mechanical thrombectomy (MT) is generally considered a critical complication. Hemorrhagic transformation after ischemic stroke has also been associated with contrast media administration. The objective of our study was to evaluate correlations between contrast media type and incidence of SICH after MT.</p><p>Methods: Ninety-three consecutive patients (41 men; mean age, 80.2 years; range, 44–98 years) underwent MT reperfusion (expanded thrombolysis in cerebral infarction score, 2a–3) for acute large-vessel occlusion ischemic stroke within 8 h after symptom onset between April 2020 and July 2023 were retrospectively reviewed. Correlations between contrast media type (iso-osmolar or low-osmolar medium) and incidence of SICH were assessed.</p><p>Results: Contrast media were iso-osmolar in 60 cases or low-osmolar in 33 cases. The overall incidence of SICH was 5.5%. The frequency of SICH was significantly lower in the iso-osmolar group (1.7%) than in the low-osmolar group (12.1%; P = 0.033).</p><p>Conclusion: Iso-osmolar contrast media was associated with a lower incidence of SICH compared with low-osmolar contrast media in patients after MT.</p>

収録刊行物

被引用文献 (1)*注記

もっと見る

参考文献 (11)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ