High serum total cholesterol associated with good outcome in endovascular thrombectomy for acute large artery occlusion View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-07-13

AUTHORS

Sang Hee Ha, Jae-Chan Ryu, Jae-Han Bae, Sujin Koo, Boseong Kwon, Yunsun Song, Deok Hee Lee, Jun Young Chang, Dong-Wha Kang, Sun U. Kwon, Jong S. Kim, Bum Joon Kim

ABSTRACT

BackgroundThe effect of cholesterol on the functional outcome after endovascular thrombectomy (EVT) is still controversial. This study aimed to investigate whether the lipid profile is associated with the EVT prognosis.MethodsWe retrospectively analyzed patients with emergent large vessel occlusion who underwent EVT. The blood lipid levels were measured in the fasting state, 1 day after admission. We divided patients into terciles of serum total cholesterol (TC) levels and compared the clinical characteristics among the groups. The factors associated with a good outcome at 3 months (modified Rankin scale 0–2) were investigated, considering the stroke mechanism and recanalization status.ResultsAmong 274 patients, good outcomes were observed in 108 (39.4%) patients. Low initial severity (odds ratio (OR), 0.91, 95% confidence interval (CI), 0.858–0.954; p < 0.001) and high TC level (1.35, 1.034–1.758; p = 0.041) were associated with good outcomes. In patients with cardioembolism, young age (0.95, 0.915–0.991; p = 0.021), low initial severity (0.92, 0.857–0.988; p = 0.024), and high TC level (1.60, 1.019–2.499; p = 0.036) were associated with good outcomes. The lipid profile was not associated with a functional outcome in those with large artery atherosclerosis. In patients with complete recanalization, young age (0.97, 0.941–0.994; p = 0.016), low initial severity (0.91, 0.864–0.961; p = 0.001), absence of diabetes (0.45, 0.218–0.947; p = 0.035) or any hemorrhage (0.33, 0.142–0.760; p = 0.009), and high TC level (1.40, 1.031–1.879; p = 0.031) were associated with good outcomes.ConclusionsA high TC level was associated with favorable outcomes after EVT, especially in patients with cardioembolism and complete recanalization. More... »

PAGES

1-7

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10072-022-06269-4

DOI

http://dx.doi.org/10.1007/s10072-022-06269-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149442324

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35831632


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