Blood pressure levels post mechanical thrombectomy and outcomes in non-recanalized large vessel occlusion patients. (Record no. 3042)

MARC details
000 -LEADER
fixed length control field 04011nam a22006017a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180122s20182018 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1759-8478
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1136/neurintsurg-2017-013581 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code neurintsurg-2017-013581 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 29326379
245 ## - TITLE STATEMENT
Title Blood pressure levels post mechanical thrombectomy and outcomes in non-recanalized large vessel occlusion patients.
251 ## - Source
Source Journal of Neurointerventional Surgery. 10(10):925-931, 2018 Oct.
252 ## - Abbreviated Source
Abbreviated source J Neurointerv Surg. 10(10):925-931, 2018 Oct.
253 ## - Journal Name
Journal name Journal of neurointerventional surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2018
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
266 ## - Date added to catalog
Date added to catalog 2018-01-22
269 ## - Original dates
Original fiscal year FY2018
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2009 - present
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Our study demonstrates that wide BP excursions from the mean during the first 24hours post MT are associated with worse outcomes in patients with nrLVO.
520 ## - SUMMARY, ETC.
Abstract Copyright (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
520 ## - SUMMARY, ETC.
Abstract METHODS: Hourly systolic BP (SBP) and diastolic BP (DBP) values were prospectively recorded for 24hours following MT in consecutive nrLVO patients. Maximum, minimum, and mean BP levels were documented. Three-month functional independence (FI) was defined as modified Rankin Scale (mRS) scores of 0-2.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: Permissive hypertension may benefit patients with non-recanalized large vessel occlusion (nrLVO) post mechanical thrombectomy (MT) by maintaining brain perfusion. Data evaluating the impact of post-MT blood pressure (BP) levels on outcomes in nrLVO patients are scarce. We investigated the association of the post-MT BP course with safety and efficacy outcomes in nrLVO.
520 ## - SUMMARY, ETC.
Abstract RESULTS: A total of 88 nrLVO patients were evaluated post MT. Patients with FI had lower maximum SBP (160+/-19mmHg vs 179+/-23mmHg; P=0.001) and higher minimum SBP levels (119+/-12mmHg vs 108+/-25mmHg; P=0.008). Maximum SBP (183+/-20mmHg vs 169+/-23mmHg; P=0.008) and DBP levels (105+/-20mmHg vs 89+/-18mmHg; P=0.001) were higher in patients who died at 3 months while minimum SBP values were lower (102+/-28mmHg vs 115+/-16mmHg; P=0.007). On multivariable analyses, both maximum SBP (OR per 10mmHg increase: 0.55, 95%CI 0.39 to 0.79; P=0.001) and minimum SBP (OR per 10mmHg increase: 1.64, 95%CI 1.04 to 2.60; P=0.033) levels were independently associated with the odds of FI. Maximum DBP (OR per 10mmHg increase: 1.61; 95%CI 1.10 to 2.36; P=0.014) and minimum SBP (OR per 10mmHg increase: 0.65, 95%CI 0.47 to 0.90; P=0.009) values were independent predictors of 3-month mortality.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Blood Pressure/ph [Physiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Cerebrovascular Disorders/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Hypertension/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Thrombectomy/td [Trends]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Adult
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cerebrovascular Disorders/pp [Physiopathology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cerebrovascular Disorders/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cohort Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hypertension/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Hypertension/pp [Physiopathology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Prospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Thrombectomy/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Critical Care
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Chang, Jason J
790 ## - Authors
All authors Alexandrov AV, Alsbrook D, Alsherbini K, Arthur AS, Chang JJ, Dillard K, Elijovich L, Goyal N, Hoit D, Krishnaiah B, Nickele C, Pandhi A, Tsivgoulis G
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1136/neurintsurg-2017-013581">https://dx.doi.org/10.1136/neurintsurg-2017-013581</a>
Public note https://dx.doi.org/10.1136/neurintsurg-2017-013581
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 01/22/2018   29326379 29326379 01/22/2018 01/22/2018 Journal Article

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