Heart Failure Is Not Associated with a Poor Outcome after Mechanical Thrombectomy in Large Vessel Occlusion of Cerebral Arteries
Table 3
Neurological characteristics of patients with and without heart failure.
Neurological and neuroradiological characteristics
Normal systolic LV-ejection fraction
Heart failure with reduced ejection fraction
p-value
Neurological Characteristics
NIHSS at admission (median, IQR)
15 (10.5-19.5)
15 (10.5-19.5)
0.085
NIHSS at discharge (median, IQR)
5 (0-10.5)
6.5 (0-13)
0.324
mRS at admission (median, IQR)
5 (4-6)
5 (4-6)
0.174
mRS at discharge (median, IQR)
3 (1-5)
3 (1-5)
0.238
mRS after 90 days (median, IQR)
3 (1-5)
3 (1-5)
0.380
Favorable Outcome
105 (48.2%)
32 (43.8%)
0.521
Intravenous rt-PA
160 (68.7%)
51 (60.7%)
0.185
Hemicraniectomy
9 (4.7%)
7 (10.3%)
0.098
Symptomatic Intracranial Hemorrhage
2 (1%)
3 (4.4%)
0.080
Mortality
17 (7.4%)
9 (11%)
0.313
Toast criteria
<0.001
Macroangiopathy
23 (12.2%)
4 (5.9%)
Cardio-embolic
82 (43.6%)
53 (77.9%)
other
11 (5.9%)
1 (1.5%)
unknown
44 (23.4%)
5 (7.4%)
ESUS
28 (14.9%)
5 (7.4%)
Neuroradiological Characteristics
TICI-Scale
0.177
0
15 (6.6%)
5 (6.0%)
1
8 (3.5%)
8 (9.6%)
2a
31 (13.5%)
7 (8.4%)
2b
117 (51.1%)
39 (47%)
3
58 (25.3%)
24 (28.9%)
CT-ASPECTS (median, IQR)
9 (8-10)
8 (7-9)
0.155
Collateral Status (median, IQR)
7 (5-9)
7 (5.5-8.5)
0.906
Symptom onset to recanalization (min, median, IQR)
220 (159-281)
246 (176-316)
0.341
Occlusion site
0.326
Proximal carotid artery
8 (3.4%)
2 (2.4%)
Distal carotid artery
39 (16.8%)
17 (20.5%)
M1
135 (58.2%)
41 (49.4%)
M2
25 (10.8%)
14 (16.9%)
Basilar artery
24 (10.3%)
7 (8.4%)
Posterior cerebral artery
1 (0.4%)
1 (1.2%)
Anterior cerebral artery
0 (0.0%)
1 (1.2%)
IQR: interquartile range, rt-PA: recombinant tissue plasminogen activator, NIHSS: National Institute of Health Stroke Scale, mRS: modified Rankin Scale, ESUS: embolic stroke of unknown source, TICI: thrombolysis in cerebral infarction, and CT-ASPECTS: computer tomography-Alberta Stroke program early CT score.
