Predicting intracerebral hemorrhage after endovascular therapy for anterior circulation strokes using CT-ASPECT, CTP-ASPECT and DWI-ASPECT: Protocol for a systematic review

Over the last decade, there have been significant advances in treatments for anterior ischemic stroke, most notably endovascular thrombectomy (EVT). Despite the success of EVT on overall outcomes, intracerebral hemorrhage (ICH) is an important post-procedure complication, often associated with morta...

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Published in:PloS one 2024-07, Vol.19 (7), p.e0306295
Main Authors: Brissette, Vincent, Bhatt, Chirayu, Dewar, Brian, Shorr, Risa, Pardo, Jordi, Fahed, Robert, Shamy, Michel, Dowlatshahi, Dar
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Cardiovascular system
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - etiology
Clinical trials
Decision making
Diagnostic imaging
Diffusion Magnetic Resonance Imaging
Drunk driving
Endovascular Procedures - adverse effects
Endovascular Procedures - methods
Health aspects
Hemorrhage
Humans
Implants
Intracerebral hemorrhage
Ischemia
Magnetic resonance imaging
Medical imaging
Medical imaging equipment
Medical research
Medicine and Health Sciences
Medicine, Experimental
Mortality
Observational studies
Prognosis
Reperfusion
Research and Analysis Methods
Risk analysis
Software
Stroke
Stroke (Disease)
Stroke - diagnostic imaging
Stroke - etiology
Stroke - therapy
Study Protocol
Systematic review
Systematic Reviews as Topic
Thrombectomy - adverse effects
Thrombectomy - methods
Tomography
Tomography, X-Ray Computed
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Bhatt, Chirayu
Dewar, Brian
Shorr, Risa
Pardo, Jordi
Fahed, Robert
Shamy, Michel
Dowlatshahi, Dar
description Over the last decade, there have been significant advances in treatments for anterior ischemic stroke, most notably endovascular thrombectomy (EVT). Despite the success of EVT on overall outcomes, intracerebral hemorrhage (ICH) is an important post-procedure complication, often associated with mortality and disability. Hence, predicting the risk of ICH can inform EVT decision making. The ASPECT score is used globally to predict patients' prognosis post-reperfusion therapy. Our objective is to perform a systematic review to collect and synthesize data on the association between ASPECT scores on CT, CTP and DWI-MRI (CT-ASPECT, CTP-ASPECT, and DWI-ASPECT) and the risk of symptomatic ICH after EVT for anterior circulation strokes. We will conduct a broad search of various electronic databases (MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, and the Cochrane Database of Systematic Reviews) to identify studies published after January 1st, 2012 (commonly accepted as the beginning of the modern EVT era based on availability of stent-retrievers). Two independent reviewers will screen and include studies evaluating associations between symptomatic ICH after thrombectomy and baseline CT-ASPECT, CTP-ASPECT and DWI-ASPECT scores. Data will be extracted to quantify the risk of sICH after EVT based on the ASPECT scoring. PROSPERO registration number: CRD42023459860.
doi_str_mv 10.1371/journal.pone.0306295
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subjects Biology and Life Sciences
Cardiovascular system
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - etiology
Clinical trials
Decision making
Diagnostic imaging
Diffusion Magnetic Resonance Imaging
Drunk driving
Endovascular Procedures - adverse effects
Endovascular Procedures - methods
Health aspects
Hemorrhage
Humans
Implants
Intracerebral hemorrhage
Ischemia
Magnetic resonance imaging
Medical imaging
Medical imaging equipment
Medical research
Medicine and Health Sciences
Medicine, Experimental
Mortality
Observational studies
Prognosis
Reperfusion
Research and Analysis Methods
Risk analysis
Software
Stroke
Stroke (Disease)
Stroke - diagnostic imaging
Stroke - etiology
Stroke - therapy
Study Protocol
Systematic review
Systematic Reviews as Topic
Thrombectomy - adverse effects
Thrombectomy - methods
Tomography
Tomography, X-Ray Computed
title Predicting intracerebral hemorrhage after endovascular therapy for anterior circulation strokes using CT-ASPECT, CTP-ASPECT and DWI-ASPECT: Protocol for a systematic review
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