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Postoperative hyperglycemia predicts symptomatic intracranial hemorrhage after endovascular treatment in patients with acute anterior circulation large artery occlusion

Journal of the Neurological Sciences Dec 04, 2019

Li F, Ren Y, Cui X, et al. - In this study performed on consecutive acute ischemic stroke patients who were managed with mechanical thrombectomy with or without subsequent stent implantation, researchers determined if symptomatic intracranial hemorrhage (sICH) could be predicted by hyperglycemia following endovascular therapy. The development of sICH within the first 7 days following endovascular therapy was the primary outcome. This study included 156 patients. The development of sICH post-endovascular treatment was documented in 15 patients (9.62%). Experts concluded that in patients with anterior circulation large vessel occlusion who were managed with mechanical thrombectomy, glucose values after operation might represent an independent risk factor for sICH. Better risk stratification for sICH after endovascular therapy could be achieved by adding postoperative glucose values to conventional risk factors.
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