Collateral status reperfusion and outcomes after endovascular therapy: insight from the Endovascular Treatment in Ischemic Stroke (ETIS) Registry - Université de Montpellier
Article Dans Une Revue Journal of Neurointerventional Surgery Année : 2021

Collateral status reperfusion and outcomes after endovascular therapy: insight from the Endovascular Treatment in Ischemic Stroke (ETIS) Registry

Mohammad Anadani (1, 2) , Stephanos Finitsis (3) , Frédéric Clarençon (4) , Sébastien Richard (5) , Gaultier Marnat (6) , Romain Bourcier (7) , Igor Sibon (6) , Cyril Dargazanli (8) , Caroline Arquizan (8) , Raphael Blanc (9) , Bertrand Lapergue (10) , Arturo Consoli (11, 12) , Francois Eugene (13) , Stephane Vannier (14) , Laurent Spelle (15) , Christian Denier (15) , Marion Boulanger (16) , Maxime Gauberti (17) , David Liebeskind (18) , Adam de Havenon (19) , Suzana Saleme (20) , Francisco Macian (20) , Charlotte Rosso (4) , Olivier Naggara (17) , Guillaume Turc (17) , Ozlem Ozkul-Wermester (21) , Chrisanthi Papagiannaki (21) , Alain Viguier (22) , Christophe Cognard (23) , Anthony Le Bras (14, 24) , Sarah Evain (24) , Valerie Wolff (25) , Raoul Pop (25) , Serge Timsit (26) , Jean-Christophe Gentric (26) , Frédéric Bourdain (27) , Louis Veunac (27) , Benjamin Maier (9) , Benjamin Gory (28) , Etis Registry Investigators , Vincent Costalat (8, 29) , Adrien Ter Schiphorst (8, 29)
1 Washington University School of Medicine [Saint Louis, MO]
2 MUSC - Medical University of South Carolina [Charleston]
3 AHEPA University General Hospital [Thessaloniki]
4 CHU Pitié-Salpêtrière [AP-HP]
5 Service de neurologie [CHRU Nancy]
6 CHU Bordeaux
7 CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
8 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
9 Fondation Ophtalmologique Adolphe de Rothschild [Paris]
10 Hôpital Foch [Suresnes]
11 Service de neuroradiologie [Suresnes]
12 AOUC - Azienda Ospedaliero Universitaria Careggi [Firenze] = Careggi University Hospital [Florence, Italy]
13 Service de Neuroradiologie [Rennes]
14 Service de Neurologie [CHU Rennes]
15 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
16 CHU Caen
17 Centre Hospitalier Sainte Anne [Paris]
18 UCLA - University of California [Los Angeles]
19 University of Utah
20 CHU Limoges
21 CHU Rouen
22 Département Neurologie [CHU Toulouse]
23 Service Neuroradiologie Diagnostique et Thérapeutique [CHU Toulouse]
24 CHBA - Centre hospitalier Bretagne Atlantique (Morbihan)
25 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
26 CHRU Brest - Centre Hospitalier Régional Universitaire de Brest
27 CHCB - Centre Hospitalier de la Côte Basque
28 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
29 UM - Université de Montpellier
Mohammad Anadani
Washington University School of Medicine [Saint Louis, MO]
Medical University of South Carolina [Charleston]
Stephanos Finitsis
  • Fonction : Auteur
AHEPA University General Hospital [Thessaloniki]
Frédéric Clarençon
  • Fonction : Auteur
CHU Pitié-Salpêtrière [AP-HP]
Sébastien Richard
Service de neurologie [CHRU Nancy]
Gaultier Marnat
CHU Bordeaux
Romain Bourcier
  • Fonction : Auteur
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
Igor Sibon
CHU Bordeaux
Cyril Dargazanli
Centre Hospitalier Régional Universitaire [Montpellier]
Caroline Arquizan
  • Fonction : Auteur
Centre Hospitalier Régional Universitaire [Montpellier]
Raphael Blanc
Fondation Ophtalmologique Adolphe de Rothschild [Paris]
Bertrand Lapergue
  • Fonction : Auteur
Hôpital Foch [Suresnes]
Arturo Consoli
Service de neuroradiologie [Suresnes]
Azienda Ospedaliero Universitaria Careggi [Firenze] = Careggi University Hospital [Florence, Italy]
Francois Eugene
Service de Neuroradiologie [Rennes]
Stephane Vannier
  • Fonction : Auteur
Service de Neurologie [CHU Rennes]
Laurent Spelle
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Christian Denier
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Marion Boulanger
  • Fonction : Auteur
CHU Caen
Maxime Gauberti
  • Fonction : Auteur
Centre Hospitalier Sainte Anne [Paris]
David Liebeskind
University of California [Los Angeles]
Adam de Havenon
University of Utah
Suzana Saleme
CHU Limoges
Francisco Macian
  • Fonction : Auteur
CHU Limoges
Charlotte Rosso
  • Fonction : Auteur
CHU Pitié-Salpêtrière [AP-HP]
Olivier Naggara
Centre Hospitalier Sainte Anne [Paris]
Guillaume Turc
Centre Hospitalier Sainte Anne [Paris]
Ozlem Ozkul-Wermester
  • Fonction : Auteur
CHU Rouen
Chrisanthi Papagiannaki
  • Fonction : Auteur
CHU Rouen
Alain Viguier
Département Neurologie [CHU Toulouse]
Christophe Cognard
  • Fonction : Auteur
Service Neuroradiologie Diagnostique et Thérapeutique [CHU Toulouse]
Anthony Le Bras
Service de Neurologie [CHU Rennes]
Centre hospitalier Bretagne Atlantique (Morbihan)
Sarah Evain
  • Fonction : Auteur
Centre hospitalier Bretagne Atlantique (Morbihan)
Valerie Wolff
  • Fonction : Auteur
Centre Hospitalier Universitaire [Strasbourg]
Raoul Pop
Centre Hospitalier Universitaire [Strasbourg]
Serge Timsit
Centre Hospitalier Régional Universitaire de Brest
Jean-Christophe Gentric
Centre Hospitalier Régional Universitaire de Brest
Frédéric Bourdain
  • Fonction : Auteur
Centre Hospitalier de la Côte Basque
Louis Veunac
  • Fonction : Auteur
Centre Hospitalier de la Côte Basque
Benjamin Maier
  • Fonction : Auteur
Fondation Ophtalmologique Adolphe de Rothschild [Paris]
Benjamin Gory
Centre Hospitalier Régional Universitaire de Nancy
Etis Registry Investigators
  • Fonction : Auteur
Vincent Costalat
  • Fonction : Collaborateur
  • PersonId : 1056305
Centre Hospitalier Régional Universitaire [Montpellier]
Université de Montpellier
Adrien Ter Schiphorst
  • Fonction : Collaborateur
Centre Hospitalier Régional Universitaire [Montpellier]
Université de Montpellier

Résumé

Background Studies have suggested that collateral status modifies the effect of successful reperfusion on functional outcome after endovascular therapy (EVT). We aimed to assess the association between collateral status and EVT outcomes and to investigate whether collateral status modified the effect of successful reperfusion on EVT outcomes. Methods We used data from the ongoing, prospective, multicenter Endovascular Treatment in Ischemic Stroke (ETIS) Registry. Collaterals were graded according to the American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology (ASITN/SIR) guidelines. Patients were divided into two groups based on angiographic collateral status: poor (grade 0–2) versus good (grade 3–4) collaterals. Results Among 2020 patients included in the study, 959 (47%) had good collaterals. Good collaterals were associated with favorable outcome (90-day modified Rankin Scale (mRS) 0–2) (OR 1.5, 95% CI 1.19 to 1.88). Probability of good outcome decreased with increased time from onset to reperfusion in both good and poor collateral groups. Successful reperfusion was associated with higher odds of favorable outcome in good collaterals (OR 6.01, 95% CI 3.27 to 11.04) and poor collaterals (OR 5.65, 95% CI 3.32 to 9.63) with no significant interaction. Similarly, successful reperfusion was associated with higher odds of excellent outcome (90-day mRS 0–1) and lower odds of mortality in both groups with no significant interaction. The benefit of successful reperfusion decreased with time from onset in both groups, but the curve was steeper in the poor collateral group. Conclusions Collateral status predicted functional outcome after EVT. However, collateral status on the pretreatment angiogram did not decrease the clinical benefit of successful reperfusion.

Domaines

Neurosciences [q-bio.NC] Chirurgie

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https://hal.umontpellier.fr/hal-03651236

Soumis le : lundi 25 avril 2022-15:33:30

Dernière modification le : mercredi 11 septembre 2024-20:12:11

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Dates et versions

hal-03651236 , version 1 (25-04-2022)

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Citer

Mohammad Anadani, Stephanos Finitsis, Frédéric Clarençon, Sébastien Richard, Gaultier Marnat, et al.. Collateral status reperfusion and outcomes after endovascular therapy: insight from the Endovascular Treatment in Ischemic Stroke (ETIS) Registry. Journal of Neurointerventional Surgery, 2021, pp.neurintsurg-2021-017553. ⟨10.1136/neurintsurg-2021-017553⟩. ⟨hal-03651236⟩

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