FLAIR vascular hyperintensity is associated with functional outcome in patients with ischemic stroke receiving endovascular treatment: a meta-analysis.

IF 2.7 3区医学 Q2 CLINICAL NEUROLOGY

Frontiers in Neurology Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI:10.3389/fneur.2024.1497504

Chunyan Wang, Chuanliu Wang, Yongjun Ni

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引用次数: 0

Abstract

Background: Fluid-attenuated inversion recovery (FLAIR) vascular hyperintensity (FVH) might be useful for predicting and functional outcome in ischemic stroke patients after endovascular thrombectomy (EVT), but its clinical benefit remains controversial. Thus, this study aimed to evaluate the association of FVH on prognosis in ischemic stroke patients who received EVT.

Methods: PubMed, Embase, Cochrane Library, Web of Science, and Wanfang databases were searched for potentially eligible studies published up to March 2024. Pooled standard mean difference (SMD), risk ratios (RR) with 95% confidence intervals (CI) were employed to assess the association of FVH on prognosis in ischemic stroke patients who received EVT. All statistical analyses were conducted using STATA 12.0 software.

Results: A total of 10 studies were included in our study. The results indicated that higher FVH score were associated with better prognosis (SMD: 0.80, 95% CI 0.63-0.97). Moreover, the presence of FVH was significant associated with better functional outcome in ischemic stroke patients who received EVT (RR: 0.68, 95% CI, 0.58-0.79).

Conclusion: The current meta-analysis suggests that FVH is related the prognosis of ischemic stroke patients after EVT.

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FLAIR 血管高密度与接受血管内治疗的缺血性脑卒中患者的功能预后有关：一项荟萃分析。

背景：流体增强反转恢复（FLAIR）血管高密度（FVH）可能有助于预测血管内血栓切除术（EVT）后缺血性卒中患者的功能预后，但其临床益处仍存在争议。因此，本研究旨在评估FVH与接受EVT的缺血性卒中患者预后的关系：方法：在PubMed、Embase、Cochrane Library、Web of Science和万方数据库中检索了截至2024年3月发表的可能符合条件的研究。采用汇总标准平均差（SMD）、风险比（RR）及95%置信区间（CI）来评估FVH与接受EVT的缺血性卒中患者预后的相关性。所有统计分析均使用 STATA 12.0 软件进行：我们的研究共纳入了 10 项研究。结果显示，FVH 评分越高，预后越好（SMD：0.80，95% CI 0.63-0.97）。此外，缺血性卒中患者接受 EVT 后，FVH 的存在与较好的功能预后显著相关（RR：0.68，95% CI，0.58-0.79）：目前的荟萃分析表明，FVH 与接受 EVT 的缺血性卒中患者的预后有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Neurology CLINICAL NEUROLOGYNEUROSCIENCES -NEUROSCIENCES

CiteScore

4.90

自引率

8.80%

发文量

2792

审稿时长

14 weeks

期刊介绍： The section Stroke aims to quickly and accurately publish important experimental, translational and clinical studies, and reviews that contribute to the knowledge of stroke, its causes, manifestations, diagnosis, and management.