Objective:A subtype analysis of acute ischemic stroke(AIS)patients was performed by applying the CISS typing method to compare the prognosis of different endovascular treatments applied to patients with different subtypes of AIS,so as to provide clinically effective treatment options for AIS patients.Methods:Compare the National Institutes of Health Stroke Scale(NIHSS)scores,Modified Rankin Scale(mRS)scores,and Daily Living Ability(ADL)scores at the time of admission,30 days,and 90 days after treatment.Re sults:Compared with admission,the NHISS scores and mRS scores of patients with both subtypes of AIS in the direct thrombolysis group and the bridging treatment group were lower than those before treatment at 30 and 90 days after treatment,and the ADL scores were significantly higher than those before treatment,and the differences were statistically significant(P＜0.01).The NHISS scores and mRS scores at 30 and 90 days after treatment in the LAA subtype bridging treatment group were significantly lower than those in the direct bolus extraction group,and the ADL scores were significantly higher than those in the direct bolus extraction group(P＜0.01);there was no significant difference in the NHISS scores,mRS scores,and ADL scores between groups of the two groups of patients in the CS subtype at 30 and 90 days after treatment(P＞0.05).Conclusion:The prognosis of bridging therapy was better than direct thrombolysis in patients with LAA subtype AIS,and no significant difference in prognosis was seen between direct thrombolysis and bridging therapy in patients with CS subtype AIS.
acute ischemic strokeCISS classification of strokemechanical thrombectomybridging intravenous thrombolysisclinical outcomes
NETL
NSTL
万方数据
