Trends of Intravenous Thrombolysis and Thrombectomy for Low NIHSS Score (6) Strokes in the United States: A National Inpatient Sample Study

Aaron Brake; Lane Fry; Hira Chouhdry; Sivani Lingam; Tara Samiee; Romil Singh; Koji Ebersole; Michael G. Abraham

doi:10.1161/SVIN.123.001262

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Trends of Intravenous Thrombolysis and Thrombectomy for Low NIHSS Score (6) Strokes in the United States: A National Inpatient Sample Study

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Trends of Intravenous Thrombolysis and Thrombectomy for Low NIHSS Score (6) Strokes in the United States: A National Inpatient Sample Study

Aaron Brake, Lane Fry, Hira Chouhdry, Sivani Lingam, Tara Samiee, Romil Singh, Koji Ebersole and Michael G. Abraham

Stroke: vascular and interventional neurology, Vol.4(4), 001262

07/01/2024

DOI: 10.1161/SVIN.123.001262

PMCID: PMC12778519

PMID: 41585384

Appears in UI Libraries Support Open Access

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Abstract

Stroke management has evolved significantly with the use of intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT). However, low‐severity strokes, National Institutes of Health Stroke Scale (NIHSS) score <6, were mostly absent in the main trials that established the efficacy of EVT and IVT. As the indications for thrombectomy expand for larger and older strokes, there is still ambiguity surrounding its use in these low‐severity cases. This study aims to analyze the trends in IVT and EVT usage as well as functional outcome, inpatient death, and intracranial hemorrhage (ICH) among low‐severity strokes in the United States following the landmark 2015 EVT trials.

acute ischemic stroke

intravenous thrombolysis

national inpatient sample

thrombectomy

Cerebrovascular Procedures

Ischemic Stroke

UIOWA OA Agreement

Details

Title: Subtitle: Trends of Intravenous Thrombolysis and Thrombectomy for Low NIHSS Score (6) Strokes in the United States: A National Inpatient Sample Study
Creators: Aaron Brake - University of Iowa Hospitals and Clinics
Lane Fry - Univ Iowa Hosp & Clin, Iowa City, IA USA
Hira Chouhdry - University of Iowa Hospitals and Clinics
Sivani Lingam - University of Kansas
Tara Samiee - University of Kansas
Romil Singh - Allegheny General Hospital
Koji Ebersole - Univ Kansas Hlth Syst, Dept Neurol Surg, Kansas City, KS USA
Michael G. Abraham - University of Kansas Medical Center
Resource Type: Journal article
Publication Details: Stroke: vascular and interventional neurology, Vol.4(4), 001262
DOI: 10.1161/SVIN.123.001262
PMID: 41585384
PMCID: PMC12778519
NLM abbreviation: Stroke Vasc Interv Neurol
ISSN: 2694-5746
eISSN: 2694-5746
Publisher: Wiley
Number of pages: 3
Language: English
Date published: 07/01/2024
Academic Unit: Neurology
Record Identifier: 9984741057002771

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