4. Related factors of hemorrhagic transformation after thrombectomy for anterior circulation

Dao Viet Phuong, Pham Thuy Linh, Mai Duy Ton, Nguyen Anh Tuan, Pham Quang Tho

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Abstract

Hemorrhagic transformation is a serious complication affecting the clinical outcomes and mortality rates in cerebral infarction patients. This study aimed to determine factors related to hemorrhagic transformation after thrombectomy among acute ischemic stroke patients due to large vessel occlusion of the anterior cerebral circulation. This observational retrospective study enrolled 84 acute ischemia stroke patients with the anterior cerebral circulation occlusion, who received mechanical thrombectomy at the Stroke Center of Bach Mai Hospital from October 2022 to July 2023. Overall, there were 41.7% of patients diagnosed with hemorrhagic transformation and 16.7% of patients diagnosed with sICH. Factors related to hemorrhagic transformation after thrombectomy included past history of atrial fibrillation, TOAST classification of cardioembolism, ASPECTS <7, a high leukocyte index and a high rate of neutrophil.

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References

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