Acute ischaemic stroke (AIS) results in high rates of neurological morbidity and mortality, especially in patients with large vessel occlusion (LVO). Endovascular therapy (EVT) has been approved as the most effective treatment for patients with LVO , but about half patients undergoing EVT did not achieve good outcome. The mechanisms of poor prognosis are complex. How to accurately identify serological biomarkers related to patients' clinical prognosis is an important research topic nowadays.
Study Type
OBSERVATIONAL
Enrollment
200
all patients with anterior circulation large vessel occlusion will receive endovascular treatment.
General Hospital of Northern Theater Command
Shenyang, China
RECRUITINGDynamic changes in serum biomarkers after endovascular treatment
These biomarkers will be identified based on proteomic methods
Time frame: from the baseline to immediately, 30 minutes, 6 hours, and 24 hours after endovascular treatment
favourable functional outcome, defined as modified Rankin Scale (mRS) 0-2
mRS ranges from 0-6, high score means poor outcome
Time frame: 90±7 days
excellent functional outcome, defined as modified Rankin Scale (mRS) 0-1
mRS ranges from 0-6, high score means poor outcome
Time frame: 90±7 days
distribution of modified Rankin Scale (mRS) score
mRS ranges from 0-6, high score means poor outcome
Time frame: 90±7 days
early neurological improvement, defined as 4 or more decrease in National Institute of Health stroke scale (NIHSS)
NIHSS ranges from 0-22, with high score meaning severe neurological deficit.
Time frame: 24±8 hours
changes in National Institute of Health stroke scale (NIHSS)
NIHSS ranges from 0-22, with high score meaning severe neurological deficit.
Time frame: 24±8 hours
symptomatic intracranial hemorrhage (sICH)
sICH is defined as an increase in 4 or more points on the NIHSS
Time frame: 24±8 hours
occurence of new stroke or other vascular events
Time frame: 90±7 days
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