Does the side of middle cerebral artery compromise matters in the mortality after thrombolysis in ischemic stroke?

Arquivos de Neuro-Psiquiatria

Renata Dal-prá Ducci¹  Marcos Christiano Lange¹  Carla Heloísa Moro¹  Rodrigo Harger¹  Alexandre Luiz Longo¹  Norberto Luiz Cabral¹  Francisco Manoel Branco Germiniani¹  Edison Matos Nóvak¹  Viviane De Hiroki Flumignan Zétola¹ 

关键词: stroke;    middle cerebral artery stroke;    thrombolytic therapy;    prognosis;    mortality;    acidente vascular isquêmico;    artéria cerebral média;    terapia trombolítica;    prognóstico;    mortalidade;   

DOI  :  10.1590/0004-282X20150079

来源: SciELO

【 摘 要 】

The impact of the side in middle cerebral artery (MCA) ischemic stroke is not well established. Our aim was to analyze the differences between right (RMCA) and left middle cerebral artery (LMCA) stroke in patients submitted to intravenous thrombolysis and the influence of the affected side in the patient’s mortality after 3 months. Method Patients with MCA ischemic stroke submitted to intravenous thrombolysis from March 2010 to December 2011 at two Brazilian Stroke Centers were included. Differences between patients with RMCA and LMCA stroke were identified by univariate analysis. Results Forty-five patients with RMCA stroke and 67 with LMCA stroke were analyzed. Patients with LMCA had a higher incidence of atrial fibrillation (p = 0.031), although patients with RMCA more often had a previous ischemic stroke (p = 0.034). The mortality over 3 months was similar for either side (OR = 1.20 ;0.37 - 4.29, p = 0.772). Conclusion The side of the MCA ischemic stroke did not influence the patients mortality.

【 授权许可】

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