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dc.contributor.authorDufort, Gabrielle
dc.contributor.authorChen, Bing Yu
dc.contributor.authorJacquin, Grégory
dc.contributor.authorKeezer, Mark
dc.contributor.authorLabrie, Marilyn
dc.contributor.authorRioux, Bastien
dc.contributor.authorStapf, Christian
dc.contributor.authorZiegler, Daniela
dc.contributor.authorPoppe, Alexandre Y.
dc.date.accessioned2021-03-16T18:24:05Z
dc.date.availableNO_RESTRICTIONfr
dc.date.available2021-03-16T18:24:05Z
dc.date.issued2020-06-12
dc.identifier.urihttp://hdl.handle.net/1866/24917
dc.publisherBMJ Publishing Groupfr
dc.rightsCe document est mis à disposition selon les termes de la Licence Creative Commons Attribution - Pas d’utilisation commerciale 4.0 International. / This work is licensed under a Creative Commons Attribution - NonCommercial 4.0 International License.
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.titleAcute carotid stenting in patients undergoing thrombectomy : a systematic review and meta-analysisfr
dc.typeArticlefr
dc.contributor.affiliationUniversité de Montréal. Faculté de médecine. Département de neurosciencesfr
dc.identifier.doi10.1136/neurintsurg-2020-015817
dcterms.abstractBackground The benefit of acute carotid stenting compared with no acute stenting on clinical outcomes among patients with tandem lesions (TL) undergoing endovascular thrombectomy (EVT) remains unknown. Methods We conducted a a systematic review and meta-analysis of studies comparing acute carotid stenting versus no stenting among TL patients undergoing EVT with regards to 90 day modified Rankin Scale (mRS) score, symptomatic intracerebral hemorrhage (sICH), and mortality. Four reviewers screened citations for eligibility and two assessed retained studies for risk of bias and data extraction. A random effects model was used for the synthesis of aggregated data. Results 21 studies (n=1635 patients) were identified for the systematic review; 19 were cohort studies, 1 was a post-hoc analysis of an EVT trial, and 1 was a pilot randomized controlled trial. 16 studies were included in the meta-analysis. Acute stenting was associated with a favorable 90 day mRS score: OR 1.43 (95% CI 1.07, 1.91). No significant heterogeneity between studies was found for this outcome (I2=17.0%; χ2=18.07, p=0.26). There were no statistically significant differences for 3 month mortality (OR 0.80 (95% CI 0.50, 1.28)) or sICH (OR 1.41 (95% CI 0.91, 2.19)). Conclusions This meta-analysis suggests that among TL patients undergoing EVT, acute carotid stenting is associated with a greater likelihood of favorable outcome at 90 days compared with no stenting.fr
dcterms.isPartOfurn:ISSN:1759-8478fr
dcterms.isPartOfurn:ISSN:1759-8486fr
dcterms.languageengfr
UdeM.ReferenceFournieParDeposant10.1136/neurintsurg-2020-015817fr
UdeM.VersionRioxxVersion acceptée / Accepted Manuscriptfr
oaire.citationTitleJournal of neuroInterventional surgeryfr
oaire.citationVolume13fr
oaire.citationIssue2fr
oaire.citationStartPage141fr
oaire.citationEndPage145fr


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Ce document est mis à disposition selon les termes de la Licence Creative Commons Attribution - Pas d’utilisation commerciale 4.0 International. / This work is licensed under a Creative Commons Attribution - NonCommercial 4.0 International License.
Droits d'utilisation : Ce document est mis à disposition selon les termes de la Licence Creative Commons Attribution - Pas d’utilisation commerciale 4.0 International. / This work is licensed under a Creative Commons Attribution - NonCommercial 4.0 International License.