Type of intracranial hemorrhage after endovascular stroke treatment: association with functional outcome.
Wouter van der SteenNadinda A M van der EndeSven P R LuijtenLeon A RinkelKatinka R van KranendonkHenk van VoorstStefan D RoosendaalLudo F M BeenenJonathan M CoutinhoBart J EmmerRobert J van OostenbruggeCharles B L M MajoieHester F LingsmaAad van der LugtDiederik W J DippelBob Roozenbeeknull nullPublished in: Journal of neurointerventional surgery (2022)
Of 1017 included patients, 331 (33%) had an asymptomatic ICH, and 90 (9%) had a symptomatic ICH. Compared with no ICH, both asymptomatic (adjusted common OR (acOR)=0.76; 95% CI 0.58 to 0.98) and symptomatic (acOR=0.07; 95% CI 0.04 to 0.14) ICH were associated with worse functional outcome. In particular, isolated parenchymal hematoma type 2 (acOR=0.37; 95% CI 0.14 to 0.95), combined parenchymal hematoma with hemorrhage outside infarcted brain tissue (acOR=0.17; 95% CI 0.10 to 0.30), and combined hemorrhages outside infarcted brain tissue (acOR=0.14; 95% CI 0.03 to 0.74) were associated with worse functional outcome than no ICH.Strength of the association of ICH with functional outcome depends on the type of ICH. Although the association is stronger for symptomatic ICH, asymptomatic ICH after EVT is also associated with worse functional outcome.