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Table 2 Comparison of characteristics and outcome for patients discharged with dual antiplatelet therapy vs. oral anticoagulation in addition to single or dual antiplatelet therapy

From: Antithrombotic treatment and outcome after endovascular treatment and acute carotid artery stenting in stroke patients with atrial fibrillation

 

DAPT, n = 24

OAC + (D)APT, n = 29

p

Age, y (SD)

76.0 ± 8.2

80.2 ± 7.2

0.053

Female sex, % (n)

33 (8)

24 (7)

0.55

Median prestroke mRS (IQR)

0 (0–1.25)

0 (0–1)

0.87

Median NIHSS (IQR)

14 (9–17)

14 (9–18)

0.96

Median ASPECTS (IQR)

9 (7–10)

10 (8–10)

0.30

Cardiovascular risk factors, % (n)

Hypertension

92 (22)

90 (26)

1.0

Diabetes

38 (9)

14 (4)

0.06

Dyslipidemia

54 (13)

55 (16)

1.0

Baseline medication, % (n)

Antiplatelet therapy

38 (9)

21 (6)

0.23

Oral anticoagulation

13 (3)

48 (14)

0.008

Procedural results

IVT, % (n)

57 (13)

28 (8)

0.048

mTICI ≥ 2b, % (n)

92 (22)

100 (28)

0.21

Passages, n (IQR)

1 (1–2)

1 (1–2)

0.75

Median time SO to ADM (IQR)

166 (111–200.25)#

147 (67.5–197.5)+

0.70

Median time LSW to ADM (IQR)

300 (241–401.5)#

633 (426–888)+

0.09

Median time ADM to GRO (IQR)

53.5 (33.25–70.75)

53 (36–107)

0.50

Median time GRO to FLR (IQR)

61.5 (34.5–75.75)

54 (36–91)

0.82

Hospital stay

Malignant MCA infarction, % (n)

0

3 (1)

1.0

Recurrent stroke, % (n)

13 (3)

17 (5)

0.72

In-stent thrombosis, % (n)

8 (2)

0

0.20

ICH, % (n)

4 (1)

17 (5)

0.20

Median NIHSS at 24 h (IQR)

11 (6–15)

10 (8–17.50)

0.82

Median mRS at 24 h (IQR

4 (4–5)

4 (4–5)

0.91

Median discharge NIHSS (IQR)

7.5 (3–10.5)

7 (4–11)

0.73

Median discharge mRS (IQR)

4 (3–4)

4 (3–5)

0.79

Median duration of stay, d (IQR)

9 (7–12.5)

7.5 (6–17.25)

0.75

Outcome

Median mRS at 90 days (IQR)

3.5 (2–6)

3 (2–4)

0.38

mRS 0–2 at 90 days, % (n)

36 (8)

42 (10)

0.77

Mortality at 90 days, % (n)

32 (7)

4 (1)

0.020

  1. #SO was reported in 50%, LSW in 42%, no information on time of onset available in 8% (n = 2)
  2. +SO was reported in 66%, LSW in 28%, no information on time of onset available in 7% (n = 2)
  3. DAPT dual antiplatelet therapy; OAC oral anticoagulation; (D)APT single or dual antiplatelet therapy; ASPECTS Alberta Stroke Program Early CT Score; IQR interquartile range; NIHSS National Institutes of Health Stroke Scale; IVT, intravenous thrombolysis; mTICI modified Thrombolysis in Cerebral Infarction scale; mRS modified Rankin Scale; SO symptoms onset; LSW last seen well, ADM admission; GRO groin puncture; FLR flow restoration