Stroke: An encephalopathy induced by angiitis induced by angiitis after vascular thrombosis in patients with acute ischemic stroke

After endovascular thrombosis (EVT) in patients with acute ischemic stroke, diatomy-induced encephalopathy (CIE) is a rare and not yet well-understood complication.
recently, a study published in the leading journal in the field of cardiovascular disease looked at the incidence and risk factors of CIE in patients receiving EVT.
the study included patients with acute ischemic stroke who received EVT at two medical centers between September 2014 and December 2019.
In cases where infarction or hemorrhagic conversion is unsealable, CIE is diagnosed within 24 hours of surgery according to clinical criteria for deterioration or delayed improvement of the nervous system, and imaging standards for edema changes exceed the infarction core and are accompanied by shadow staining.
of the 421 patients with acute ischemic stroke who received EVT, 7 (1.7%) had CIE, which included increased symptoms of the regenerative nervous system, coma and seizures.
patients with CIE were more likely to suffer from contrast agent-induced acute kidney injury than those without CIE, but the contrast agent doses were comparable in both groups.
risk factors for CIE include renal insanity (defined as an estimated cyspheric filtration rate of 45ml/min x 1.73m2; ratio ratio of 5.77 (95% CI is 1.37-2) 4.3) ;P.02) and stroke history (ratio is 4.96 (95% CI is 1.15-21.3) ;P=0.03).
patients with CIE are less likely to have a good functional prognostication (the ratio ratio is 0.09 (95% CI is 0.01-0.87) ;P=0.04).
it can be seen that patients with post-EVT clinical deterioration and imaging evidence of imaging changes in imaging agent staining and edema should suspect CIE, especially in patients with renal insufficiology or stroke history.