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EVT Procedural Complications Frequency (No.) (%) Significant at access site < 7 days 13 (1.9%) External bleeding 6 (46.2%) Internal hematoma 7 (53.8%) Any local arterial damage at access site <7 days 9 (1.3%) Cerebral arterial complications, ie, dissection (n = 27) and treated vasospasm (n = 1) 28 (4.1%) Embolization in previously normal territory 21 (3.1%) Arterial intracranial perforation during EVT (observed acutely, SAH on subacute imaging) 42 (6.1%) Total EVT procedure complications 113 (16.5%) - Table 2:
Multivariate analysis of significant factors associated with EVT procedural complications
Predictors of EVT Procedural Complications OR 95% CI P Value Two sites treated 2.71 1.49–4.86 <.001 Groin puncture off-hours 2.24 1.37–3.69 <.001 Smoking 1.93 1.10–3.33 .02 - Table 3:
Adjusted primary outcomes for patients with AIS with versus patients without EVT procedural complications
Clinical Outcome AIS with Procedural Complications(n = 113) AIS without Procedural Complications(n = 571) Adjusted OR or β Coefficient (95% CI) Adjusted P Value Short-term clinical consequences (24-hour Δ-NIHSS) –2.21 (10.06) –4.33 (7.89) 2.73 (1.09–4.37) <.001a Long-term functional outcome at 3 months (mRS) (median) (IQR) 3 (2–5) 2 (1–4) 1.32 (0.81–2.16) .272 ↵a Significant.