RESUMO
BACKGROUND AND OBJECTIVES: Endovascular therapy (EVT) has emerged as the standard for treating patients with acute ischemic stroke due to large vessel occlusion. The aim of this study was to investigate the relationship between early petechial hemorrhage and patient outcomes after successful EVT of anterior circulation. METHODS: We retrospectively analyzed multicenter data from 316 patients who underwent EVT for acute occlusion of anterior circulation. Patients were divided into petechial hemorrhage group and without hemorrhage group based on post-EVT head imaging. Logistical regression analysis was performed to determine independent predictors for petechial hemorrhage, and for petechial hemorrhage as a predictor of early neurological improvement, favorable outcome at 90 days (modified Rankin Scale 0-2), and 90-day mortality, with adjustment for all factors significantly associated with these endpoints in univariate regression to P < .10. RESULTS: Of 316 included patients with successful EVT, 49 (15.50%) had petechial hemorrhage. The petechial hemorrhage group showed less early neurological improvement (36.73% compared with 53.56%, P = .030), less favorable outcomes at 90 days (32.65% compared with 61.80%, P < .001, absolute risk difference 29.15%), and higher mortality at 90 days (28.57% compared with 10.49%, P = .001) then the group without hemorrhage. Petechial hemorrhage was inversely associated with favorable 90-day outcome (odds ratio = 0.415, 95% CI 0.206-0.835) and higher mortality rate at 90 days (odds ratio = 2.537, 95% CI 1.142-5.635) in multivariable regression but was not independently associated with early neurological improvement. CONCLUSION: In patients with anterior large vessel occlusion who underwent successful EVT, petechial hemorrhage was associated with poor functional outcome and 90-day mortality when adjusted for complete recanalization, pre-EVT National Institute of Health Stroke Scale/Score, and Alberta Stroke Program Early Computed Tomography Score. Despite the relatively lower rate of a favorable 90-day outcome with petechial hemorrhage compared with no petechial hemorrhage, the absolute rate of a favorable outcome exceeds the natural history of medical management for this condition.
RESUMO
Zirconium-based porphyrin metal organic frameworks (Zr-PMOFs) had attracted attention in the field of photocatalysis in recent years. However, the recombination of photogenerated carriers of monomer PMOF limits its performance of photocatalytic organic pollutants degradation. Metal sulfide has a suitable visible band gap, which can form a heterojunction with MOF materials to enhance the photocatalytic efficiency of MOF. Therefore, a typical metal sulfide semiconductor ZnIn2S4 (ZIS) was introduced into a Zr-MOF (MOF-525) by solvothermal method to prepare a series of ZIS/MOF-525 (ZIS/MOF-525-1, ZIS/MOF-525-2, ZIS/MOF-525-3 and ZIS/MOF-525-4) composite photocatalysts in this work. The results of characterization analysis, optical analysis and electrochemical analysis showed that the interface of ZIS/MOF-525 formed a typical type-II heterojunction, which accelerated the electron transport rate and effectively inhibited the recombination of photogenerated e- and h+ in MOF-525. The optimal removal efficiency of tetracycline (TC) by ZIS/MOF-525-3 (the mass of MOF-525 is 30 mg) reached 93.8% under 60 min visible light illumination, which was greater than that of pure MOF-525 (37.2%) and ZnIn2S4 (70.0%), and it still maintained good stability after five cycles reusing experiment. This work provides feasible insight for the preparation of novel and efficient PMOF-based photocatalysts in the future.
