Post-stroke ASPECTS predicts outcome after thrombectomy
| Autor: | Asaf Honig, Andrei Filioglo, Ronen R. Leker, John M. Gomori, Naaem Simaan, José E. Cohen |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis business.industry Odds ratio medicine.disease Confidence interval Outcome (probability) 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Positive predicative value Internal medicine medicine Cardiology Radiology Nuclear Medicine and imaging Neurology (clinical) Cardiology and Cardiovascular Medicine business Prospective cohort study Stroke 030217 neurology & neurosurgery Neuroradiology |
| Zdroj: | Neuroradiology. 63:769-775 |
| ISSN: | 1432-1920 0028-3940 |
| DOI: | 10.1007/s00234-020-02576-9 |
| Popis: | Infarct growth and final infarct volume are established outcome modifiers following endovascular thrombectomy (EVT) for patients with large vessel occlusion stroke (LVO). Simple techniques for final infarct volume measurement are lacking, and therefore, we tested whether post-EVT ASPECTS can be used for prognostic evaluation after EVT. Infarct size at baseline was measured in a prospective cohort of patients with LVO that underwent EVT with the ASPECTS score on admission non-contrast CT. Final infarct size was assessed with a post-EVT ASPECTS (ASPECTS-POST) obtained from a follow-up CT 24–72 h post-EVT. The best performing ASPECTS-POST was chosen based on comparisons of different thresholds. Outcome measures included survival rates and modified Rankin Score at 90 days. A total of 272 patients were included and 166 of them had an ASPECTS-POST ≥ 7. ASPECTS-POST ≥ 7 was associated with increased likelihood of favorable outcome at 90 days (67% vs. 21%, p |
| Databáze: | OpenAIRE |
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