Association of masseter area and radiodensity with three-month survival after proximal anterior circulation occlusion

Autor: Jussi Hernesniemi, Niko Sillanpää, Sara Protto, Niku Oksala, Niina Khan, Iisa Lindström
Přispěvatelé: Lääketieteen ja terveysteknologian tiedekunta - Faculty of Medicine and Health Technology, Tampere University
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
Middle Cerebral Artery
Biolääketieteet - Biomedicine
Computed Tomography Angiography
Mechanical Thrombolysis
Radiodensity
Kirurgia
anestesiologia
tehohoito
radiologia - Surgery
anesthesiology
intensive care
radiology
Brain Ischemia
03 medical and health sciences
0302 clinical medicine
medicine.artery
Internal medicine
Occlusion
Medicine
Humans
In patient
030212 general & internal medicine
Stroke
Aged
Retrospective Studies
Aged
80 and over
medicine.diagnostic_test
business.industry
Masseter Muscle
General Medicine
Middle Aged
medicine.disease
Cerebral Angiography
Survival Rate
Treatment Outcome
Sarcopenia
Angiography
Middle cerebral artery
Cardiology
Surgery
Female
Neurology (clinical)
Internal carotid artery
business
030217 neurology & neurosurgery
Carotid Artery
Internal
Follow-Up Studies
Zdroj: Journal of neurointerventional surgery. 13(1)
ISSN: 1759-8486
Popis: BackgroundMasseter area (MA), a surrogate for sarcopenia, appears to be useful when estimating postoperative survival, but there is lack of consensus regarding the potential predictive value of sarcopenia in acute ischemic stroke (AIS) patients. We hypothesized that MA and density (MD) evaluated from pre-interventional CT angiography scans predict postinterventional survival in patients undergoing mechanical thrombectomy (MT).Materials and methods312 patients treated with MT for acute occlusions of the internal carotid artery (ICA) or the M1 segment of the middle cerebral artery (M1-MCA) between 2013 and 2018. Median follow-up was 27.4 months (range 0–70.4). Binary logistic (alive at 3 months, OR ResultsIn Kaplan–Meier analysis, there was a significant inverse relationship with both MDavg and MAavg and mortality (MDavg PConclusionsIn acute ischemic stroke patients, MDavg and MAavg are independent predictors of 3-month survival after MT of the ICA or M1-MCA. A 1-SD increase in MDavg and MAavg was associated with a 39%–43% decrease in the probability of death during the first 3 months after MT.
Databáze: OpenAIRE
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