Extent of hypoattenuation on CT angiography source images in basilar artery occlusion : Prognostic value in the Basilar Artery International Cooperation Study
| Autor: | Puetz, Volker, Khomenko, Andrei, Hill, Michael D., Dzialowski, Imanuel, Michel, Patrik, Weimar, Christian, Wijman, Christine A. C., Mattle, Heinrich P., Engelter, Stefan T., Muir, Keith W., Pfefferkorn, Thomas, Tanne, David, Szabo, Kristina, Jaap Kappelle, L., Algra, Ale, Von Kummer, Ruediger, Demchuk, Andrew M., Schonewille, Wouter J., Kappelle, L. Jaap |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Medizin Central nervous system disease Predictive Value of Tests Risk Factors medicine.artery Vertebrobasilar Insufficiency Basilar artery medicine Humans Prospective Studies Registries Artery occlusion Stroke Aged Aged 80 and over Advanced and Specialized Nursing medicine.diagnostic_test Hypoattenuation business.industry Vascular disease Basilar artery occlusion Middle Aged Prognosis medicine.disease Cerebral Angiography Basilar Artery Angiography Radiographic Image Interpretation Computer-Assisted Female Neurology (clinical) Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| ISSN: | 0039-2499 |
| Popis: | Background and Purpose— The posterior circulation Acute Stroke Prognosis Early CT Score (pc-ASPECTS) quantifies the extent of early ischemic changes in the posterior circulation with a 10-point grading system. We hypothesized that pc-ASPECTS applied to CT angiography source images predicts functional outcome of patients in the Basilar Artery International Cooperation Study (BASICS). Methods— BASICS was a prospective, observational registry of consecutive patients with acute symptomatic basilar artery occlusion. Functional outcome was assessed at 1 month. We applied pc-ASPECTS to CT angiography source images of patients with CT angiography for confirmation of basilar artery occlusion. We calculated unadjusted and adjusted risk ratios (RRs) of pc-ASPECTS dichotomized at ≥8 versus Results— Of 158 patients included, 78 patients had a CT angiography source images pc-ASPECTS ≥8. Patients with a pc-ASPECTS ≥8 more often had a favorable outcome than patients with a pc-ASPECTS Conclusions— pc-ASPECTS on CT angiography source images independently predicted death and functional independence at 1 month in the CT angiography subgroup of patients in the BASICS registry. |
| Databáze: | OpenAIRE |
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