Clinical Review of 28 Patients with Basilar Artery Occlusion
Autor: | Tomohisa Dembo, Yuji Kato, Yasuko Ohe, Norio Tanahashi, Harumitsu Nagoya, Shoichiro Ishihara, Yohsuke Horiuchi, Ichiro Deguchi, Hajime Maruyama, Takuya Fukuoka |
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Rok vydání: | 2013 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Percutaneous Infarction Comorbidity Severity of Illness Index Time-to-Treatment Lesion Patient Admission Japan Risk Factors medicine.artery Internal medicine Occlusion Vertebrobasilar Insufficiency Humans Medicine Clinical severity In patient Posterior communicating artery Aged Retrospective Studies Aged 80 and over Chi-Square Distribution business.industry Rehabilitation Basilar artery occlusion Recovery of Function Middle Aged medicine.disease Surgery Treatment Outcome Cardiology Female Neurology (clinical) medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | Journal of Stroke and Cerebrovascular Diseases. 22:358-363 |
ISSN: | 1052-3057 |
Popis: | Background We retrospectively analyzed factors related to the outcomes of patients with basilar artery occlusion. Methods Twenty-eight patients with basilar artery occlusion admitted to our hospital within 24 hours after onset between April 2007 and December 2010 were included. We investigated parameters related to outcome, such as coexisting disease, clinical type, clinical severity at admission, the site of occlusion and the infarction lesion, the collateral flow from posterior communicating artery, therapy, and time to therapy after onset. Results Of 28 patients with basilar artery occlusion, good outcomes occurred in 6 patients (21%) and poor outcomes occurred in 22 patients (79%). Clinical severity on admission was significantly different between the 2 groups. Three of 5 patients with percutaneous transluminal angioplasty achieved recanalization. Two of 3 cases with recanalization resulted in poor outcomes. Conclusions Clinical severity on admission was the determinant factor of functional prognosis in patients with basilar artery occlusion. |
Databáze: | OpenAIRE |
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