Pooled blood volume measured by final flat-panel detector computed tomography predicts outcome after endovascular thrombectomy for acute ischemic stroke

Autor: Dai Kawano, Kenji Fukuda, Sho Takeshita, Hironori Fukumoto, Yoshinobu Horio, Toshiyasu Ogata, Toshio Higashi, Tooru Inoue, Hiroshi Abe
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: World Neurosurgery: X, Vol 19, Iss , Pp 100178- (2023)
Druh dokumentu: article
ISSN: 2590-1397
DOI: 10.1016/j.wnsx.2023.100178
Popis: Background: Pooled blood volume (PBV), measured in real-time in the angiography room using an angiography system, correlates with cerebral blood volume (CBV). We examined the usefulness of PBV in endovascular thrombectomy (EVT) for acute ischemic stroke (AIS). Methods: EVT for AIS in the anterior circulation (internal carotid artery (ICA) and middle cerebral artery (MCA)) was performed in 31 cases (13 males, 18 females, average age 75.7 years). PBV was acquired using a biplane flat-panel detector (FD) angiographic system. Then, we measured the average PBV value in the M1-6 regions similar to the Alberta Stroke Program Early CT score (ASPECTS) before and after EVT. We investigated factors associated with favorable outcome at 90 days after EVT. Results: There were 13 patients (41.9%) in the good outcome group (mRS (modified Rankin Scale) ≦2) and 18 patients (58.1%) in the poor outcome group (mRS>2). In univariate analysis, NIHSS (National Institutes of Health Stroke Scale) (odds ratio [OR] 0.74, 95% CI 0.57–0.87, p
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