Prevalence and associated factors of basilar artery dolichosis in patients with acute cerebral infarction

Autor: Shugang Cao, Mingfeng Zhai, Jun He, Ping Cui, Tingting Ge, Jian Wang, Wen’an Xu, Rongfeng Wang, Mingwu Xia
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Medicine, Vol 10 (2023)
Druh dokumentu: article
ISSN: 2296-858X
DOI: 10.3389/fmed.2023.832878
Popis: IntroductionLittle attention has been given to the factors associated with basilar artery (BA) dolichosis. This study aims to elucidate the prevalence and associated factors of BA dolichosis in patients with acute cerebral infarction (ACI).MethodsWe collected the clinical and laboratory data of 719 patients with ACI admitted to our department. Magnetic resonance angiography was used to evaluate the geometric parameters of the BA and intracranial vertebral arteries (VAs). A BA curve length > 29.5 mm or bending length (BL) > 10 mm was identified as BA dolichosis. Univariate and multivariate logistic regression were performed to determine the factors associated with BA dolichosis.ResultsAmong 719 patients with ACI, 238 (33.1%) demonstrated BA dolichosis, including 226 (31.4%) with simple BA dolichosis and 12 (1.7%) with basilar artery dolichoectasia (BADE). Pearson correlation analyses showed that BA curve length was positively correlated with BL (r = 0.605). Multivariate logistic regression analysis demonstrated that current smoking (OR = 1.50, 95% CI: 1.02–2.21, p = 0.039), diabetes mellitus (OR = 1.66, 95% CI: 1.14–2.41, p = 0.008), BA diameter (OR = 3.04, 95% CI: 2.23–4.13, p
Databáze: Directory of Open Access Journals