Rapid Successful Reperfusion of Basilar Artery Occlusion Strokes With Pretreatment Diffusion‐Weighted Imaging Posterior‐Circulation ASPECTS

Autor: Morgan Guillaume, Bertrand Lapergue, Benjamin Gory, Julien Labreuche, Arturo Consoli, Gioia Mione, Lisa Humbertjean, Jean‐Christophe Lacour, Mikael Mazighi, Michel Piotin, Raphaël Blanc, Sébastien Richard
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 8, Iss 10 (2019)
Druh dokumentu: article
ISSN: 2047-9980
DOI: 10.1161/JAHA.118.010962
Popis: Background The association between time to reperfusion and clinical outcome is well known in anterior circulation strokes, whereas the impact of main time metrics remains unknown in posterior circulation strokes. We investigated the clinical effect of different time intervals from symptom onset to reperfusion on the 90‐day clinical outcome in acute ischemic stroke patients with basilar artery occlusion, and especially in the subset population presenting a low stroke volume on baseline diffusion‐weighted imaging. Methods and Results We studied patients included in the prospective, multicenter, observational ETIS (Endovascular Treatment in Ischemic Stroke) registry who had had basal artery occlusion and had achieved successful reperfusion (modified Thrombolysis In Cerebral Infarction 2b‐3). Three time intervals (onset to reperfusion, onset to imaging, and imaging to reperfusion) were considered in all patients and separately in patients with pc‐ASPECTS (posterior‐circulation Alberta Stroke Program Early Computed Tomography Score)
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