Academic Journal
Post-endovascular therapy contrast extravasation in the mesial temporal region on dual-energy CT is associated with outcome in acute ischemic stroke patients
| العنوان: | Post-endovascular therapy contrast extravasation in the mesial temporal region on dual-energy CT is associated with outcome in acute ischemic stroke patients |
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| المؤلفون: | Robbe, M. M.Q., Pinckaers, F. M.E., van Kuijk, S. M.J., van Oostenbrugge, R. J., van Zwam, W. H., Postma, A. A. |
| المصدر: | Robbe , M M Q , Pinckaers , F M E , van Kuijk , S M J , van Oostenbrugge , R J , van Zwam , W H & Postma , A A 2024 , ' Post-endovascular therapy contrast extravasation in the mesial temporal region on dual-energy CT is associated with outcome in acute ischemic stroke patients ' , Journal of Stroke & Cerebrovascular Diseases , vol. 33 , no. 11 , 107949 . https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.107949 |
| سنة النشر: | 2024 |
| المجموعة: | Maastricht University Research Publications |
| مصطلحات موضوعية: | Acute ischemic stroke, Blood-brain barrier disruption, Contrast extravasation, Endovascular treatment |
| الوصف: | Purpose: Pre- and post-endovascular treatment (EVT) imaging may aid in predicting functional outcomes in acute middle cerebral artery (MCA) ischemic stroke. Low post-EVT contrast extravasation (CE)-ASPECTS is associated with poor functional outcomes. Besides the MCA regions included in the ASPECTS score, CE may be seen in the mesial temporal (MT) region. In this study, we investigated the frequency and prognostic implication of MT-CE in acute ischemic stroke patients. Methods: Patients with an acute ischemic stroke due to anterior large vessel occlusion who received EVT and post-EVT DECT between 2010 and 2019 were included. Iodine overlay maps of DECT were assessed for the occurrence of CE, using the ASPECTS for occurrence in the MCA region and, calculating a CE-ASPECTS, for whether the MT region was involved. Multivariable linear and logistic regression were used to assess the relationship between involvement of MT-CE and 24-48h NIHSS, mRS, and mortality on a multiple imputed dataset. All models were adjusted significant variables in univariate analyses and for total CE-ASPECTS. Results: 501/651 patients met the inclusion criteria. MT-CE occurred in 97 (19 %) patients, and was more often present in patients with internal carotid artery occlusions. MT-CE was associated with higher NIHSS scores at 24-hours (aß 2.2, 95 % CI 0.09-4.31), with increased risk of higher mRS scores (acOR 1.88, 95 % CI 1.16-3.06), and with increased risk of mortality (aOR 2.12, 95 % CI 1.16-3.86). Conclusion: MT-CE is a common finding on post-EVT DECT and is an independent predictor for worse functional outcomes. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | https://cris.maastrichtuniversity.nl/en/publications/281b595c-2f05-4a59-a41f-2be201c57360 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2024.107949 |
| الاتاحة: | https://cris.maastrichtuniversity.nl/en/publications/281b595c-2f05-4a59-a41f-2be201c57360 https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.107949 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.BAF9DE0E |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2024.107949 |
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