DWI-pc-ASPECT score in basilar artery occlusion: is 6 points or less always indicative of a bad outcome?

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
Joong-Goo KimDae Chul Suh

Abstract

The prognosis of patients with acute basilar arterial occlusion after endovascular reperfusion therapy with diffusion-weighted imaging - posterior circulation-Alberta Stroke Program Early Computed Tomography Score (DWI-pc-ASPECTS) of 6 or less remains unclear. We aimed to assess the characteristics and prognosis of endovascular reperfusion therapy in patients with acute basilar arterial occlusion and DWI-pc-ASPECTS of 6 or less. We analysed data collected from 1 January 2012 to 31 January 2018 in a prospective neuro-interventional registry of consecutive patients treated with endovascular reperfusion therapy. Clinical and imaging data on patients with DWI-pc-ASPECTS of 6 or less who underwent endovascular reperfusion therapy for acute basilar arterial occlusion were collected for this study. A good clinical outcome was defined as a modified Rankin scale of 2 or less at 90 days. Forty-five acute basilar arterial occlusion patients with DWI-pc-ASPECTS of 6 or less were included. Among them, 11 (24.4%) patients had a good clinical outcome at 90 days. Patients with a good clinical outcome had less severe neurological symptoms at presentation (National Institutes of Health Stroke Scale (NIHSS) 19.0 (12.0-25.0) vs. 8.0 (6.0-11.5); P ...Continue Reading

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Citations

Jul 10, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Can WanJinsong You
Mar 4, 2021·Journal of Medical Case Reports·Tomoya KinouchiHiromi Ueta
Aug 30, 2019·Cerebrovascular Diseases Extra·Isabella FrancalanzaPaolino La Spina
Dec 18, 2021·Acta Neurologica Scandinavica·Felipe Borelli Del GuerraAdriana Bastos Conforto

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Methods Mentioned

BETA
sedation
imaging technique

Software Mentioned

SPSS

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