Qureshi grading scheme for angiographic occlusions strongly correlates with the initial severity and in-hospital outcome of acute ischemic stroke

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
Yousef M MohammadAndrew P Slivka

Abstract

The thrombolysis in myocardial infarction (TIMI) grading scheme and other classification systems have limitations in evaluating patients with ischemic stroke because they do not account for occlusion location or collateral circulation. The Qureshi grading scheme has been recently proposed to evaluate the severity of arterial occlusion in acute ischemic stroke because of limitations in existing grading systems. The Qureshi grading scheme assigns a score from 0 to 5 on the basis of occlusion site and collateral supply. The authors determined the relationship between initial severity of stroke and outcome at discharge measured by the National Institutes of Health Stroke Scale (NIHSS) and the Qureshi grading scale assessed from initial angiography (by a neuroradiologist blinded to the clinical examination) in 57 patients who underwent intra-arterial therapy for acute ischemic stroke within 6 hours of symptom onset. A strong association was observed between the initial severity of neurological deficits and Qureshi scheme on angiography (F ratio = 2.6, P =.03). The initial NIHSS for grade 1 was 11 +/- 4 and progressively increased to 23 +/- 6 for grade 5. In the multivariate analysis, initial NIHSS was significantly associated with Q...Continue Reading

Citations

Dec 3, 2011·AJNR. American Journal of Neuroradiology·F McVerryK W Muir
Jan 5, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Valerio Da RosFabrizio Sallustio
Nov 15, 2012·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Bijoy K MenonMark W Parsons
Sep 25, 2008·International Journal of Stroke : Official Journal of the International Stroke Society·Volker PuetzUNKNOWN Calgary CTA Study Group
Apr 20, 2007·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Adnan I QureshiAfshin A Divani
Jan 15, 2008·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Adnan I QureshiMustapha A Ezzeddine
Feb 17, 2015·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Dong-Ick ShinDavid S Liebeskind

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