Presence of anterior temporal artery associates with good outcome in acute atherosclerotic M1-middle cerebral artery occlusion
详细信息 查看全文
- 作者：Dezhi Liu (1)
Yongkun Li (2)
Zhaorong Shi (1)
Stephen M. Davis (3) (4)
Ka Sing Wong (5)
Thomas W. Leung (5)
Bernard Yan (3) (4)
Yunyun Xiong (1)
Wen Sun (1)
Gelin Xu (1)
Renliang Zhang (1)
Xinfeng Liu (1) - 关键词：Stroke ; Middle cerebral artery occlusion ; Collateral status ; Lesion pattern
- 刊名：Neuroradiology
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：56
- 期：12
- 页码：1023-1030
- 全文大小：282 KB
- 参考文献：1. Kim YS, Garami Z, Mikulik R, Molina CA, Alexandrov AV (2005) Early recanalization rates and clinical outcomes in patients with tandem internal carotid artery/middle cerebral artery occlusion and isolated middle cerebral artery occlusion. Stroke J cereb Circ 36(4):869-71. doi:10.1161/01.STR.0000160007.57787.4c CrossRef
2. Tsai NW, Chang HW, Chang WN, Huang CR, Lin TK, Chen SD, Lui CC, Wang KW, Cheng BC, Hung PL, Chang CS, Lu CH (2005) Prognostic factors and therapeutic outcome of isolated symptomatic middle cerebral artery stenosis. Eur J Neurol Off J Eur Fed Neurol Soc 12(7):519-26. doi:10.1111/j.1468-1331.2005.00995.x
3. Nuutinen J, Liu Y, Laakso MP, Karonen JO, Roivainen R, Vanninen RL, Partanen K, Ostergaard L, Sivenius J, Aronen HJ (2006) Assessing the outcome of stroke: a comparison between MRI and clinical stroke scales. Acta Neurol Scand 113(2):100-07. doi:10.1111/j.1600-0404.2005.00550.x CrossRef
4. Calleja AI, Cortijo E, Garcia-Bermejo P, Gomez RD, Perez-Fernandez S, Del Monte JM, Munoz MF, Fernandez-Herranz R, Arenillas JF (2013) Collateral circulation on perfusion-computed tomography-source images predicts the response to stroke intravenous thrombolysis. Eur J Neurol Off J Eur Fed Neurol Soc 20(5):795-02. doi:10.1111/ene.12063
5. Liebeskind DS, Cotsonis GA, Saver JL, Lynn MJ, Turan TN, Cloft HJ, Chimowitz MI, Investigators W (2011) Collaterals dramatically alter stroke risk in intracranial atherosclerosis. Ann Neurol 69(6):963-74. doi:10.1002/ana.22354 CrossRef
6. Frolich AM, Psychogios MN, Klotz E, Schramm R, Knauth M, Schramm P (2012) Antegrade flow across incomplete vessel occlusions can be distinguished from retrograde collateral flow using 4-dimensional computed tomographic angiography. Stroke J Cereb Circ 43(11):2974-979. doi:10.1161/strokeaha.112.668889 CrossRef
7. Liu X, Xu G, Wu W, Zhang R, Yin Q, Zhu W (2006) Subtypes and one-year survival of first-ever stroke in Chinese patients: The Nanjing Stroke Registry. Cerebrovasc Dis (Basel, Switzerland) 22(2-):130-36. doi:10.1159/000093241 CrossRef
8. Tatu L, Moulin T, Bogousslavsky J, Duvernoy H (1998) Arterial territories of the human brain: cerebral hemispheres. Neurology 50(6):1699-708 CrossRef
9. de Margerie-Mellon C, Turc G, Tisserand M, Naggara O, Calvet D, Legrand L, Meder JF, Mas JL, Baron JC, Oppenheim C (2013) Can DWI-ASPECTS substitute for lesion volume in acute stroke? Stroke J Cereb Circ. doi:10.1161/strokeaha.113.003047
10. Barber PA, Demchuk AM, Zhang J, Buchan AM (2000) Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet 355(9216):1670-674 CrossRef
11. Arenillas JF (2011) Intracranial atherosclerosis: current concepts. Stroke J Cereb Circ 42(1 Suppl):S20–S23. doi:10.1161/strokeaha.110.597278 CrossRef
12. Menon BK, Bal S, Modi J, Sohn SI, Watson TW, Hill MD, Demchuk AM, Goyal M (2012) Anterior temporal artery sign in CT angiography predicts reduced fatal brain edema and mortality in acute M1 middle cerebral artery occlusions. J Neuroimaging Off J Am Soc Neuroimaging 22(2):145-48. doi:10.1111/j.1552-6569.2010.00566.x CrossRef
13. Menon BK, O'Brien B, Bivard A, Spratt NJ, Demchuk AM, Miteff F, Lu X, Levi C, Parsons MW (2013) Assessment of leptomeningeal collaterals using dynamic CT angiography in patients with acute ischemic stroke. J Cereb - 作者单位：Dezhi Liu (1)
Yongkun Li (2)
Zhaorong Shi (1)
Stephen M. Davis (3) (4)
Ka Sing Wong (5)
Thomas W. Leung (5)
Bernard Yan (3) (4)
Yunyun Xiong (1)
Wen Sun (1)
Gelin Xu (1)
Renliang Zhang (1)
Xinfeng Liu (1)
1. Department of Neurology, Jinling Hospital, Nanjing University School of Medicine, 305 East Zhongshan Road, Nanjing, 210002, Jiangsu Province, PR China
2. Department of Neurology, Fujian Provincial Hospital, Provincial Clinical Department of Fujian Medical University, Fuzhou, China
3. Melbourne Brain Centre, Royal Melbourne Hospital, Melbourne, Australia
4. Department of Medicine, University of Melbourne, Melbourne, Australia
5. Department of Medicine and Therapeutics, Division of Neurology, Prince of Wales Hospital, Shatin, Hong Kong - ISSN：1432-1920
文摘
Introduction We aim to investigate the correlation between presence of anterior temporal artery (ATA), the first major branch of middle cerebral artery (MCA), on conventional angiography and clinical outcome in patients with acute atherosclerotic M1-MCA occlusion. Methods Consecutive patients with acute atherosclerotic M1-MCA occlusion from Nanjing Stroke Registry Program (NSRP) between January 2007 and December 2012 were included in this study. All patients underwent MRI followed by conventional angiography. From their data, we analyzed baseline characteristics, infarction patterns, DWI-ASPECTS, and collateral circulation. The correlation of ATA presence and good clinical outcome, modified Rankin Scale (mRS) score ?, at 3?months was also calculated. Results In 98 patients meeting entry criteria, the presence of ATA was found in 44 patients. Patients with ATA present were found to have less hypertension (p--.042), lower baseline National Institutes of Health Stroke Scale (NIHSS) (p--.043), more small infarcts in perforating artery territory (p--.013), and a higher number of DWI-ASPECTS ? (p--.034). Binary logistic regression analysis showed an adjusted odds ratio of 4.45 for a good outcome in patients with ATA presence (95?% CI 1.52 to 13.03, p--.007). Conclusion The presence of ATA can be used as a predictor of good outcome in patients with acute atherosclerotic M1-MCA occlusion.