CT-angiography source images indicate less fatal outcome despite coma of patients in the Basilar Artery International Cooperation Study

Lars P. Pallesen*, Andrei Khomenko, Imanuel Dzialowski, Jessica Barlinn, Kristian Barlinn, Charlotte Zerna, Erik J R J van der Hoeven, Ale Algra, L. Jaap Kapelle, Patrik Michel, Ulf Bodechtel, Andrew M. Demchuk, Wouter Schonewille, Volker Puetz

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Coma is associated with poor outcome in patients with basilar artery occlusion. Aims: We sought to assess whether the posterior circulation Acute Stroke Prognosis Early CT Score and the Pons-Midbrain Index applied to CT angiography source images predict the outcome of comatose patients in the Basilar Artery International Cooperation Study. Methods: Basilar Artery International Cooperation Study was a prospective, observational registry of patients with acute basilar artery occlusion with 48 recruiting centers worldwide. We applied posterior circulation Acute Stroke Prognosis Early CT Score and Pons-Midbrain Index to CT angiography source images of Basilar Artery International Cooperation Study patients who presented with coma. We calculated adjusted risk ratios to assess the association of dichotomized posterior circulation Acute Stroke Prognosis Early CT Score (≥8 vs.

Original languageEnglish
Pages (from-to)145-151
Number of pages7
JournalInternational Journal of Stroke
Volume12
Issue number2
DOIs
Publication statusPublished - 2017

Keywords

  • Basilar artery occlusion
  • coma
  • CTA source images
  • imaging scores
  • ischemic stroke
  • thrombolysis
  • Review

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