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

Publication date

2017-02

Authors

Pallesen, Lars P.
Khomenko, Andrei
Dzialowski, Imanuel
Barlinn, Jessica
Barlinn, Kristian
Zerna, Charlotte
van der Hoeven, Erik J R J
Algra, AleORCID 0000-0003-2858-5808ISNI 0000000396187617
Kappelle, JaapISNI 0000000389941458
Michel, Patrik

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Supervisors

Document Type

Article

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License

taverne

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.

Keywords

Basilar artery occlusion, coma, CTA source images, imaging scores, ischemic stroke, thrombolysis, Review, Taverne, Neurology, Journal Article, Multicenter Study, Observational Study

Citation

Pallesen, L P, Khomenko, A, Dzialowski, I, Barlinn, J, Barlinn, K, Zerna, C, van der Hoeven, E J R J, Algra, A, Kapelle, L J, Michel, P, Bodechtel, U, Demchuk, A M, Schonewille, W & Puetz, V 2017, 'CT-angiography source images indicate less fatal outcome despite coma of patients in the Basilar Artery International Cooperation Study', International Journal of Stroke, vol. 12, no. 2, pp. 145-151. https://doi.org/10.1177/1747493016669886