Why would you think any survivor wants to hear about your prediction of failure to recover? They want EXACT STROKE PROTOCOLS TO 100% RECOVERY! GET THERE! Or find another job.
Cerebral blood volume index as a predictor of functional independence after basilar artery thrombectomy
Funding information:
None.
Abstract
Background and Purpose
The role of CT perfusion (CTP)in the evaluation of acute basilar artery occlusion (aBAO) patients undergoing endovascular thrombectomy (EVT) is unclear. We investigated the association of individual CTP parameters with functional outcomes in aBAO patients undergoing EVT.
Methods
A health system's prospectively collected code stroke registry was used in this retrospective analysis of aBAO patients treated with EVT presenting between January 2017 and February 2021 with pre-EVT CTP. The primary outcome measure was modified Rankin Scale (mRS) score 0-2 at 90 days. Factors with a univariate association (p < .05) with mRS 0-2 were combined in a multivariable regression model to determine independent predictors of 90-day favorable functional outcome.
Results
Forty-six subjects, with median age 67 years and median National Institutes of Health Stroke Scale 16, were included, of whom 17 (37%) achieved mRS 0-2 at 90 days. In the multivariable logistic regression model, CTP cerebral blood volume (CBV) index (per 0.1-point increase, odds ratio = 1.843; 95% confidence interval: 1.039, 3.268; p-value .0365) was independently associated with a favorable 90-day outcome.
Conclusions
CBV index was independently associated with a favorable
90-day outcome in aBAO patients treated with EVT, a novel finding in
this patient population. CBV index may assist in treatment and prognosis
discussions and inform future studies investigating the role of CTP in
aBAO.(What are you doing to get to 100% recovery when this index is low?)
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