1. CT perfusion derived relative cerebral blood volume < 42 % is negatively associated with poor functional outcomes at discharge in anterior circulation large vessel occlusion stroke.
- Author
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Lakhani DA, Balar AB, Vagal V, Salim H, Mei J, Koneru M, Wen S, Berksu Ozkara B, Lu H, Wang R, Xu R, Nabi M, Mazumdar I, Cho A, Chen K, Sepehri S, Deng F, Hyson N, Urrutia V, Luna LP, Sriwastwa A, Hillis AE, Heit JJ, Albers GW, Rai AT, Dmytriw AA, Faizy TD, Wintermark M, Nael K, and Yedavalli VS
- Subjects
- Humans, Female, Male, Aged, Middle Aged, Retrospective Studies, Ischemic Stroke diagnostic imaging, Ischemic Stroke therapy, Tomography, X-Ray Computed, Computed Tomography Angiography, Patient Discharge, Stroke diagnostic imaging, Stroke therapy, Stroke physiopathology, Cerebrovascular Circulation physiology, Treatment Outcome, Cerebral Angiography methods, Cerebral Blood Volume physiology
- Abstract
Background and Aim: Recent studies have shown that the CT Perfusion (CTP) parameter of rCBV < 42 % lesion volume can predict 90-day functional outcomes in stroke patients. However, its correlation with discharge outcomes, including functional dependence, has not been investigated. Our study aims to evaluate the relationship between rCBV < 42 % and poor functional outcomes at discharge, defined as a modified Rankin score (mRS) of 3 or higher., Materials and Methods: This retrospective study analyzed patients with confirmed occlusion on CT angiography, who also received CT perfusion between 9/1/2017 and 10/01/2023. Statistical tests (Student's T, Mann-Whitney U, and Chi-Square) were used to assess differences. Univariable and multivariable logistic regression analyses were performed to evaluate the associations of rCBV < 42 % with discharge mRS. A p-value ≤ 0.05 was considered significant., Results: A total of 268 patients [median age: 68 years (IQR: 59-77), 56.3 % female] met the inclusion criteria. Among them, 85 patients (31.7 %) received intravenous thrombolysis (IVT), and 221 patients (82.5 %) underwent mechanical thrombectomy (MT). After adjusting for various variables, logistic regression analysis indicated that rCBV < 42 % lesion volume was associated with poor functional outcomes at discharge (aOR = 0.97, p < 0.05). T., Conclusion: The rCBV < 42 % could be a valuable tool in prognosticating AIS-LVO patients., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Drs. Dhairya Lakhani, Greg Albers, Jeremy Heit, and Vivek Yedavalli are consultants for Rapid (iSchemaView, Menlo Park, CA)., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Published
- 2024
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