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In acute ischemic stroke patients , the blockage of blood vessels leading to blood supply to the area of oxygen supply to the brain tissue deficiencies
.
In this case, whether and when the brain tissue develops into an infarction depends on many factors, including the type of tissue (gray and white matter), the duration and severity of ischemia, the age of the patient, and the original comorbidities
In acute ischemic stroke patients with stroke , the blockage of blood vessels blood vessels leading to blood supply area of oxygen supply to the brain tissue deficiencies
So far, little is known about the prognostic relevance of infarct pattern and location
The ESCAPE-NA1 randomized controlled trial enrolled patients with large vessel occlusive thrombotic stroke who
The qualitative infarction variable evaluation was performed on 1026 patients (mean age ± standard deviation, 69 years ± 13 years; 522 men), and 358 subgroups of 1026 patients (mean age, 67 years ± 13 years; 190 patients) Female) underwent quantitative infarction variable assessment
The figure shows the cumulative proportion of different infarct volumes (greater than or equal to the volume shown on the x-axis) within 90 days of good prognosis .
The black line represents the overall infarct volume, the green line represents the gray matter infarct volume, and the blue line represents the white matter infarct volume .
The black line represents the overall infarct volume, the green line represents the gray matter infarct volume, and the blue line represents the white matter infarct volume .
The figure shows the cumulative proportion of different infarct volumes (greater than or equal to the volume shown on the x-axis) within 90 days of good prognosis .
The black line represents the overall infarct volume, the green line represents the gray matter infarct volume, and the blue line represents the white matter infarct volume .
In summary, in this sample of patients with acute ischemic stroke caused by large vessel occlusion who underwent mechanical thrombectomy , scattered infarct structures, corticospinal tract avoidance, and infarction confined to gray matter can highly predict the prognosis.
Good, and has nothing to do with total infarct volume .
In addition to the total infarct volume, further evaluation of the qualitative and quantitative variables of infarction can improve the prognosis of patients with acute ischemic stroke .In summary, in this sample of patients with acute ischemic stroke caused by large vessel occlusion who underwent mechanical thrombectomy , scattered infarct structures, corticospinal tract avoidance, and infarction confined to gray matter can highly predict the prognosis.
Good, and has nothing to do with total infarct volume .
In addition to the total infarct volume, further evaluation of the qualitative and quantitative variables of infarction can improve the prognosis of patients with acute ischemic stroke .
Original source :
Original source :Johanna M Ospel , Bijoy K Menon , Wu Qiu ,et al.
A Detailed Analysis of Infarct Patterns and Volumes at 24-hour Noncontrast CT and Diffusion-weighted MRI in Acute Ischemic Stroke Due to Large Vessel Occlusion: Results from the ESCAPE-NA1 Trial .
DOI : 10.
Johanna M Ospel Bijoy K Menon Wu Qiu ,et al.
10.
1148/radiol.
2021203964 10.
1148/radiol.
2021203964 leave a message here
