The Role of Hyperdense Basilar Artery Sign in Predicting Outcome of Acute Basilar Artery Occlusion within Twelve Hours of Onset
Copyright © 2023 Elsevier Inc. All rights reserved..
BACKGROUND: The correlation between hyperdense basilar artery sign (HDBAS) and outcome after acute basilar artery occlusion (ABAO) is debated. Our objective was to determine the usefulness of HDBAS in predicting the outcomes of patients with ABAO after endovascular treatment (EVT), intravenous thrombolysis (IVT), and best medical treatment (BMT).
METHODS: The study participants were selected from the ATTENTION trial. The primary outcome of the study was a 90-day modified Rankin Scale (mRS) score, and the secondary outcome was the recanalization rate, any intracranial hemorrhage, and 90-day mortality.
RESULTS: The study comprised 276 participants, with cohorts for EVT (n = 188), IVT (n = 82), and BMT (n = 88). In the EVT cohort, HDBAS was not associated with 90-day mRS score (adjusted odds ratio [OR], 0.87; 95% confidence interval [CI], 0.51-1.48; P = 0.6029), the recanalization after 24 hours of onset (adjusted OR, 0.76; 95% CI, 0.30-3.61; P = 0.9422), and 90-day mortality (adjusted OR, 0.77; 95% CI, 0.41-1.46; P = 0.4238). In the IVT cohort, HDBAS was not associated with a 90-day mRS score (adjusted OR, 0.69; 95% CI, 0.31-1.56; P = 0.3742), the recanalization after 24 hours of onset (adjusted OR, 2.24; 95% CI, 0.47-10.78; P = 0.3132), and 90-day mortality (adjusted OR, 0.64; 95% CI, 0.26-1.57; P = 0.3264). Similarly, in the BMT cohort, HDBAS was not associated with 90-day mRS score (adjusted OR, 1.11; 95% CI, 0.47-2.63; P = 0.8152), the recanalization after 24 hours of onset (adjusted OR, 1.27; 95% CI, 0.40-4.02; P = 0.6874), and 90-day mortality (adjusted OR, 1.17; 95% CI, 0.46-2.96; P = 0.748).
CONCLUSIONS: HDBAS may not be a reliable predictor of outcomes for patients with ABAO, regardless of whether they received EVT, IVT, or BMT.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:183 |
|---|---|
| Enthalten in: |
World neurosurgery - 183(2024) vom: 29. März, Seite e470-e482 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Hu, Xiaohui [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
ATTENTION trial |
|---|
| Anmerkungen: |
Date Completed 13.03.2024 Date Revised 13.03.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.wneu.2023.12.122 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM366502492 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM366502492 | ||
| 003 | DE-627 | ||
| 005 | 20240313234006.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240108s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.wneu.2023.12.122 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1326.xml |
| 035 | |a (DE-627)NLM366502492 | ||
| 035 | |a (NLM)38159602 | ||
| 035 | |a (PII)S1878-8750(23)01855-7 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Hu, Xiaohui |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Role of Hyperdense Basilar Artery Sign in Predicting Outcome of Acute Basilar Artery Occlusion within Twelve Hours of Onset |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 13.03.2024 | ||
| 500 | |a Date Revised 13.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: The correlation between hyperdense basilar artery sign (HDBAS) and outcome after acute basilar artery occlusion (ABAO) is debated. Our objective was to determine the usefulness of HDBAS in predicting the outcomes of patients with ABAO after endovascular treatment (EVT), intravenous thrombolysis (IVT), and best medical treatment (BMT) | ||
| 520 | |a METHODS: The study participants were selected from the ATTENTION trial. The primary outcome of the study was a 90-day modified Rankin Scale (mRS) score, and the secondary outcome was the recanalization rate, any intracranial hemorrhage, and 90-day mortality | ||
| 520 | |a RESULTS: The study comprised 276 participants, with cohorts for EVT (n = 188), IVT (n = 82), and BMT (n = 88). In the EVT cohort, HDBAS was not associated with 90-day mRS score (adjusted odds ratio [OR], 0.87; 95% confidence interval [CI], 0.51-1.48; P = 0.6029), the recanalization after 24 hours of onset (adjusted OR, 0.76; 95% CI, 0.30-3.61; P = 0.9422), and 90-day mortality (adjusted OR, 0.77; 95% CI, 0.41-1.46; P = 0.4238). In the IVT cohort, HDBAS was not associated with a 90-day mRS score (adjusted OR, 0.69; 95% CI, 0.31-1.56; P = 0.3742), the recanalization after 24 hours of onset (adjusted OR, 2.24; 95% CI, 0.47-10.78; P = 0.3132), and 90-day mortality (adjusted OR, 0.64; 95% CI, 0.26-1.57; P = 0.3264). Similarly, in the BMT cohort, HDBAS was not associated with 90-day mRS score (adjusted OR, 1.11; 95% CI, 0.47-2.63; P = 0.8152), the recanalization after 24 hours of onset (adjusted OR, 1.27; 95% CI, 0.40-4.02; P = 0.6874), and 90-day mortality (adjusted OR, 1.17; 95% CI, 0.46-2.96; P = 0.748) | ||
| 520 | |a CONCLUSIONS: HDBAS may not be a reliable predictor of outcomes for patients with ABAO, regardless of whether they received EVT, IVT, or BMT | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a ATTENTION trial | |
| 650 | 4 | |a Acute basilar artery occlusion | |
| 650 | 4 | |a Function outcome | |
| 650 | 4 | |a Hyperdense basilar artery sign | |
| 650 | 4 | |a Thrombectomy | |
| 700 | 1 | |a Su, Junfeng |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Li |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Rui |e verfasserin |4 aut | |
| 700 | 1 | |a Tao, Chunrong |e verfasserin |4 aut | |
| 700 | 1 | |a Yin, Yamei |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Huanhuan |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Xianhong |e verfasserin |4 aut | |
| 700 | 1 | |a Hou, Siyang |e verfasserin |4 aut | |
| 700 | 1 | |a Xie, Sanpin |e verfasserin |4 aut | |
| 700 | 1 | |a Huo, Longwen |e verfasserin |4 aut | |
| 700 | 1 | |a Zhu, Yuyou |e verfasserin |4 aut | |
| 700 | 1 | |a Gong, Daokai |e verfasserin |4 aut | |
| 700 | 1 | |a Hu, Wei |e verfasserin |4 aut | |
| 700 | 0 | |a ATTENTION Registry Investigators |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Xinfeng |e investigator |4 oth | |
| 700 | 1 | |a Wang, Guoping |e investigator |4 oth | |
| 700 | 1 | |a Nogueira, Raul G |e investigator |4 oth | |
| 700 | 1 | |a Qureshi, Adnan I |e investigator |4 oth | |
| 700 | 1 | |a Baxter, Blaise W |e investigator |4 oth | |
| 700 | 1 | |a Xu, Gelin |e investigator |4 oth | |
| 700 | 1 | |a Yan, Xiaoyan |e investigator |4 oth | |
| 700 | 1 | |a Gao, Feng |e investigator |4 oth | |
| 700 | 1 | |a Jiao, Liqun |e investigator |4 oth | |
| 700 | 1 | |a Qun, Sen |e investigator |4 oth | |
| 700 | 1 | |a Wang, Zi |e investigator |4 oth | |
| 700 | 1 | |a Chen, Juan |e investigator |4 oth | |
| 700 | 1 | |a Ye, Ruidong |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Yongwei |e investigator |4 oth | |
| 700 | 1 | |a Wu, Cangjun |e investigator |4 oth | |
| 700 | 1 | |a Li, Rui |e investigator |4 oth | |
| 700 | 1 | |a Fang, Chuanqing |e investigator |4 oth | |
| 700 | 1 | |a Deng, Kexue |e investigator |4 oth | |
| 700 | 1 | |a Yuan, Shuya |e investigator |4 oth | |
| 700 | 1 | |a Zheng, Menglong |e investigator |4 oth | |
| 700 | 1 | |a Chen, Hongbing |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Guang |e investigator |4 oth | |
| 700 | 1 | |a Bao, Wei |e investigator |4 oth | |
| 700 | 1 | |a Han, Hongxing |e investigator |4 oth | |
| 700 | 1 | |a Yuan, Guangxiong |e investigator |4 oth | |
| 700 | 1 | |a Wen, Changming |e investigator |4 oth | |
| 700 | 1 | |a Zhou, Peiyang |e investigator |4 oth | |
| 700 | 1 | |a Chen, Wenhuo |e investigator |4 oth | |
| 700 | 1 | |a Zeng, Guoyong |e investigator |4 oth | |
| 700 | 1 | |a Xu, Hui |e investigator |4 oth | |
| 700 | 1 | |a Li, Yuwen |e investigator |4 oth | |
| 700 | 1 | |a Ma, Zhengfei |e investigator |4 oth | |
| 700 | 1 | |a Yu, Chuanqing |e investigator |4 oth | |
| 700 | 1 | |a Su, Junfeng |e investigator |4 oth | |
| 700 | 1 | |a Zhou, Zhiming |e investigator |4 oth | |
| 700 | 1 | |a Chen, Zhongjun |e investigator |4 oth | |
| 700 | 1 | |a Liao, Geng |e investigator |4 oth | |
| 700 | 1 | |a Sun, Yaxuan |e investigator |4 oth | |
| 700 | 1 | |a Ren, Youquan |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Hui |e investigator |4 oth | |
| 700 | 1 | |a Chen, Jie |e investigator |4 oth | |
| 700 | 1 | |a Yue, Xincan |e investigator |4 oth | |
| 700 | 1 | |a Ma, Xiuyao |e investigator |4 oth | |
| 700 | 1 | |a Xiao, GuoDong |e investigator |4 oth | |
| 700 | 1 | |a Wang, Li |e investigator |4 oth | |
| 700 | 1 | |a Liu, Rui |e investigator |4 oth | |
| 700 | 1 | |a Yang, Weimin |e investigator |4 oth | |
| 700 | 1 | |a Liu, Wenhua |e investigator |4 oth | |
| 700 | 1 | |a Liu, Yong |e investigator |4 oth | |
| 700 | 1 | |a Guo, Fuqiang |e investigator |4 oth | |
| 700 | 1 | |a Cai, Xueli |e investigator |4 oth | |
| 700 | 1 | |a Yin, Bo |e investigator |4 oth | |
| 700 | 1 | |a Li, Jinglun |e investigator |4 oth | |
| 700 | 1 | |a Fang, Pu |e investigator |4 oth | |
| 700 | 1 | |a Shen, Chunyun |e investigator |4 oth | |
| 700 | 1 | |a Ni, Chuyuan |e investigator |4 oth | |
| 700 | 1 | |a Wang, Hui |e investigator |4 oth | |
| 700 | 1 | |a Liu, Liang |e investigator |4 oth | |
| 700 | 1 | |a Li, Kai |e investigator |4 oth | |
| 700 | 1 | |a Cui, Tao |e investigator |4 oth | |
| 700 | 1 | |a Wang, Hao |e investigator |4 oth | |
| 700 | 1 | |a Gao, Jun |e investigator |4 oth | |
| 700 | 1 | |a Yi, Tingyu |e investigator |4 oth | |
| 700 | 1 | |a Wang, Youmeng |e investigator |4 oth | |
| 700 | 1 | |a Wang, Tao |e investigator |4 oth | |
| 700 | 1 | |a Shi, Xueying |e investigator |4 oth | |
| 700 | 1 | |a Cao, Zhihua |e investigator |4 oth | |
| 700 | 1 | |a Long, Chen |e investigator |4 oth | |
| 700 | 1 | |a Chen, Li |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Chi |e investigator |4 oth | |
| 700 | 1 | |a Zhai, Gichao |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Xia |e investigator |4 oth | |
| 700 | 1 | |a Liang, Xiushan |e investigator |4 oth | |
| 700 | 1 | |a Li, Qingsong |e investigator |4 oth | |
| 700 | 1 | |a Meng, Yuhan |e investigator |4 oth | |
| 700 | 1 | |a Tao, Jianbo |e investigator |4 oth | |
| 700 | 1 | |a Zhu, Zhenzhu |e investigator |4 oth | |
| 700 | 1 | |a Cheng, Yuedong |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Meng |e investigator |4 oth | |
| 700 | 1 | |a Zhou, Tong |e investigator |4 oth | |
| 700 | 1 | |a Wang, Jing |e investigator |4 oth | |
| 700 | 1 | |a Zhang, Yali |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t World neurosurgery |d 2010 |g 183(2024) vom: 29. März, Seite e470-e482 |w (DE-627)NLM197924441 |x 1878-8769 |7 nnns |
| 773 | 1 | 8 | |g volume:183 |g year:2024 |g day:29 |g month:03 |g pages:e470-e482 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.wneu.2023.12.122 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 183 |j 2024 |b 29 |c 03 |h e470-e482 | ||