The study of collateral circulation and clinical prognosis in atherosclerotic versus cardioembolic cerebral large vessel occlusion
- VernacularTitle: 颈动脉粥样硬化性大血管闭塞与心源性栓塞性大血管闭塞患者侧支循环及临床预后的比较研究
- Author:
Lei YANG
1
;
Shengqi FU
1
;
Baoyang SHI
1
Author Information
- Publication Type:Journal Article
- Keywords: Atherothrombotic stroke; Cardiac emboli; Collateral circulation; Endovascular treatment
- From: Journal of Apoplexy and Nervous Diseases 2021;38(12):1064-1067
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the difference in collateral circulation and clinical prognosis between cervical carotid atherosclerosis and cardioembolism.Methods We enrolled 318 adult endovascular patients with acute ischemic stroke due to anterior circulation occlusion between January 2014 and November 2020.132 patients with cervical carotid atherosclerosis and 186 with cardioembolism were included.The collateral score,the modified Rankin Scale (mRS) score,mortality at 90 days between patients with carotid artery stenosis and patients with cardiogenic embolism was compared.Results Compared with stroke due to cardiac embolism,stroke due to carotid atherosclerosis had a higher incidence of the internal carotid artery end occlusion（P＜0.001）and a higher collateral-circulation score（OR=1.63）,a lower mRS scores before stroke（P＜0.001）,and a lower 90-day median MRS score（OR=1.93）.Conclusion Compared with cardiogenic embolic stroke patients,carotid atherosclerotic stroke patients have better collateral circulation and slightly better median MRS at 90 days.
- Full text:2024072821493927782The study of collateral circulation and clinical prognosis in atherosclerotic versus cardioembolic cerebral large vessel occlusion.pdf
