CT observation of the occlusion site and recent prognosis characteristics of endovascular treatment in patients with different acute vertebrobasilar artery occlusion
10.19845/j.cnki.zfysjjbzz.2024.0054
- VernacularTitle:CT观察不同急性椎基底动脉闭塞患者闭塞部位及血管内治疗近期预后特征
- Author:
Yan ZHANG
1
;
Xianghui XU
2
;
Dong LI
1
Author Information
1. 新乡市第一人民医院CT室，河南 新乡 453000
2. 新乡市第一人民医院神经内科一病区，河南 新乡 453000
- Publication Type:Journal Article
- Keywords:
CT;
Intracranial atherosclerosis;
Embolism;
Acute vertebrobasilar artery occlusion;
Prognosis
- MeSH:
Embolism;
Prognosis
- From:
Journal of Apoplexy and Nervous Diseases
2024;41(3):276-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective Exploring CT observation of the occlusion site and recent prognosis characteristics of endovascular treatment in patients with acute vertebrobasilar artery occlusion.Methods A total of 140 patients with acute vertebrobasilar artery occlusion treated in our hospital from January 2019 to May 2022 were selected. According to the pathological mechanism， there were 98 cases of atherosclerosis （group A） and 42 cases of embolism （group B）. The clinical data， occlusion site， and prognosis of the two groups were compared using the t-test or χ2 test， and the differences in the clinical data of patients with different outcomes were analyzed. Receiver operating characteristic （ROC） curves were used to determine the value of the National Institutes of Health Stroke Scale （NIHSS） score and the Basilar Artery on Computed Tomography Angiography （BATMAN） score for predicting poor prognosis.Results There were no significant differences between group A and group B in sex， age， the body mass index， hypertension，diabetes，history of stroke， time from onset to admission，NIHSS score， and BATMAN score （P＞0.05）. The occlusion rates of the vertebral artery V4 segment and the middle basilar artery in group A were 41.84% and 33.67% respectively， which were significantly higher than those in group B （P＜0.05）. The proportion of upper basilar artery occlusion in group B was 59.52%， which was significantly higher than that in group A （P＜0.05）. The ischemic penumbra volume and infarct core volume in group A were （46.64±15.44） ml and （20.10±9.92）ml， respectively， which were significantly lower than those in group B（P＜0.05）. Patients with a poor prognosis had a significantly higher NIHSS score（24.41±2.09） points and a significantly lower BATMAN score （3.61±0.72） points than patients with a good prognosis（P＜0.05）. For NIHSS score and BATMAN score predicting a poor prognosis，the areas under the ROC curves were 0.893 and 0.902，the cut-off values were 22 and 5，the sensitivity values were 86.60% and 92.70%，and the sensitivity values were 86.20% and 77.60%，respectively.Conclusion Patients with acute vertebrobasilar artery occlusion caused by intracranial atherosclerosis and embolism differ significantly in the occlusion site， but with no significant difference in the prognosis of patients. The NIHSS score and BATMAN score have certain application value in predicting the prognosis of patients with acute vertebrobasilar artery occlusion.
- Full text:2025070915404080270CT观察不同急性椎基底动脉闭塞患者闭塞部位及血管内治疗近期预后特征.pdf
