Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6
Objective: We aimed to determine whether the ABC/2 can be used as an infarct volume measurement tool for Mechanical thrombectomy (MT) in patients with Alberta Stroke Program Early CT Scores (ASPECTS) < 6. Methods: Patients with stroke with ASPECTS <6 within 24 h were included in this study, an...
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Elsevier
2024-11-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024164523 |
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| author | Jia Zhou Chenyang Huang Hai Zeng |
| author_facet | Jia Zhou Chenyang Huang Hai Zeng |
| author_sort | Jia Zhou |
| collection | DOAJ |
| description | Objective: We aimed to determine whether the ABC/2 can be used as an infarct volume measurement tool for Mechanical thrombectomy (MT) in patients with Alberta Stroke Program Early CT Scores (ASPECTS) < 6. Methods: Patients with stroke with ASPECTS <6 within 24 h were included in this study, and infarct volume was measured using the ABC/2. The patients were categorized into MT and standard drug groups. They were assessed based on a modified Rankin Scale (mRS) ≤3 at 3 months, intracranial hemorrhage within 48 h, and mortality at 3 months. Results: ASPECTS <6 showed a significant negative correlation with infarct volume measured using the ABC/2. Compared to drug therapy, the patients who received MT treatment had a higher proportion of achieving an mRS score of ≤3 (OR, 2.60; 95 % confidence interval [CI], 1.04–6.50; P = 0.040), a lower death rate (OR, 0.37; 95 % CI, 0.15–0.92; P = 0.031), and a reduced decompressive craniectomy (OR, 0.10; 95 % CI, 0.01–0.83; P = 0.033); however, intracranial hemorrhage risk significantly increased (OR, 4.35; 95 % CI, 1.12–17.0; P = 0.034). Conclusion: In the absence of advanced imaging, the ABC/2 can be a useful tool for measuring volume in anterior circulation in patients with ASPECTS <6. |
| format | Article |
| id | doaj-art-1768c42eae1946d7b99f4155c6f0402b |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
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| spelling | doaj-art-1768c42eae1946d7b99f4155c6f0402b2024-11-30T07:12:56ZengElsevierHeliyon2405-84402024-11-011022e40421Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6Jia Zhou0Chenyang Huang1Hai Zeng2Neurosurgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, ChinaNeurosurgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, ChinaCorresponding author.; Neurosurgery, Second Hospital of Shanxi Medical University, Taiyuan, 030001, ChinaObjective: We aimed to determine whether the ABC/2 can be used as an infarct volume measurement tool for Mechanical thrombectomy (MT) in patients with Alberta Stroke Program Early CT Scores (ASPECTS) < 6. Methods: Patients with stroke with ASPECTS <6 within 24 h were included in this study, and infarct volume was measured using the ABC/2. The patients were categorized into MT and standard drug groups. They were assessed based on a modified Rankin Scale (mRS) ≤3 at 3 months, intracranial hemorrhage within 48 h, and mortality at 3 months. Results: ASPECTS <6 showed a significant negative correlation with infarct volume measured using the ABC/2. Compared to drug therapy, the patients who received MT treatment had a higher proportion of achieving an mRS score of ≤3 (OR, 2.60; 95 % confidence interval [CI], 1.04–6.50; P = 0.040), a lower death rate (OR, 0.37; 95 % CI, 0.15–0.92; P = 0.031), and a reduced decompressive craniectomy (OR, 0.10; 95 % CI, 0.01–0.83; P = 0.033); however, intracranial hemorrhage risk significantly increased (OR, 4.35; 95 % CI, 1.12–17.0; P = 0.034). Conclusion: In the absence of advanced imaging, the ABC/2 can be a useful tool for measuring volume in anterior circulation in patients with ASPECTS <6.http://www.sciencedirect.com/science/article/pii/S2405844024164523Ischemic strokeMechanical thrombectomyRadiographicImageInfarct |
| spellingShingle | Jia Zhou Chenyang Huang Hai Zeng Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6 Heliyon Ischemic stroke Mechanical thrombectomy Radiographic Image Infarct |
| title | Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6 |
| title_full | Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6 |
| title_fullStr | Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6 |
| title_full_unstemmed | Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6 |
| title_short | Use of cerebral hemorrhage volume calculation methods in patients with ASPECTS <6 |
| title_sort | use of cerebral hemorrhage volume calculation methods in patients with aspects 6 |
| topic | Ischemic stroke Mechanical thrombectomy Radiographic Image Infarct |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024164523 |
| work_keys_str_mv | AT jiazhou useofcerebralhemorrhagevolumecalculationmethodsinpatientswithaspects6 AT chenyanghuang useofcerebralhemorrhagevolumecalculationmethodsinpatientswithaspects6 AT haizeng useofcerebralhemorrhagevolumecalculationmethodsinpatientswithaspects6 |