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Severely Hypoperfused Brain Tissue Correlates with Final Infarct Volume Despite Recanalization in DMVO Stroke Cover

Severely Hypoperfused Brain Tissue Correlates with Final Infarct Volume Despite Recanalization in DMVO Stroke

Open Access
|Nov 2023

Figures & Tables

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Figure 1

Flowchart of the patient selection.

Table 1

Baseline characteristics of all patients.

ALL
Number of patients38 (100%)
Age, years (median, IQR)75 (66–86)
Female (%)29 (76%)
Medical History
    High Blood Pressure (%)33 (87%)
    Diabetes (%)9 (24%)
    Hyperlipidemia (%)18 (47%)
    Weight (kg) (median, IQR)75 (65–94)
    Antiplatelets (%)12 (32%)
    Anticoagulants (%)7 (18%)
    Current Smoking (%)6 (16%)
    Pre-stroke mRS of 0–1 (%)36 (95%)
Clinical Presentation
    Heart rate (bpm) (median, IQR)76 (68–88)
    Systolic Blood Pressure (mmHg) (median, IQR)146 (125–170)
    Diastolic Blood Pressure (mmHg) (median, IQR)80 (75–85)
    Temperature (°C) (median, IQR)36.9 (36.4–37.2)
    Baseline NIHSS (median, IQR)10 (8–15)
    IVT (%)26 (68%)
Times
    Time Onset to Puncture in min (median, IQR)210 (166–296)
    Unknown Onset (%)10 (26%)
Occlusion
    M2 (%)27 (71%)
    M3 (%)11 (29%)
    Left Side (%)20 (53%)
Imaging
    Baseline infarct volume, mL (median, IQR)0.3 (0.3–6.8)
    TMax > 4 sec volume, mL (median, IQR)102 (73–126)
    TMax > 6 sec volume, mL (median, IQR)50 (34–76)
    TMax > 8 sec volume, mL (median, IQR)25 (10–48)
    TMax > 10 sec volume, mL (median, IQR)12.5 (0.3–37)
    Mismatch volume, mL (median, IQR)43.9 (30.2–58.9)
    Mismatch ratio (median, IQR)295 (7–488)
Etiology
    Atherosclerosis (%)9 (24%)
    Cardio-embolic (%)28 (74%)
    Unknown (%)1 (2%)

[i] * Continuous variables are reported as median (inter-quartile range), categorical variables as percentages.

Table 2

Procedural characteristics and clinical outcomes.

ALL
Number of patients38 (100%)
Mechanical Thrombectomy
    Admission Mothership (%)20 (53%)
    Type of anesthesia
        General Anesthesia (GA) (%)37 (97%)
        Conscious Sedation then GA (%)1 (3%)
    Technique
        Contact Aspiration (%)13 (34%)
        Stent-retriever (%)6 (16%)
        Combined technique (%)19 (50%)
    Number of Passes (median, IQR)2 (1–3)
    Procedural Complication (%)0 (0%)
Times
    Time Puncture to Recanalization in min (median, IQR)30 (20–55)
    Time Onset to Recanalization in min (median, IQR)242 (191–326)
Early Outcomes
    Day 1 NIHSS (median, IQR)4 (1–7)
    NIHSS Shift (median, IQR)–3 (–9 to –1)
    Day 1 Hemorrhagic Transformation (%)6 (25%)
    ECASS PH-Type (%)2 (7%)
    Final infarct volume, mL (median, IQR)8.4 (5.2–44.4)
    Infarct volume progression, mL (median, IQR)7.2 (4.3–29.1)
Long-Term (3 months) Outcomes
    mRS 0–1 (%)18 (47%)
    mRS 0–2 (%)23 (61%)
    Mortality (%)2 (5%)

[i] * Continuous variables are reported as median (inter-quartile range), categorical variables as percentages.

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Figure 2

Association of baseline volume of severely hypoperfused brain tissue (TMax > 10 sec; mL) and final infarct volume (mL).

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Figure 3

Association of baseline volume of severely hypoperfused brain tissue (TMax > 10 sec; mL) and infarct volume progression (mL).

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Figure 4

Association of baseline volume of severely hypoperfused brain tissue (TMax > 10 sec; mL) and the probability of good clinical outcome at 3 months (mRS 0-2).

DOI: https://doi.org/10.5334/jbsr.3269 | Journal eISSN: 2514-8281
Language: English
Submitted on: Jul 11, 2023
Accepted on: Oct 30, 2023
Published on: Nov 22, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Maud Wang, Yousra Farouki, Franny Hulscher, Benjamin Mine, Thomas Bonnet, Stephanie Elens, Juan Vazquez Suarez, Lise Jodaitis, Noemie Ligot, Gilles Naeije, Boris Lubicz, Adrien Guenego, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.