Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/18043
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dc.contributor.authorLogan, Caitriona-
dc.contributor.authorMaingard, Julian-
dc.contributor.authorPhan, Kevin-
dc.contributor.authorMotyer, Ronan-
dc.contributor.authorBarras, Christen-
dc.contributor.authorLooby, Seamus-
dc.contributor.authorBrennan, Paul-
dc.contributor.authorO'Hare, Alan-
dc.contributor.authorBrooks, Duncan Mark-
dc.contributor.authorChandra, Ronil V-
dc.contributor.authorAsadi, Hamed-
dc.contributor.authorKok, Hong Kuan-
dc.contributor.authorThornton, John-
dc.date2017-
dc.date.accessioned2018-07-10T06:24:34Z-
dc.date.available2018-07-10T06:24:34Z-
dc.date.issued2018-02-
dc.identifier.citationWorld Neurosurgery 2018-02; 110: e653-e658-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/18043-
dc.description.abstractSelection of patients with acute ischemic stroke for endovascular thrombectomy (EVT) is complex and time-critical. Benefits of EVT are well established for patients with small core infarcts. The aim of this study was to compare clinical outcomes of EVT in patients with larger established infarcts (Alberta Stroke Programme Early CT Score [ASPECTS] ≤6) with patients with smaller infarcts (ASPECTS 7-10). The study included 355 patients with acute ischemic stroke due to large vessel occlusion who underwent EVT. ASPECTS was assigned to baseline noncontrast computed tomography, and collateral perfusion scores were assigned to multiphase computed tomography angiography. Baseline stroke severity, collateral grading, and clinical outcome data (complication rate, symptomatic intracranial hemorrhage and 90-day modified Rankin Scale score) were compared between patients with borderline (≤6) and high (7-10) ASPECTS. There were 34 (10%) patients with borderline ASPECTS. There was no difference in rate of good clinical outcome (37% vs. 46%, P = 0.852), symptomatic intracerebral hemorrhage (9% vs. 9%, P = 0.984), or mortality (20% vs. 22%, P = 0.818) between patients with borderline ASPECTS and high ASPECTS at 90 days. Moreover, there was no significant difference in collateral perfusion grade. This study identifies similar clinical benefit of EVT in patients with acute large vessel occlusion stroke with borderline ASPECTS and high ASPECTS.-
dc.language.isoeng-
dc.subjectASPECTS-
dc.subjectAcute Ischaemic Stroke-
dc.subjectCollateral circulation-
dc.subjectEndovascular thrombectomy-
dc.subjectInterventional neuroradiology-
dc.titleBorderline Alberta Stroke Programme Early CT Score Patients with Acute Ischemic Stroke Due to Large Vessel Occlusion May Find Benefit with Endovascular Thrombectomy.-
dc.typeJournal Article-
dc.identifier.journaltitleWorld Neurosurgery-
dc.identifier.affiliationInterventional Neuroradiology Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland-
dc.identifier.affiliationInterventional Neuroradiology Service, Department of Radiology, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationSchool of Medicine, Faculty of Health, Deakin University, Victoria, Australia-
dc.identifier.affiliationNeuroSpine Surgery Research Group, Prince of Wales Private Hospital, Sydney, Australia-
dc.identifier.affiliationLysholm Department of Neuroradiology, The National Hospital for Neurology and Neurosurgery, London, United Kingdom-
dc.identifier.affiliationSouth Australian Health and Medical Research Institute, Adelaide, South Australia, Australia-
dc.identifier.affiliationUniversity of Adelaide, Adelaide, South Australia, Australia-
dc.identifier.affiliationInterventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Australia-
dc.identifier.affiliationDepartment of Imaging, Monash University, Melbourne, Australia-
dc.identifier.doi10.1016/j.wneu.2017.11.068-
dc.identifier.pubmedid29175568-
dc.type.austinJournal Article-
local.name.researcherAsadi, Hamed
item.openairetypeJournal Article-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
crisitem.author.deptRadiology-
crisitem.author.deptRadiology-
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