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Verfasst von:Tränka, Christopher [VerfasserIn]   i
 Grond-Ginsbach, Caspar [VerfasserIn]   i
 Goeggel Simonetti, Barbara [VerfasserIn]   i
 Metso, Tiina M. [VerfasserIn]   i
 Debette, Stéphanie [VerfasserIn]   i
 Pezzini, Alessandro [VerfasserIn]   i
 Kloss, Manja [VerfasserIn]   i
 Majersik, Jennifer J. [VerfasserIn]   i
 Southerland, Andrew M. [VerfasserIn]   i
 Leys, Didier [VerfasserIn]   i
 Baumgartner, Ralf [VerfasserIn]   i
 Caso, Valeria [VerfasserIn]   i
 Béjot, Yannick [VerfasserIn]   i
 De Marchis, Gian Marco [VerfasserIn]   i
 Fischer, Urs [VerfasserIn]   i
 Polymeris, Alexandros [VerfasserIn]   i
 Sarikaya, Hakan [VerfasserIn]   i
 Thijs, Vincent [VerfasserIn]   i
 Worrall, Bradford B. [VerfasserIn]   i
 Bersano, Anna [VerfasserIn]   i
 Brandt, Tobias [VerfasserIn]   i
 Gensicke, Henrik [VerfasserIn]   i
 Bonati, Leo H. [VerfasserIn]   i
 Touzeé, Emmanuel [VerfasserIn]   i
 Martin, Juan J. [VerfasserIn]   i
 Chabriat, Hugues [VerfasserIn]   i
 Tatlisumak, Turgut [VerfasserIn]   i
 Arnold, Marcel [VerfasserIn]   i
 Engelter, Stefan T. [VerfasserIn]   i
 Lyrer, Philippe [VerfasserIn]   i
Titel:Artery occlusion independently predicts unfavorable outcome in cervical artery dissection
Verf.angabe:Christopher Traenka, Caspar Grond-Ginsbach, Barbara Goeggel Simonetti, Tiina M. Metso, Stéphanie Debette, Alessandro Pezzini, Manja Kloss, Jennifer J. Majersik, Andrew M. Southerland, Didier Leys, Ralf Baumgartner, Valeria Caso, Yannick Béjot, Gian Marco De Marchis, Urs Fischer, Alexandros Polymeris, Hakan Sarikaya, Vincent Thijs, Bradford B. Worrall, Anna Bersano, Tobias Brandt, Henrik Gensicke, Leo H. Bonati, Emmanuel Touzeé, Juan J. Martin, Hugues Chabriat, Turgut Tatlisumak, Marcel Arnold, Stefan T. Engelter, Philippe Lyrer, for the CADISP-Plus Study Group
Jahr:2020
Jahr des Originals:2019
Umfang:11 S.
Teil:volume:94
 year:2020
 number:2
 pages:e170-e180
 extent:11
Fussnoten:First published November 22, 2019 ; Gesehen am 29.06.2020
Titel Quelle:Enthalten in: Neurology
Ort Quelle:Philadelphia, Pa. : Wolters Kluwer, 1951
Jahr Quelle:2020
Band/Heft Quelle:94(2020), 2, Seite e170-e180
ISSN Quelle:1526-632X
Abstract:OBJECTIVE: To assess the impact of dissected artery occlusion (DAO) on functional outcome and complications in patients with cervical artery dissection (CeAD). - METHODS: We analyzed combined individual patient data from 3 multicenter cohorts of consecutive patients with CeAD (the Cervical Artery Dissection and Ischemic Stroke Patients [CADISP]-Plus consortium dataset). Patients with data on DAO and functional outcome were included. We compared patients with DAO to those without DAO. Primary outcome was favorable functional outcome (i.e., modified Rankin Scale [mRS] score 0-1) measured 3-6 months from baseline. Secondary outcomes included delayed cerebral ischemia, major hemorrhage, recurrent CeAD, and death. We performed univariate and multivariable binary logistic regression analyses and calculated odds ratios (OR) with 95% confidence intervals (CI), with adjustment for potential confounders. - RESULTS: Of 2,148 patients (median age 45 years [interquartile range (IQR) 38-52], 43.6% women), 728 (33.9%) had DAO. Patients with DAO more frequently presented with cerebral ischemia (84.6% vs 58.5%, p < 0.001). Patients with DAO were less likely to have favorable outcome when compared to patients without DAO (mRS 0-1: 59.6% vs 80.1%, punadjusted < 0.001). After adjustment for age, sex, and initial stroke severity, DAO was independently associated with less favorable outcome (mRS 0-1: OR 0.65, CI 0.50-0.84, p = 0.001). Delayed cerebral ischemia occurred more frequently in patients with DAO than in patients without DAO (4.5% vs 2.9%, p = 0.059). - CONCLUSION: DAO independently predicts less favorable functional outcome in patients with CeAD. Further research on vessel patency, collateral status and effects of revascularization therapies particularly in patients with DAO is warranted.
DOI:doi:10.1212/WNL.0000000000008654
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1212/WNL.0000000000008654
 DOI: https://doi.org/10.1212/WNL.0000000000008654
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adult
 Aged
 Aneurysm, Dissecting
 Cerebral Arterial Diseases
 Cerebrovascular Disorders
 Female
 Humans
 Male
 Middle Aged
 Recovery of Function
K10plus-PPN:1702887480
Verknüpfungen:→ Zeitschrift

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