Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral artery

Purpose - Aim of this study was to evaluate the collateral blood flow between more distal branches of the middle cerebral artery (MCA) in the case of peripheral MCA branch occlusion on dynamic 4D angiograms. We sought to individually predict the finally resulting infarction volume with regard to the...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Böhme, Johannes (VerfasserIn) , Wenz, Holger (VerfasserIn) , Al-Zghloul, Mansour (VerfasserIn) , Alonso, Angel (VerfasserIn) , Groden, Christoph (VerfasserIn) , Förster, Alex (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2019
In: Journal of neuroradiology
Year: 2018, Jahrgang: 46, Heft: 1, Pages: 3-8
ISSN:1773-0406
DOI:10.1016/j.neurad.2018.09.002
Online-Zugang:Verlag, Volltext: https://doi.org/10.1016/j.neurad.2018.09.002
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0150986117303966
Volltext
Verfasserangaben:Böhme J, Wenz H, Al-Zghloul M, A Alonso, Groden C, Förster A

MARC

LEADER 00000caa a2200000 c 4500
001 167755438X
003 DE-627
005 20220816231521.0
007 cr uuu---uuuuu
008 190924r20192018xx |||||o 00| ||eng c
024 7 |a 10.1016/j.neurad.2018.09.002  |2 doi 
035 |a (DE-627)167755438X 
035 |a (DE-599)KXP167755438X 
035 |a (OCoLC)1341244450 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Böhme, Johannes  |d 1986-  |e VerfasserIn  |0 (DE-588)114078904X  |0 (DE-627)898680247  |0 (DE-576)494039442  |4 aut 
245 1 0 |a Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral artery  |c Böhme J, Wenz H, Al-Zghloul M, A Alonso, Groden C, Förster A 
264 1 |c 2019 
300 |a 6 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Available online 13 September 2018 
500 |a Gesehen am 29.11.2019 
520 |a Purpose - Aim of this study was to evaluate the collateral blood flow between more distal branches of the middle cerebral artery (MCA) in the case of peripheral MCA branch occlusion on dynamic 4D angiograms. We sought to individually predict the finally resulting infarction volume with regard to the extent of collateral blood flow. - Methods - Overall, 35 acute ischemic stroke patients with peripheral MCA branch occlusion were included. Volumes of the ischemic infarctions and perfusion deficits were measured on diffusion-weighted images DWI and time-to-peak TTP (> 4 s). Collateral flow on 4D MR angiograms were classified as previously specified. - Results - On DWI, the ischemic lesions had a mean volume of 3.4 ± 15.1 mL while the mean volume on TTP (> 4 s) was significantly larger 22.0 ± 18.1 mL (P < 0.001). On dynamic 4D angiograms we observed grade 1 in 8 (22.9%), grade 2 in 4 (11.4%), grade 3 in 10 (28.6%), and grade 4 in 13 (37.1%) patients. In comparison to patients with better collateralization (grade 3-4) patients with less sufficient collateralization (grade 0-2) demonstrated larger infarction volumes on initial (11.1 mL (IQR 2.9-35.5) vs. 2.1 mL (IQR 0.5-4.5), P = 0.03) and follow-up DWI (15.5 mL (IQR 12.6-23.3) vs. 1.9 mL (IQR 0.5-4.5), P = 0.03) with prominent infarction growth (7.4 mL (IQR 2.6-10.1) vs. 0.9 mL (IQR 0.2-2.6), P = 0.08). - Conclusions - In the majority of cases with distal MCA branch occlusion a good collateral blood flow has been observed. Nevertheless, in approximately one quarter of patients an insufficient collateral blood flow has been detected that was associated with substantial infarction growth. 
534 |c 2018 
700 1 |a Wenz, Holger  |d 1983-  |e VerfasserIn  |0 (DE-588)103347178X  |0 (DE-627)741282755  |0 (DE-576)381071057  |4 aut 
700 1 |a Al-Zghloul, Mansour  |d 1974-  |e VerfasserIn  |0 (DE-588)1028271263  |0 (DE-627)730505332  |0 (DE-576)375756876  |4 aut 
700 1 |a Alonso, Angel  |e VerfasserIn  |0 (DE-588)1114082279  |0 (DE-627)868014907  |0 (DE-576)477187587  |4 aut 
700 1 |a Groden, Christoph  |d 1959-  |e VerfasserIn  |0 (DE-588)11292641X  |0 (DE-627)691165742  |0 (DE-576)331358948  |4 aut 
700 1 |a Förster, Alex  |d 1978-  |e VerfasserIn  |0 (DE-588)132396971  |0 (DE-627)521958644  |0 (DE-576)299120112  |4 aut 
773 0 8 |i Enthalten in  |t Journal of neuroradiology  |d Issy-les-Moulineaux : Elsevier Masson, 1995  |g 46(2019), 1, Seite 3-8  |h Online-Ressource  |w (DE-627)325486999  |w (DE-600)2036444-1  |w (DE-576)095551980  |x 1773-0406  |7 nnas  |a Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral artery 
773 1 8 |g volume:46  |g year:2019  |g number:1  |g pages:3-8  |g extent:6  |a Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral artery 
856 4 0 |u https://doi.org/10.1016/j.neurad.2018.09.002  |x Verlag  |x Resolving-System  |3 Volltext 
856 4 0 |u http://www.sciencedirect.com/science/article/pii/S0150986117303966  |x Verlag  |3 Volltext 
951 |a AR 
992 |a 20190924 
993 |a Article 
994 |a 2019 
998 |g 132396971  |a Förster, Alex  |m 132396971:Förster, Alex  |d 60000  |d 63000  |e 60000PF132396971  |e 63000PF132396971  |k 0/60000/  |k 1/60000/63000/  |p 6  |y j 
998 |g 11292641X  |a Groden, Christoph  |m 11292641X:Groden, Christoph  |d 60000  |d 63000  |e 60000PG11292641X  |e 63000PG11292641X  |k 0/60000/  |k 1/60000/63000/  |p 5 
998 |g 1114082279  |a Alonso, Angel  |m 1114082279:Alonso, Angel  |d 50000  |e 50000PA1114082279  |k 0/50000/  |p 4 
998 |g 1028271263  |a Al-Zghloul, Mansour  |m 1028271263:Al-Zghloul, Mansour  |d 60000  |e 60000PA1028271263  |k 0/60000/  |p 3 
998 |g 103347178X  |a Wenz, Holger  |m 103347178X:Wenz, Holger  |d 60000  |d 63000  |e 60000PW103347178X  |e 63000PW103347178X  |k 0/60000/  |k 1/60000/63000/  |p 2 
998 |g 114078904X  |a Böhme, Johannes  |m 114078904X:Böhme, Johannes  |d 60000  |d 63000  |e 60000PB114078904X  |e 63000PB114078904X  |k 0/60000/  |k 1/60000/63000/  |p 1  |x j 
999 |a KXP-PPN167755438X  |e 3517506109 
BIB |a Y 
SER |a journal 
JSO |a {"relHost":[{"disp":"Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral arteryJournal of neuroradiology","recId":"325486999","id":{"eki":["325486999"],"issn":["1773-0406"],"zdb":["2036444-1"]},"origin":[{"dateIssuedKey":"1995","publisher":"Elsevier Masson ; Masson","dateIssuedDisp":"1995-","publisherPlace":"Issy-les-Moulineaux ; Paris [u.a.]"}],"physDesc":[{"extent":"Online-Ressource"}],"language":["eng","fre"],"corporate":[{"display":"Société française de neuroradiologie","role":"isb"}],"type":{"media":"Online-Ressource","bibl":"periodical"},"title":[{"title_sort":"Journal of neuroradiology","title":"Journal of neuroradiology","subtitle":"official journal of the French Society of Neuroradiology = Journal de neuroradiologie"}],"titleTranslated":[{"translated":"Journal de neuroradiologie"}],"part":{"extent":"6","text":"46(2019), 1, Seite 3-8","pages":"3-8","volume":"46","year":"2019","issue":"1"},"pubHistory":["Nachgewiesen 22.1995 -"],"note":["Gesehen am 27.11.20","Fortsetzung der Druck-Ausgabe"]}],"note":["Available online 13 September 2018","Gesehen am 29.11.2019"],"recId":"167755438X","name":{"displayForm":["Böhme J, Wenz H, Al-Zghloul M, A Alonso, Groden C, Förster A"]},"origin":[{"dateIssuedKey":"2019","dateIssuedDisp":"2019"}],"id":{"eki":["167755438X"],"doi":["10.1016/j.neurad.2018.09.002"]},"type":{"media":"Online-Ressource","bibl":"article-journal"},"language":["eng"],"physDesc":[{"extent":"6 S."}],"title":[{"title_sort":"Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral artery","title":"Assessment of collateral blood flow in patients with distal branch occlusion of the middle cerebral artery"}],"person":[{"family":"Böhme","role":"aut","given":"Johannes","display":"Böhme, Johannes"},{"family":"Wenz","given":"Holger","role":"aut","display":"Wenz, Holger"},{"given":"Mansour","role":"aut","family":"Al-Zghloul","display":"Al-Zghloul, Mansour"},{"display":"Alonso, Angel","role":"aut","given":"Angel","family":"Alonso"},{"role":"aut","given":"Christoph","family":"Groden","display":"Groden, Christoph"},{"given":"Alex","role":"aut","family":"Förster","display":"Förster, Alex"}]} 
SRT |a BOEHMEJOHAASSESSMENT2019