Predictive Value of CT Perfusion Imaging Parameters for the Prognosis of Patients Treated Endovascularly for Acute Anterior Circulation Large Vessel Occlusion
Objective The objective of this study is to investigate the predictive value of CT perfusion imaging(CTP)-related parameters processed using RAPID software for the prognosis of patients undergoing endovascular treatment(EVT)for acute anterior circulation large vessel occlusion.Methods A total of 118 patients were included and divided into a good prognosis group(mRS≤2 points)and a poor prognosis group(mRS＞2 points)according to the modified Rankin Scale(mRS)score at 90 days postoperatively.General data and CTP-related parameters of the two groups were compared and screened for prognostic factors.Results Age[OR=0.878(0.817-0.943)],baseline NIHSS score[OR=0.856,95％CI(0.764-0.959)],VCBF＜30[OR=0.922,95％CI(0.887-0.958)],and HIR[OR=0.018,95％CI(0.002-0.131)]were independent influences on the prognosis of EVT patients(P＜0.05).Conclusion Age,base-line NIHSS score,VCBF＜30,and HIR are independent influences on poor prognosis in patients treated endovascularly for a-cute anterior circulation large vessel occlusion.It has been demonstrated that CTP-related parameters can be used to predict the prognosis of patients treated EVT for acute anterior circulation large vessel occlusion.
CT perfusion imagingAcute anterior circulation large vessel occlusionEndovascular treatmentProg-nosis
维普
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