Predictive Value of MRI in Intracranial Hemorrhage after Intravascular Thrombolectomy in Patients with Acute Cerebral Infarction
Objective To investigate the predictive value of MRI in intracranial hemorrhage(ICH)after intravascular thrombolectomy(EVT)in patients with acute cerebral infarction.Methods Sixty-seven patients with acute cerebral infarction treated with EVT were retrospectively analyzed.Volume of diffusion-weighted imaging(DWI),perfusion weighted imaging(PWI),and DWI-PWI mismatch(DPM)as well as other clinically relevant data were collected from these patients.ICH was assessed by unenhanced CT.Multiple logistic regression analysis was used to predict ICH in patients with acute cerebral infarction after treatment.Results After receiving EVT,Fasting blood glucose[(11.96±1.93)mg/L and(13.26±1.73)mg/L],HbA1c[(5.73±0.42)％and(6.21±0.49)％],DWI infarct volume(51.23±41.32 ml and 29.61±32.26ml)in ICH patients were significantly higher than those without ICH(t=-7.693,P＜0.001;T=6.135,P＜0.001;T=-2.531,P=0.016).Multivariate logistic regression analysis showed that blood glucose[OR(95％CI):1.312(1.145-1.417),P＜0.001],HbA1c[OR(95％CI):38.847(7.216-201.753),P＜0.001]and DWI infarct volume[OR(95％CI):1.021(1.004-1.034),P=0.016]were independent predictors of ICH after EVT in patients with acute cerebral infarction.Conclusion After EVT treatment,fasting blood glucose,HbA1c and DWI infarct volume can predict the risk of ICH,thus providing information for subsequent clinical treatment.
NETL
NSTL
万方数据
维普
