Abstract:
:Noninvasive computed tomography angiography (CTA) is widely used in acute ischemic stroke, even for diagnosing various internal carotid artery (ICA) occlusion sites, which often need cerebral digital subtraction angiography (DSA) confirmation. We evaluated whether clinical outcomes vary depending on the DSA-based occlusion sites and explored correlating features on baseline CTA that predict DSA-based occlusion site.We analyzed consecutive patients with acute ICA occlusion who underwent DSA and CTA. Occlusion site was classified into cervical, cavernous, petrous, and carotid terminus segments by DSA confirmation. Clinical and radiological features associated with poor outcome at 3 months (3-6 of modified Rankin scale) were analyzed. Baseline CTA findings were categorized according to carotid occlusive shape (stump, spearhead, and streak), presence of cervical calcification, Willisian occlusive patterns (T-type, L-type, and I-type), and status of leptomeningeal collaterals (LMC).We identified 49 patients with occlusions in the cervical (n = 17), cavernous (n = 22), and carotid terminus (n = 10) portions: initial NIH Stroke Scale (11.4 ± 4.2 vs 16.1 ± 3.7 vs 18.2 ± 5.1; P < 0.001), stroke volume (27.9 ± 29.6 vs 127.4 ± 112.6 vs 260.3 ± 151.8 mL; P < 0.001), and poor outcome (23.5 vs 77.3 vs 90.0%; P < 0.001). Cervical portion occlusion was characterized as rounded stump (82.4%) with calcification (52.9%) and fair LMC (94.1%); cavernous as spearhead occlusion (68.2%) with fair LMC (86.3%) and no calcification (95.5%); and terminus as streak-like occlusive pattern (60.0%) with poor LMC (60.0%), and no calcification (100%) on CTA.Our study indicates that acute ICA occlusion can be subtyped into cervical, cavernous, and terminus. Distinctive findings on initial CTA can help differentiate ICA-occlusion subtypes with specific characteristics.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Hong JM,Lee SE,Lee SJ,Lee JS,Demchuk AMdoi
10.1097/MD.0000000000005722subject
Has Abstractpub_date
2017-02-01 00:00:00pages
e5722issue
5eissn
0025-7974issn
1536-5964pii
00005792-201702030-00004journal_volume
96pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:To explore the features and function of gut microbiota in necrotizing enterocolitis patients over 28 gestational age weeks through a case-control study. METHODS:Fecal samples from patients with NEC over 28 gestational week age and matched control cases were collected. DNA of the fecal samples was extracted ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017206
更新日期:2019-10-01 00:00:00
abstract::Mastocytosis is a rare disease characterized by clonal neoplastic proliferation of mast cells (MCs). It ranges from skin lesions as cutaneous mastocytosis (CM) which may spontaneously regress to highly aggressive neoplasms with multiorgan involvement corresponding to some aggressive systemic mastocytosis (ASM), mast c...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010642
更新日期:2018-05-01 00:00:00
abstract::In gastric cancer, HER2 protein overexpression is considered to be conducive to the higher proliferation activity of the tumor cells. Tumor formation is associated with angiogenesis in order to secure an abundant supply of oxygen and glucose to cancer cells. The aim of the study was to assess if HER2 overexpression is...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012854
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Chronic pelvic inflammatory disease (CPID) is a difficult-to-treat gynaecological disorder, which has complex etiologies, among married women. In recent years, moxibustion has gradually shown its clinical advantages and been more and more widely used In China. The protocol is try to synthesize and assess the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021925
更新日期:2020-08-28 00:00:00
abstract::A new sarcopenia screening tool named Mini Sarcopenia Risk Assessment (MSRA) has recently been developed, which showed a reasonable sensitivity and specificity.We cross-culturally adapted and validated the Chinese version of the MSRA in a population of community-dwelling older adults.We conducted a cross-sectional stu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012426
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The argument on whether extracorporeal shock-wave therapy (ESWT) and corticosteroid injections (CSIs) exert an equivalent pain control or which is the better treatment for plantar fasciitis (PF) in adults remains to be resolved. It is important and necessary to conduct a meta-analysis to make a relatively mo...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000013687
更新日期:2018-12-01 00:00:00
abstract::End stage renal disease (ESRD) has been reported to be an important risk factor for systemic vascular disease. Retinal vein occlusion (RVO) is closely related with cardiovascular diseases; however, its association with ESRD had not been reported. The aim of the study was to investigate whether ESRD is a risk factor fo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001960
更新日期:2015-11-01 00:00:00
abstract:INDUCTION:Liver transplantation (LT) is the only final therapy for patients with acute liver failure (ALF) that cannot be controlled by conservative treatment. Acute pancreatitis (AP) is a recognized complication of ALF. The pathogenesis of AP in ALF patients has not yet been elucidated. The appearance of AP complicate...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022934
更新日期:2020-10-23 00:00:00
abstract:BACKGROUND:To compare the effect of selective laser trabeculoplasty (SLT) and travoprost on 24-hour IOP fluctuations in primary open-angle glaucoma (POAG) and normal-tension glaucoma (NTG). METHODS:Sixty eyes were included. Sixteen and 14 eyes of POAG patients were randomized to receive 360° SLT or 0.004% travoprost, ...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000006047
更新日期:2017-02-01 00:00:00
abstract::Venous thromboembolism (VTE) is a common vascular disorder with high mortality and morbidity. Clinical nurses are a pivotal group that can serve as first-line health care providers. Lack of knowledge about VTE is an important barrier to effective nursing performance. This study aimed to determine nurses' knowledge of ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010338
更新日期:2018-04-01 00:00:00
abstract::Fibrosing mediastinitis (FM) is a rare disorder characterized by the invasive proliferation of fibrous tissue within the mediastinum. FM frequently results in the compression of vital mediastinal structures and has been associated with substantial morbidity and mortality. Its pathogenesis remains unknown. However, in ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0b013e318237c8e6
更新日期:2011-11-01 00:00:00
abstract::We report a case of leukemic arthritis (LA) of monocytic differentiation, which presented with spondyloarthritis-like symptoms and a positive human leukocyte antigen-B27, and discuss its potential mechanisms.The patient was admitted because of pain in her right knee and lower back for 18 months. Magnetic resonance ima...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000009919
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:The cancer of the splenic flexure of the colon is a rare medical entity with severe morbidity because of its insidious onset. METHODS:We present the case of a 59-year-old male patient with dull left upper quadrant pain, leukocytosis, and anemia. A splenic abscess described as an air-fluid level with splenoc...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000004941
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:To investigate the effect of high-volume hemofiltration (HVHF) on Th17/Treg imbalance in patients with severe acute pancreatitis (SAP). METHODS:Forty-two patients with SAP were randomly received 24 hours of continuous HVHF (n = 21) or without HVHF (n = 21). At day 28, all 42 patients were divided into survi...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000021491
更新日期:2020-07-31 00:00:00
abstract:BACKGROUND:Prostate cancer (PCa) is one of the most common primary malignancies in humans and the second leading cause of cancer-specific mortality among Western males. Computer-aided detection (CAD) systems have been developed for accurate and automated PCa detection and diagnosis, but the diagnostic accuracy of diffe...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016326
更新日期:2019-07-01 00:00:00
abstract::The aim of the study was to compare the measurements of optical (AL-Scan; Nidek Co., Ltd.) and ultrasonic (Echo Scan US-800; Nidek Co., Ltd.) biometry devices and to assess refractive results after cataract surgery. Eighty-one cataractous eyes of 81 patients were included in this study. Biometry was performed using th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002169
更新日期:2015-12-01 00:00:00
abstract::Clinical practice guidelines (CPGs) play an important role in health care. The guideline development process should be precise and rigorous to ensure that the results are reproducible and not vague. To determine the quality of guidelines, the Appraisal of Guidelines and Research and Evaluation (AGREE) instrument was d...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000635
更新日期:2015-03-01 00:00:00
abstract::Revision total hip arthroplasty (THA) may cause intra- and postoperative massive bleeding. This prospective observational study evaluated if the maximum clot firmness of FIBTEM (MCFFIB) could act as a predictor of perioperative massive bleeding in revision THA.Fifty-eight adult patients undergoing revision THA were in...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010929
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Perimenopausal insomnia (PI) is one of the most common complaints in women. Acupuncture is used to treat PI increasingly considering its less side effect. The subject of this study is to explore the effectiveness and safety of acupuncture for PI. METHODS:All the randomized controlled trials(RCT) literatures...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000011083
更新日期:2018-06-01 00:00:00
abstract:RATIONALE:The ischemic penumbra assessment is essential for the subsequent therapy and prediction of evolution in patients with acute ischemic infraction. Although controversial as a perfect equivalence to penumbra, perfusion-weighted imaging (PWI)-diffusion-weighted imaging (DWI) mismatch may predict the response to t...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006091
更新日期:2017-02-01 00:00:00
abstract::Activated nuclear factor-κB (NF-κB) is associated with the pathogenesis of numerous cancers, such as gastric cancer (GC). Genetic polymorphisms in the genomic region containing nuclear factor-κB1 (NFKB1) have a plausible role in modulating the risk of GC. To identify markers contributing to the genetic susceptibility ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000279
更新日期:2014-12-01 00:00:00
abstract::Alanine transaminase (ALT) abnormalities are common in chronic hepatitis B (CHB) carriers during postpartum period. Disturbances in cytokines are considered to be associated with hepatitis Flares. There are limited data on cytokines changes in HBeAg positive patients with ALT abnormalities.This is an observational stu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017969
更新日期:2019-11-01 00:00:00
abstract::Breast cancer patients with significant comorbidities present reconstructive challenges due to a predictably high complication rate. During expander-based breast reconstruction, human acellular dermal matrix (ADM) is often used to prevent pectoralis muscle retraction, facilitate early expansion, and improve cosmetic o...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000745
更新日期:2015-05-01 00:00:00
abstract:RATIONALE:A first seizure can range from a fleeting subjective experience or a twitch (myoclonic jerk) through to a tonic-clonic convulsion. A first seizure occurred in a parturient during cesarean section is very rare. We describe the case of a parturient who suffered seizure when the fetus was delivered. PATIENT CON...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013785
更新日期:2018-12-01 00:00:00
abstract::The SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery (SYNTAX) score is an invasive coronary angiography (ICA)-based score for quantifying the complexity of coronary artery disease (CAD). Although the SYNTAX score was originally developed based on ICA, recent publications have reported ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007999
更新日期:2017-09-01 00:00:00
abstract::Many studies about serum IgG4 for the diagnosis of IgG4-related disease (IgG4-RD) have been reported. However, these studies had relatively small sample sizes and the diagnostic accuracy values varied much between them.The aim of this study was to perform a meta-analysis to evaluate the diagnostic value of serum IgG4 ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000003785
更新日期:2016-05-01 00:00:00
abstract:RATIONALE:Iridoschisis is a rare eye disease. In this case report, we described the examination and diagnosis of a case of iridoschisis accompanied by secondary glaucoma. We also observed the effects of treating the patient with a combination of goniosynechialysis and cataract removal. PATIENT CONCERN:A 67-year-old fe...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008295
更新日期:2017-10-01 00:00:00
abstract::Pyogenic sacroiliitis is exceptional in very young children. Diagnosis is difficult because clinical examination is misleading. FABER test is rarely helpful in very young children. Inflammatory syndrome is frequent. Bone scintigraphy and MRI are very sensitive for the diagnosis. Joint fluid aspiration and blood cultur...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000001581
更新日期:2015-10-01 00:00:00
abstract::Using nasopharyngeal carriage as a marker of vaccine impact, pneumococcal colonization and its relation to invasive disease were examined in children, their parents, and older adults in the United Kingdom following introduction of 7-valent pneumococcal conjugate vaccine (PCV7) and prior to 13-valent pneumococcal conju...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000335
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Brachial plexus block (BPB) for upper extremity surgery provides superior analgesia, but this advantage is limited by the pharmacological duration of local anesthetics. Dexmedetomidine (DEX) as a local anesthetics adjuvant for BPB has been utilized to prolong the duration of the nerve block in some randomize...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000005846
更新日期:2017-01-01 00:00:00