亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Subarachnoid iodine leakage on dual-energy computed tomography after mechanical thrombectomy is associated with malignant brain edema

医学 放射科 蛛网膜下腔出血 改良兰金量表 核医学 外科 缺血性中风 内科学 缺血
作者
Atsushi Ogata,Kuniaki Ogasawara,Masashi Nishihara,Ayako Takamori,Takashi Furukawa,Toshihiro Ide,Hiroshi Ito,Fumitaka Yoshioka,Yukiko Nakahara,Jun Masuoka,Haruki Koike,Hiroyuki Irie,Tatsuya Abé
出处
期刊:Journal of NeuroInterventional Surgery [BMJ]
卷期号:: jnis-021413 被引量:4
标识
DOI:10.1136/jnis-2023-021413
摘要

Background Dual-energy computed tomography (DE-CT) can differentiate between hemorrhage and iodine contrast medium leakage following mechanical thrombectomy (MT) for acute ischemic stroke (AIS). We determined whether subarachnoid hemorrhage (SAH) and subarachnoid iodine leakage (SAIL) on DE-CT following MT were associated with malignant brain edema (MBE). Methods We analyzed the medical records of 81 consecutive anterior circulation AIS patients who underwent MT. SAH or SAIL was diagnosed via DE-CT performed immediately after MT. We compared the procedural data, infarct volumes, MBE, and modified Rankin scale 0–2 at 90 days between patients with and without SAH and between patients with and without SAIL. Furthermore, we evaluated the association between patient characteristics and MBE. Results A total of 20 (25%) patients had SAH and 51 (63%) had SAIL. No difference in diffusion-weighted imaging (DWI)-infarct volume before MT was observed between patients with and without SAH or patients with and without SAIL. However, patients with SAIL had larger DWI-infarct volumes 1 day following MT than patients without SAIL (95 mL vs 29 mL; p=0.003). MBE occurred in 12 of 81 patients (15%); more patients with SAIL had MBE than patients without SAIL (22% vs 3%; p=0.027). Severe SAIL was significantly associated with MBE (OR, 12.5; 95% CI, 1.20–131; p=0.006), whereas SAH was not associated with MBE. Conclusion This study demonstrated that SAIL on DE-CT immediately after MT was associated with infarct volume expansion and MBE.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
生如夏花完成签到 ,获得积分10
2秒前
rpe完成签到,获得积分10
10秒前
科研通AI5应助垚祎采纳,获得30
24秒前
39秒前
垚祎发布了新的文献求助30
49秒前
科研通AI2S应助科研通管家采纳,获得20
56秒前
NexusExplorer应助余书文采纳,获得10
1分钟前
lixuebin完成签到 ,获得积分10
1分钟前
李健的小迷弟应助垚祎采纳,获得10
1分钟前
1分钟前
余书文完成签到,获得积分20
1分钟前
1分钟前
余书文发布了新的文献求助10
1分钟前
1分钟前
垚祎发布了新的文献求助10
1分钟前
woxinyouyou完成签到,获得积分0
2分钟前
JamesPei应助垚祎采纳,获得10
2分钟前
2分钟前
垚祎发布了新的文献求助10
2分钟前
科研通AI2S应助科研通管家采纳,获得10
2分钟前
CipherSage应助科研通管家采纳,获得10
2分钟前
乐乐应助垚祎采纳,获得10
3分钟前
3分钟前
垚祎发布了新的文献求助10
3分钟前
小海完成签到,获得积分10
4分钟前
alexlpb完成签到,获得积分0
4分钟前
赘婿应助垚祎采纳,获得10
4分钟前
4分钟前
垚祎发布了新的文献求助10
4分钟前
4分钟前
李健应助垚祎采纳,获得10
5分钟前
5分钟前
垚祎发布了新的文献求助10
5分钟前
xyzpp发布了新的文献求助100
5分钟前
Owen应助垚祎采纳,获得10
6分钟前
6分钟前
垚祎发布了新的文献求助10
6分钟前
20240901完成签到,获得积分10
6分钟前
酷波er应助科研通管家采纳,获得10
6分钟前
香蕉觅云应助垚祎采纳,获得10
6分钟前
高分求助中
中华人民共和国出版史料 4 1000
Applied Survey Data Analysis (第三版, 2025) 800
Narcissistic Personality Disorder 700
Assessing and Diagnosing Young Children with Neurodevelopmental Disorders (2nd Edition) 700
Handbook of Experimental Social Psychology 500
The Martian climate revisited: atmosphere and environment of a desert planet 500
建国初期十七年翻译活动的实证研究. 建国初期十七年翻译活动的实证研究 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3845540
求助须知:如何正确求助?哪些是违规求助? 3387824
关于积分的说明 10550641
捐赠科研通 3108452
什么是DOI,文献DOI怎么找? 1712776
邀请新用户注册赠送积分活动 824505
科研通“疑难数据库(出版商)”最低求助积分说明 774877