PREDICTOR’S ANALYSIS OF ANTERIOR CIRCULATION CEREBRAL INFARCTION AFTER THE ENDOVASCULAR TREATMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS

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SUN LIQIAN; JING XIAOBIN; CUI CHANGMENG; CUI JIANZHONG

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Paper Information

Journal: JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS) Year:2014 | Volume:19 | Issue:4 Page(s): 304-309

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Title

PREDICTOR’S ANALYSIS OF ANTERIOR CIRCULATION CEREBRAL INFARCTION AFTER THE ENDOVASCULAR TREATMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS

Author(s)

SUN LIQIAN | JING XIAOBIN | CUI CHANGMENG | CUI JIANZHONG | Issue Writer Certificate

Keywords

ANTERIOR CIRCULATION CEREBRAL INFARCTION

ANTERIOR COMMUNICATING ARTERY ANEURYSM

EMBOLIZATION

MODIFIED FISHER GRADE

RISK FACTORS

Abstract

Background: Despite increasing acceptance of endovascular coiling for treating anterior communicating artery (ACoA) aneurysms, ANTERIOR CIRCULATION CEREBRAL INFARCTION (ACI) after EMBOLIZATION remains a limitation. With higher incidence, higher morbidity and higher mortality, it is one of the main factors influencing the ACoA aneurysms prognosis. Determining the RISK FACTORS leading to ACI after EMBOLIZATION will have clinical significance. Through retrospective case analysis, this study investigated the RISK FACTORS related to ACI after EMBOLIZATION in order to provide information to serve the clinical practice.Materials and Methods: A retrospective review was performed of patients who had undergone coiling of ACoA aneurysms from 2008 to 2012. All patients had ruptured prior to the completion of EMBOLIZATION. Cases with acute stroke symptoms without alternative diagnoses after EMBOLIZATION were diagnosed as ACI. A total of 32 RISK FACTORS such as age, sex, hypertension, diabetes mellitus, MODIFIED FISHER GRADE, Hunt-Hess grade, ventricular hemorrhage, etc. were analyzed using univariate and logistic regression analysis.Results: Univariate analysis showed that negative fluid volume balance (P=0.041 <0.05) and MODIFIED FISHER GRADE (P=0.049 <0.05) reached statistical significance, suggesting that they might be RISK FACTORS for ACI after EMBOLIZATION. Multiple logistic regression analysis showed that MODIFIED FISHER GRADE was significantly associated with ACI after EMBOLIZATION, suggesting that it was an independent risk factor (odds ratios (OR): 4.968, 95% confidence intervals (CI): 1.013-24.360, P=0.048).Conclusion: MODIFIED FISHER GRADE is an independent risk factor for ACI after EMBOLIZATION.

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APA: Copy

SUN, LIQIAN, JING, XIAOBIN, CUI, CHANGMENG, & CUI, JIANZHONG. (2014). PREDICTOR’S ANALYSIS OF ANTERIOR CIRCULATION CEREBRAL INFARCTION AFTER THE ENDOVASCULAR TREATMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), 19(4), 304-309. SID. https://sid.ir/paper/630408/en

Vancouver: Copy

SUN LIQIAN, JING XIAOBIN, CUI CHANGMENG, CUI JIANZHONG. PREDICTOR’S ANALYSIS OF ANTERIOR CIRCULATION CEREBRAL INFARCTION AFTER THE ENDOVASCULAR TREATMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS)[Internet]. 2014;19(4):304-309. Available from: https://sid.ir/paper/630408/en

IEEE: Copy

LIQIAN SUN, XIAOBIN JING, CHANGMENG CUI, and JIANZHONG CUI, “PREDICTOR’S ANALYSIS OF ANTERIOR CIRCULATION CEREBRAL INFARCTION AFTER THE ENDOVASCULAR TREATMENT OF ANTERIOR COMMUNICATING ARTERY ANEURYSMS,” JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), vol. 19, no. 4, pp. 304–309, 2014, [Online]. Available: https://sid.ir/paper/630408/en

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