Evaluation of the relationship between computed tomography angiography collateral scores and clinical outcome

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dc.authorid0000-0001-5524-5767
dc.authorid0000-0002-5308-4653
dc.authorid0000-0003-0837-8756
dc.authorid0000-0002-9939-2678
dc.authorid0000-0003-2513-4753
dc.authorid0000-0002-3317-9567
dc.contributor.authorYabalak, Ahmet
dc.contributor.authorÖgün, Muhammed Nur
dc.contributor.authorÖnalan, Ayşenur
dc.contributor.authorYılmaz, Murat
dc.contributor.authorTokmak, Hilmiye
dc.contributor.authorErsoy, Sadettin
dc.contributor.authorBilgili, Fatma
dc.date.accessioned2024-09-25T20:00:01Z
dc.date.available2024-09-25T20:00:01Z
dc.date.issued2024
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü en_US
dc.description.abstractBackground The relationship between collateral circulation and prognosis after endovascular treatment in anterior circulation strokes has been reported in many studies. Objective In this study, we aimed to compare the predictive power of clinical outcome by comparing five different collateral scores that are frequently used. Methods Among the patients who underwent endovascular treatment in our clinic between November 2019 and December 2021, patients with premorbid mRS < 3, intracranial ICA and/or MCA M1 occlusion, and a pre-procedural multiphase CTA examination were included in the study. Demographic, technical, and duration information about the procedure, major events after the procedure, and clinical outcomes at 3 months were recorded. The mCTA, Tan, Maas, Miteff, and rLMC collateral scores of the patients were evaluated. Results Clinical outcome at 3 months were good in 37 of the 68 patients included in the study (mRS <= 2). Only the mCTA and rLMC collateral scores were statistically significantly higher in those with a good clinical outcome. Significant correlation with 3-month mRS was detected only in mCTA and rLMC scores. Although rLMC and mCTA collateral scores showed a statistically significant association with prognosis, they were not sufficient to be an independent predictor of prognosis. Conclusion mCTA and rLMC were found to have the highest predictive power of clinical outcome and the highest correlation with the 3-month clinical outcome. Our study suggests that it would be beneficial to develop a new scoring system over multiphase CTA, which combines regional and temporal evaluation, which are the strengths of both collateral scoring.en_US
dc.identifier.doi10.1055/s-0044-1779268
dc.identifier.endpage7en_US
dc.identifier.issn0004-282X
dc.identifier.issn1678-4227
dc.identifier.issue3en_US
dc.identifier.pmid38438069en_US
dc.identifier.scopus2-s2.0-85186843905en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.1055/s-0044-1779268
dc.identifier.urihttps://hdl.handle.net/20.500.12491/14046
dc.identifier.volume82en_US
dc.identifier.wosWOS:001179420500002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÖgün, Muhammed Nur
dc.institutionauthorYılmaz, Murat
dc.institutionauthorid0000-0002-5308-4653
dc.institutionauthorid0000-0001-5524-5767
dc.language.isoenen_US
dc.publisherAssoc Arquivos Neuro- Psiquiatriaen_US
dc.relation.ispartofArquivos De Neuro-Psiquiatriaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectStrokeen_US
dc.subjectCollateral Circulationen_US
dc.subjectEndovascular Proceduresen_US
dc.subjectThrombectomyen_US
dc.subjectComputed Tomography Angiographyen_US
dc.titleEvaluation of the relationship between computed tomography angiography collateral scores and clinical outcomeen_US
dc.typeArticleen_US

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