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Large ischemic core defined by visually assessed ASPECTS predicts functional outcomes comparably accurate to automated CT perfusion in the 6-24 h window

Automated CT perfusion (aCTP) is commonly used to select patients with anterior circulation large vessel occlusion (aLVO) for endovascular treatment (EVT). The equivalence of visually assessed Non-contrast CT Alberta Stroke Program Early CT Scores (ASPECTS) and aCTP based selection in predicting fav...

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Published in:European stroke journal 2024-10, p.23969873241286691
Main Authors: Dittrich, Tolga D, Nguyen, Anh, Sporns, Peter B, Toebak, Anna M, Kriemler, Lilian F, Rudin, Salome, Zietz, Annaelle, Wagner, Benjamin, Barinka, Filip, Hänsel, Martin, Gensicke, Henrik, Sutter, Raoul, Nickel, Christian H, Katan, Mira, Peters, Nils, Michels, Lars, Kulcsár, Zsolt, Karwacki, Grzegorz M, Pileggi, Marco, Cereda, Carlo, Wegener, Susanne, Bonati, Leo H, Psychogios, Marios, De Marchis, Gian Marco
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Language:English
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Summary:Automated CT perfusion (aCTP) is commonly used to select patients with anterior circulation large vessel occlusion (aLVO) for endovascular treatment (EVT). The equivalence of visually assessed Non-contrast CT Alberta Stroke Program Early CT Scores (ASPECTS) and aCTP based selection in predicting favorable functional outcomes remains uncertain. Retrospective multicenter study of adult aLVO patients from the Swiss Stroke Registry (2014-2021) treated with EVT or best medical treatment 6-24 h after stroke onset. We assessed ASPECTS on non-contrast CT visually and ischemic core volumes on aCTP, defining ASPECTS 0-5 and aCTP CBF 
ISSN:2396-9873
2396-9881
2396-9881
DOI:10.1177/23969873241286691