The volume of steal phenomenon is associated with neurological deterioration in patients with large-vessel occlusion minor stroke not eligible for thrombectomy

Introduction: A significant number of patients who present with mild symptoms following large-vessel occlusion acute ischemic stroke (LVO-AIS) are currently considered ineligible for EVT. However, they frequently experience neurological deterioration during hospitalization. This study aimed to inves...

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Bibliographic Details
Published in:European stroke journal 2024-12, Vol.9 (4), p.927-935
Main Authors: Bellomo, Jacopo, Sebök, Martina, van Niftrik, Christiaan HB, Stumpo, Vittorio, Schubert, Tilman, Madjidyar, Jawid, Thurner, Patrick, Globas, Christoph, Wegener, Susanne, Luft, Andreas R, Kulcsár, Zsolt, Regli, Luca, Fierstra, Jorn
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cerebrovascular Circulation - physiology
Female
Humans
Ischemic Stroke - diagnostic imaging
Ischemic Stroke - physiopathology
Ischemic Stroke - therapy
Male
Middle Aged
Original
Retrospective Studies
Thrombectomy - methods
Citations: Items that this one cites
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Summary:Introduction: A significant number of patients who present with mild symptoms following large-vessel occlusion acute ischemic stroke (LVO-AIS) are currently considered ineligible for EVT. However, they frequently experience neurological deterioration during hospitalization. This study aimed to investigate the association between neurological deterioration and hemodynamic impairment by assessing steal phenomenon derived from blood oxygenation-level dependent cerebrovascular reactivity (BOLD-CVR) in this specific patient cohort. Patients and methods: From the database of our single-center BOLD-CVR observational cohort study (June 2015–October 2023) we retrospectively identified acute ischemic stroke patients with admission NIHSS 
ISSN:2396-9873
2396-9881
2396-9881
DOI:10.1177/23969873241251718