The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2021-09-17 eCollection Date: 2021-01-01 DOI:10.1155/2021/9733926

Yue Wang, Jingjing Xiao, Li Zhao, Shaoshi Wang, Mingming Wang, Yu Luo, Huazheng Liang, Lingjing Jin

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引用次数: 2

Abstract

Objectives: The present study is aimed at investigating the frequency and associated factors of asymmetrical prominent veins (APV) in patients with acute ischemic stroke (AIS).

Methods: Consecutive patients with AIS admitted to the Comprehensive Stroke Center of Shanghai Fourth People's Hospital between January 2013 and December 2017 were enrolled. MRI including diffusion-weighted imaging (DWI), perfusion-weighted imaging (PWI), and susceptibility-weighted imaging (SWI) was performed within 12 hours of symptom onset. The volume of asymmetrical prominent veins (APV) was evaluated using the Signal Processing In nuclear magnetic resonance software (SPIN, Detroit, Michigan, USA). Multivariate analysis was used to assess relationships between APV findings and medical history, clinical variables as well as cardio-metabolic indices.

Results: Seventy-six patients met the inclusion criteria. The frequency of APV ≥ 10 mL was 46.05% (35/76). Multivariate analyses showed that proximal artery stenosis or occlusion (≥50%) (P < 0.001, adjusted odds ratio (OR) = 660.0, 95%CI = 57.28-7604.88) and history of atrial fibrillation (P < 0.001, adjusted OR = 10.48, 95%CI = 1.78-61.68) were independent factors associated with high APV (≥10 mL).

Conclusion: Our findings suggest that the frequency of APV ≥ 10 mL is high in patients with AIS within 12 hours of symptom onset. History of atrial fibrillation and severe proximal artery stenosis or occlusion are strong predictors of high APV as calculated by SPIN on the SWI map.

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不对称突出静脉的频率和相关因素:急性缺血性卒中患者不良预后的预测因子。

目的:探讨急性缺血性脑卒中(AIS)患者不对称突出静脉(APV)的发生频率及其相关因素。方法:纳入2013年1月至2017年12月在上海市第四人民医院脑卒中综合中心连续住院的AIS患者。在症状出现后12小时内进行MRI检查，包括弥散加权成像(DWI)、灌注加权成像(PWI)和敏感性加权成像(SWI)。使用核磁共振软件Signal Processing In (SPIN, Detroit, Michigan, USA)评估不对称突出静脉(APV)的体积。采用多变量分析评估APV结果与病史、临床变量以及心脏代谢指标之间的关系。结果:76例患者符合纳入标准。APV≥10 mL占46.05%(35/76)。多因素分析显示，近端动脉狭窄或闭塞(≥50%)(P < 0.001，校正比值比(or) = 660.0, 95%CI = 57.28 ~ 7604.88)和房颤史(P < 0.001，校正比值比(or) = 10.48, 95%CI = 1.78 ~ 61.68)是高APV(≥10 mL)的独立因素。结论:我们的研究结果表明，在症状出现后12小时内，APV≥10 mL的频率在AIS患者中很高。根据SWI图上的SPIN计算，房颤病史和严重的近端动脉狭窄或闭塞是高APV的有力预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567

期刊介绍： ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/Abstracted： Web of Science SCIE Scopus CAS INSPEC Portico