Vertebral artery stenosis in the Basilar Artery International Cooperation Study (BASICS): prevalence and outcome

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCOMPTER, Annette
dc.contributor.authorHOEVEN, Erik J. R. J. van der
dc.contributor.authorWORP, H. Bart van der
dc.contributor.authorVOS, Jan Albert
dc.contributor.authorWEIMAR, Christian
dc.contributor.authorRUECKERT, Christina M.
dc.contributor.authorKAPPELLE, L. Jaap
dc.contributor.authorALGRA, Ale
dc.contributor.authorSCHONEWILLE, Wouter J.
dc.contributor.groupauthorBASICS Study Grp
dc.contributor.groupauthorCONFORTO, Adriana Bastos
dc.date.accessioned2019-01-17T13:39:15Z
dc.date.available2019-01-17T13:39:15Z
dc.date.issued2015
dc.description.abstractWe assessed the prevalence of vertebral artery (VA) stenosis or occlusion and its influence on outcome in patients with acute basilar artery occlusion (BAO). We studied 141 patients with acute BAO enrolled in the Basilar Artery International Cooperation Study (BASICS) registry of whom baseline CT angiography (CTA) of the intracranial VAs was available. In 72 patients an additional CTA of the extracranial VAs was available. Adjusted risk ratios (aRRs) for death and poor outcome, defined as a modified Rankin Scale score a parts per thousand yen4, were calculated with Poisson regression in relation to VA occlusion, VA occlusion or stenosis a parts per thousand yen50 %, and bilateral VA occlusion. Sixty-six of 141 (47 %) patients had uni- or bilateral intracranial VA occlusion or stenosis a parts per thousand yen50 %. Of the 72 patients with intra- and extracranial CTA, 46 (64 %) had uni- or bilateral VA occlusion or stenosis a parts per thousand yen50 % and 9 (12 %) had bilateral VA occlusion. Overall, VA occlusion or stenosis a parts per thousand yen50 % was not associated with the risk of poor outcome. Patients with intra- and extracranial CTA and bilateral VA occlusion had a higher risk of poor outcome than patients without bilateral VA occlusion (aRR, 1.23; 95 % CI 1.02-1.50). The risk of death did not depend on the presence of unilateral or bilateral VA occlusion or stenosis a parts per thousand yen50 %. In conclusion, in patients with acute BAO, unilateral VA occlusion or stenosis a parts per thousand yen50 % is frequent, but not associated with an increased risk of poor outcome or death. Patients with BAO and bilateral VA occlusion have a slightly increased risk of poor outcome.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipDutch Heart Foundation [2007/B045, 2010/B151, 2010T075]
dc.identifier.citationJOURNAL OF NEUROLOGY, v.262, n.2, p.410-417, 2015
dc.identifier.doi10.1007/s00415-014-7583-5
dc.identifier.eissn1432-1459
dc.identifier.issn0340-5354
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30191
dc.language.isoeng
dc.publisherSPRINGER HEIDELBERGeng
dc.relation.ispartofJournal of Neurology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGER HEIDELBERGeng
dc.subjectAcute strokeeng
dc.subjectVertebrobasilar diseaseeng
dc.subjectAtherosclerosiseng
dc.subjectBasilar artery occlusioneng
dc.subject.otherischemic-strokeeng
dc.subject.otherocclusioneng
dc.subject.otherregistryeng
dc.subject.wosClinical Neurologyeng
dc.titleVertebral artery stenosis in the Basilar Artery International Cooperation Study (BASICS): prevalence and outcomeeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryHolanda
hcfmusp.affiliation.countryAlemanha
hcfmusp.affiliation.countryisonl
hcfmusp.affiliation.countryisode
hcfmusp.author.externalCOMPTER, Annette:Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Dept Neurol & Neurosurg, NL-3508 GA Utrecht, Netherlands
hcfmusp.author.externalHOEVEN, Erik J. R. J. van der:St Antonius Hosp, Dept Radiol, Nieuwegein, Netherlands
hcfmusp.author.externalWORP, H. Bart van der:Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Dept Neurol & Neurosurg, NL-3508 GA Utrecht, Netherlands
hcfmusp.author.externalVOS, Jan Albert:St Antonius Hosp, Dept Radiol, Nieuwegein, Netherlands
hcfmusp.author.externalWEIMAR, Christian:Univ Duisburg Essen, Dept Neurol, Essen, Germany
hcfmusp.author.externalRUECKERT, Christina M.:St Elizabeth Hosp, Dept Neurol, Ravensburg, Germany
hcfmusp.author.externalKAPPELLE, L. Jaap:Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Dept Neurol & Neurosurg, NL-3508 GA Utrecht, Netherlands
hcfmusp.author.externalALGRA, Ale:Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Dept Neurol & Neurosurg, NL-3508 GA Utrecht, Netherlands; Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, NL-3508 GA Utrecht, Netherlands
hcfmusp.author.externalSCHONEWILLE, Wouter J.:Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Dept Neurol & Neurosurg, NL-3508 GA Utrecht, Netherlands; St Antonius Hosp, Dept Neurol, Nieuwegein, Netherlands
hcfmusp.citation.scopus18
hcfmusp.description.beginpage410
hcfmusp.description.endpage417
hcfmusp.description.issue2
hcfmusp.description.volume262
hcfmusp.origemWOS
hcfmusp.origem.pubmed25417970
hcfmusp.origem.scopus2-s2.0-84925511899
hcfmusp.origem.wosWOS:000349889200018
hcfmusp.publisher.cityHEIDELBERGeng
hcfmusp.publisher.countryGERMANYeng
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