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Research Article | Open Access

Predictors of risk of intracerebral hemorrhage after intracranial artery intervention in intracranial atherosclerotic stenosis patients

Liang Liua,cJie Lib,cQing-Wu Yangb( )
Department of Neurology, The General Hospital of Northern Theater Command, Shenyang, Liaoning, China
Department of Neurology, Xinqiao Hospital, Army Medical University, Chongqing 400037, China

c Liang Liu and Jie Li contributed equally to this work.

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Abstract

To investigate the relationship between clinical characters of intracranial atherosclerotic stenosis patients and occurrence of cerebral hemorrhage after intracranial artery intervention. Clinical data of total 501 patients who underwent endovascular therapy for ischemic stroke or transient ischemic attack were retrospectively reviewed. Median (interquartile range, IQR) of the American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology (ASITN/SIR) collateral score was higher in intracerebral hemorrhage (ICH) group (P < 0.001). Cerebral blood flow (CBF) reducing, cerebral blood volume (CBV) reducing, time to peak (TTP) delaying and mean transit time (MTT) delaying in the lesion side comparing the contralateral side were higher in ICH group (P = 0.018, P = 0.046, P = 0.012, P = 0.038). ASITN/SIR ≤ 2, CBF reducing ≥ 40%, CBV reducing ≥ 30%, TTP delaying ≥ 2 s, MTT delaying ≥ 1 s, infarction volume ≥ 20 mL were probably the independent predictors of ICH following endovascular therapy.

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Brain Hemorrhages
Pages 59-64

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Cite this article:
Liu L, Li J, Yang Q-W. Predictors of risk of intracerebral hemorrhage after intracranial artery intervention in intracranial atherosclerotic stenosis patients. Brain Hemorrhages, 2020, 1(1): 59-64. https://doi.org/10.1016/j.hest.2020.01.005

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Received: 25 December 2019
Revised: 29 January 2020
Accepted: 29 January 2020
Published: 15 February 2020
© 2020

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).