Association of the Careggi Collateral Score with 3-month modified Rankin Scale score after thrombectomy for stroke with occlusion of the middle cerebral artery (November, 10.1007/s00415-021-10898-8, 2021)

被引：0

作者：

Cappellari, Manuel ^{[1
]}

Saia, Valentina ^{[2
]}

Pracucci, Giovanni ^{[3
]}

Fainardi, Enrico ^{[4
]}

Consoli, Arturo ^{[5
,6
]}

Nappini, Sergio ^{[6
]}

Castellan, Lucio ^{[7
]}

Bracco, Sandra ^{[8
]}

Bergui, Mauro ^{[9
]}

Cosottini, Mirco ^{[10
]}

Vangosa, Alessandra Briatico ^{[11
]}

Vinci, Sergio ^{[12
]}

Ruggiero, Maria ^{[13
]}

Puglielli, Edoardo ^{[14
]}

Chiumarulo, Luigi ^{[15
]}

Cester, Giacomo ^{[16
]}

Comelli, Chiara ^{[17
]}

Silvagni, Umberto ^{[18
]}

Morosetti, Daniele ^{[19
]}

Caldiera, Valentina ^{[20
]}

Cavasin, Nicola ^{[21
]}

Ledda, Valeria ^{[22
]}

Sanfilippo, Giuseppina ^{[23
]}

Saletti, Andrea ^{[24
]}

Filauri, Pietro ^{[25
]}

Gallesio, Ivan ^{[26
]}

Nuzzi, Nunzio Paolo ^{[27
]}

Amista, Pitero ^{[28
]}

Zivelonghi, Cecilia ^{[1
]}

Plebani, Mauro ^{[29
]}

Pavia, Marco ^{[30
]}

Romano, Daniele ^{[31
]}

Biraschi, Francesco ^{[32
]}

Menozzi, Roberto ^{[33
]}

Gasparotti, Roberto ^{[34
]}

Giorgianni, Andrea ^{[35
]}

Zini, Andrea ^{[36
,37
]}

Inzitari, Domenico ^{[3
]}

Toni, Danilo ^{[38
]}

Mangiafico, Salvatore ^{[6
]}

机构：

[1] Azienda Osped Univ Integrata, Stroke Unit, DAI Neurosci, Piazzale A Stefani 1, I-37126 Verona, Italy

[2] S Corona Hosp, Neurol & Stroke Unit, Pietra Ligure, Italy

[3] Univ Florence, Dept NEUROFARBA, Neurosci Sect, Florence, Italy

[4] Univ Firenze, Osped Univ Careggi, Dipartimento Sci Biomed Sperimentali & Clin, Neuroradiol, Florence, Italy

[5] Hop Foch, Serv Neuroradiol Diagnost & Therapeut, Suresnes, France

[6] Careggi Univ Hosp, Intervent Neurovasc Unit, Florence, Italy

[7] IRCCS Osped Policlin San Martino, Dept Neuroradiol, Genoa, Italy

[8] Univ Hosp Siena, Unit Neuroimaging & Neurointervent, Siena, Italy

[9] Citta Salute & Sci Molinette, Intervent Neuroradiol Unit, Turin, Italy

[10] Univ Pisa, Dept Translat Res & New Technol Med & Surg, Pisa, Italy

[11] SS Annunziata Hosp, Diagnost & Intervent Neuroradiol Unit, Taranto, Italy

[12] Univ Messina, Dept Biomed Sci & Morphol & Funct Images, UOC Neuroradiol, Messina, Italy

[13] Osped Gen Provinciale M Bufalini, Dept Neuroradiol, AUSL Romagna, Cesena, Italy

[14] Osped Civile Mazzini, Vasc & Intervent Radiol Unit, Teramo, Italy

[15] AOU Consorziale Policlin, UOS Neuroradiol Interventist, Bari, Italy

[16] Padua Univ Hosp, Dept Diagnost Imaging & Intervent Radiol, Neuroradiol, Padua, Italy

[17] San Giovanni Bosco Hosp, Intervent Neuroradiol Unit, Turin, Italy

[18] Azienda Osped Annunziata, Intervent Neuroradiol Unit, Cosenza, Italy

[19] Univ Roma Tor Vergata, Dept Diagnost Imaging & Intervent Radiol, Rome, Italy

[20] S Corona Hosp, Dept Neuroradiol, Pietra Ligure, Italy

[21] Osped Angelo, Neuroradiol Unit, Serenissima USSL3, Venice, Italy

[22] Azienda Osped G Brotzu, Vasc & Intervent Neuroradiol Dept, Cagliari, Italy

[23] IRCCS Policlin San Matteo, Radiol & Neuroradiol Diagnost & Interventist, Pavia, Italy

[24] Univ Hosp Arcispedale S Anna, Intervent Neuroradiol Unit, Ferrara, Italy

[25] Presidio Osped SS Filippo e Nicola, Neuroradiol Unit, Avezzano, Italy

[26] Azienda Osped SS Antonio & Biagio & C Arrigo, Dept Radiol, Neuroradiol Unit, Alessandria, Italy

[27] IRCCS, Humanitas Clin & Res Ctr, Rozzano, MI, Italy

[28] Osped S Maria Misericordia, Neuroradiol Unit, Rovigo, Italy

[29] Azienda Osped Univ Integrata, Neuroradiol Unit, Verona, Italy

[30] Fdn Poliambulanza, Neuroradiol Unit, Brescia, Italy

[31] AUO S Giovanni Dio & Ruggi DAragona, UOC Neuroradiol, Salerno, Italy

[32] Univ Roma Sapienza, Dept Human Neurosci, Intervent Neuroradiol, Rome, Italy

[33] Osped Univ, Neuroradiol Unit, Parma, Italy

[34] Spedali Civil Brescia, Neuroradiol Unit, Brescia, Italy

[35] Osped Circolo ASST Sette Laghi, Neuroradiol Dept, Varese, Italy

[36] IRCCS Ist Sci Neurol Bologna, Maggiore Hosp, Dept Neurol, Bologna, Italy

[37] IRCCS Ist Sci Neurol Bologna, Maggiore Hosp, Stroke Ctr, Bologna, Italy

[38] Sapienza Univ Rome, Emergency Dept, Dept Human Neurosci, Stroke Unit, Rome, Italy

来源：

JOURNAL OF NEUROLOGY | 2022年 / 269卷 / 02期

关键词：

Collateral Score; Modified Rankin Scale; Stroke; Thrombectomy;

D O I：

10.1007/s00415-021-10941-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: The Careggi Collateral Score (CCS) (qualitative–quantitative evaluation) was developed from a single-centre cohort as an angiographic score to describe both the extension and effectiveness of the pial collateral circulation in stroke patients with occlusion of the anterior circulation. We aimed to examine the association between CCS (quantitative evaluation) and 3-month modified Rankin Scale (mRS) score in a large multi-center cohort of patients receiving thrombectomy for stroke with occlusion of middle cerebral artery (MCA). Methods: We conducted a study on prospectively collected data from 1284 patients enrolled in the Italian Registry of Endovascular Treatment in Acute Stroke. According to the extension of the retrograde reperfusion in the cortical anterior cerebral artery (ACA)-MCA territories, CCS ranges from 0 (absence of retrograde filling) to 4 (visualization of collaterals until the alar segment of the MCA). Results: Using CCS of 4 as reference, CCS grades were associated in the direction of unfavourable outcome on 3-month mRS shift (0 to 6); significant difference was found between CCS of 0 and CCS of 1 and between CCS of 3 and CCS of 4. CCS ≥ 3 was the optimal cut-off for predicting 3-month excellent outcome, while CCS ≥ 1 was the optimal cut-off for predicting 3-month survival. CCS of 0 and CCS < 3 were associated in the direction of unfavourable recanalization on TICI shift (0 to 3) compared with CCS ≥ 1 and CCS ≥ 3, respectively. Compared with CCS ≥ 3 as reference, CCS of 0 and CCS 1 to 2 were associated in the direction of unfavourable recanalization on TICI shift. There was no evidence of heterogeneity of effects of successful recanalization and procedure time ≤ 60 min on 3-month mRS shift across CCS categories. Conclusion: The CCS could provide a future advantage for improving the prognosis in patients receiving thrombectomy for stroke with M1 or M1–M2 segment of the MCA occlusion. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

引用

页码：1024 / 1025

页数：2