The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke
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 bet...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Neural Plasticity |
| Online Access: | http://dx.doi.org/10.1155/2021/9733926 |
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| author | Yue Wang Jingjing Xiao Li Zhao Shaoshi Wang Mingming Wang Yu Luo Huazheng Liang Lingjing Jin |
| author_facet | Yue Wang Jingjing Xiao Li Zhao Shaoshi Wang Mingming Wang Yu Luo Huazheng Liang Lingjing Jin |
| author_sort | Yue Wang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ee317babb93947aab3c515b0776b1a2d |
| institution | Kabale University |
| issn | 2090-5904 1687-5443 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Neural Plasticity |
| spelling | doaj-art-ee317babb93947aab3c515b0776b1a2d2025-02-03T05:47:08ZengWileyNeural Plasticity2090-59041687-54432021-01-01202110.1155/2021/97339269733926The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic StrokeYue Wang0Jingjing Xiao1Li Zhao2Shaoshi Wang3Mingming Wang4Yu Luo5Huazheng Liang6Lingjing Jin7Department of Neurological Rehabilitation, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai 201619, ChinaDepartment of Neurology, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaAdministration Department of Nosocomial Infection Affiliated to Zhongshan Hospital of Dalian University, ChinaDepartment of Neurology, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaTranslational Research Institute of Brain and Brain-Like Intelligence Affiliated to Tongji University School of Medicine, Shanghai, ChinaTranslational Research Institute of Brain and Brain-Like Intelligence Affiliated to Tongji University School of Medicine, Shanghai, ChinaTranslational Research Institute of Brain and Brain-Like Intelligence Affiliated to Tongji University School of Medicine, Shanghai, ChinaDepartment of Neurological Rehabilitation, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai 201619, ChinaObjectives. 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.http://dx.doi.org/10.1155/2021/9733926 |
| spellingShingle | Yue Wang Jingjing Xiao Li Zhao Shaoshi Wang Mingming Wang Yu Luo Huazheng Liang Lingjing Jin The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke Neural Plasticity |
| title | The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke |
| title_full | The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke |
| title_fullStr | The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke |
| title_full_unstemmed | The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke |
| title_short | The Frequency and Associated Factors of Asymmetrical Prominent Veins: A Predictor of Unfavorable Outcomes in Patients with Acute Ischemic Stroke |
| title_sort | frequency and associated factors of asymmetrical prominent veins a predictor of unfavorable outcomes in patients with acute ischemic stroke |
| url | http://dx.doi.org/10.1155/2021/9733926 |
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