Table 1.
Patient Numb er |
Age/ Gend er |
Qualifying Event |
Baseline Imaging |
Location of Stenotic Artery |
Timing QE to Procedure (days) |
Procedural and Stroke Details | Mechanism of Stroke Associated with Clinically Relevant Infarct |
30-day Outco me |
---|---|---|---|---|---|---|---|---|
35 | 57/M | Stroke: Ataxia And weakness |
MR (+ infarct) |
Vertebrobasil ar junction |
7 | 80% lesion at VBJ by diagnostic catheter angiogram Angiogram under anesthesia showed significant reduction in stenosis, now <60%. New PICA evident on angio (Figure 2) New vision loss post angio. New occipital and posterior inferior cerebellar artery territory strokes on repeat MR |
Embolic Complication of angio |
mRS 4 |
36 | 70/F | Stroke: dysarthria, arm and leg weakness |
No baseline MR or CT submitte d |
Basilar | 5 | Diagnostic angiogram (3 days after stroke) demonstrated 98% basilar stenosis Therapeutic (for planned angioplasty) angiogram showed interval occlusion at the site of tenosis Retrograde filling from PComA. atient awoke stable Acute stroke in territory 3 days later. New infarctions by MR in pons and midbrain |
Delayed thrombo- embolic |
Died 3 days after angio |
37 | 74/F | Stroke: face, arm and leg weakness, aphasia |
CT (+ infarct) |
Internal carotid artery |
4 | Catheter angiogram (2 days after stroke) demonstrated 89% cavernous ICA stenosis Treatment angiogram showed complete occlusion Acute stroke in the territory 5 days later while in rehab. (Figure 2, MR ADC maps) |
Delayed thrombo- embolic |
mRS 4 |
Infarct size: 1.5 cm or less – small, 1.5 to 3.0 cm – medium. No petechial hemorrhage unless otherwise noted. Corresponding images described in the
“Procedural and Stroke Details” are shown in Figure 2 by patient number, unless indicated otherwise.
M = male; F = female; MR = magnetic resonance; CT = computed tomography; mRS = modified Rankin score; QE = Qualifying event; ADC = apparent diffusion coefficient)