Table 3.
Total Infarct Growth | White Matter Infarct Growth | Cortex Infarct Growth | Basal Ganglia Infarct Growth | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Univariable | Multivariable | Univariable | Multivariable | Univariable | Multivariable | Univariable | Multivariable | |||||||||
β | P | β | P | β | P | β | P | β | P | β | P | β | P | β | P | |
Age, Years | −0.263 | 0.002 | −0.041 | 0.841 | −0.198 | 0.197 | −0.142 | 0.358 | −0.347 | 0.021 | −0.180 | 0.195 | ||||
Female | −0.358 | 0.017 | −0.294 | 0.042 | −0.277 | 0.069 | −0.130 | 0.332 | −0.391 | 0.009 | −0.33 | 0.015 | −0.048 | 0.756 | ||
Hypertension | −0.267 | 0.080 | −0.161 | 0.388 | −0.247 | 0.107 | −0.130 | 0.402 | −0.251 | 0.100 | ||||||
Diabetes | −0.178 | 0.247 | −0.020 | 0.896 | −0.204 | 0.185 | 0.048 | 0.759 | ||||||||
Atrial Fibrillation | −0.289 | 0.057 | −0.077 | 0.625 | −0.201 | 0.192 | −0.215 | 0.161 | −0.153 | 0.323 | ||||||
Stroke/TIA History | −0.191 | 0.215 | −0.133 | 0.391 | −0.233 | 0.128 | −0.228 | 0.137 | ||||||||
Coronary Artery Disease | −0.165 | 0.284 | −0.079 | 0.609 | −0.278 | 0.068 | −0.34 | 0.015 | 0.208 | 0.176 | ||||||
Cervical ICA Disease | 0.243 | 0.111 | 0.262 | 0.086 | 0.209 | 0.143 | 0.142 | 0.358 | 0.393 | 0.008 | 0.272 | 0.047 | ||||
ICA Terminus Occlusion | 0.011 | 0.943 | −0.020 | 0.897 | −0.026 | 0.868 | 0.089 | 0.564 | ||||||||
M1 Occlusion | −0.202 | 0.188 | −0.185 | 0.230 | −0.102 | 0.509 | −0.046 | 0.767 | ||||||||
M2 Occlusion | 0.256 | 0.093 | 0.190 | 0.191 | 0.269 | 0.077 | 0.206 | 0.131 | 0.166 | 0.282 | −0.041 | 0.791 | ||||
Collateral Grade | 0.158 | 0.305 | 0.243 | 0.112 | 0.148 | 0.337 | 0.152 | 0.325 | ||||||||
Intravenous Alteplase | 0.271 | 0.075 | 0.215 | 0.182 | 0.284 | 0.062 | 0.261 | 0.057 | 0.125 | 0.418 | 0.242 | 0.114 | ||||
LKW-Alteplase Time, Min |
0.237 | 0.301 | 0.289 | 0.204 | 0.263 | 0.249 | −0.249 | 0.277 | ||||||||
LKW-Pre-EVT MRI Time, Min |
−0.158 | 0.307 | −0.173 | 0.261 | −0.068 | 0.662 | −0.431 | 0.003 | −0.254 | 0.114 | ||||||
Pre-EVT Total Infarct Volume |
0.189 | 0.218 | 0.195 | 0.205 | 0.065 | 0.677 | 0.262 | 0.086 | ||||||||
Pre-EVT White Matter Infarct Volume |
0.155 | 0.315 | 0.167 | 0.279 | 0.001 | 0.994 | 0.262 | 0.085 | 0.190 | 0.138 | ||||||
Pre-EVT Cortex Infarct Volume |
0.179 | 0.244 | 0.175 | 0.256 | 0.056 | 0.717 | 0.215 | 0.160 | ||||||||
Pre-EVT Basal Ganglia Infarct Volume |
0.165 | 0.285 | 0.19 | 0.218 | 0.161 | 0.296 | 0.137 | 0.377 | ||||||||
LKW-Groin Time, Min | −0.005 | 0.973 | 0.017 | 0.911 | 0.133 | 0.388 | −0.489 | 0.001 | −0.195 | 0.244 | ||||||
Groin-Recanalization Time, Min |
0.129 | 0.414 | 0.118 | 0.456 | 0.073 | 0.646 | 0.238 | 0.129 | ||||||||
Pre-EVT MRI- Reperfusion Time, Min |
0.215 | 0.171 | 0.252 | 0.108 | 0.189 | 0.230 | 0.235 | 0.134 | ||||||||
General Anesthesia | 0.083 | 0.592 | 0.176 | 0.254 | 0.027 | 0.861 | −0.036 | 0.817 | ||||||||
Total Number Passes | 0.140 | 0.365 | 0.110 | 0.478 | 0.182 | 0.236 | 0.240 | 0.116 | ||||||||
TICI 3 Complete Reperfusion |
−0.268 | 0.079 | −0.171 | 0.262 | −0.354 | 0.019 | −0.280 | 0.048 | −0.316 | 0.036 | −0.34 | 0.017 | −0.007 | 0.964 | ||
Pre-EVT-Post-EVT MRI Time, Hours |
0.196 | 0.202 | 0.259 | 0.090 | 0.240 | 0.083 | 0.125 | 0.420 | 0.067 | 0.666 |
Several variables were identified as being associated with region-specific infarct growth in univariable analyses. In a multivariable model for determinants of total infarct growth (R2=0.334, p=0.029), female sex was independently associated with less growth. In a multivariable model for determinants of white matter infarct growth (R2=0.381, p=0.005), TICI 3 was independently associated with less growth. In a multivariable model for determinants of cortical infarct growth (R2=0.329, p=0.001), female sex, coronary artery disease, and TICI 3 were independently associated with less growth. In a multivariable model for determinants of basal ganglia infarct growth (R2=0.348, p=0.001), cervical ICA disease was associated with more growth. Abbreviations: TIA: transient ischemic attack, ICA: internal carotid artery, M1: first segment of middle cerebral artery, M2: second segment, LKW: last known well, cc: cubic centimeters, TICI: thrombolysis in cerebral infarction, β: parameter estimate.