Afficher la notice abrégée

Intracranial Extension of Extracranial Vertebral Dissection Is Associated With an Increased Risk of Ischemic Events

dc.rights.licenseopenen_US
dc.contributor.authorDI MEGLIO, L.
dc.contributor.authorMAZIGHI, M.
dc.contributor.authorREINER, P.
dc.contributor.authorPERES, R.
dc.contributor.authorGUICHARD, J. P.
dc.contributor.authorLABEYRIE, M. A.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDEBETTE, Stephanie
dc.contributor.authorCHABRIAT, H.
dc.contributor.authorCOGNAT, E.
dc.date.accessioned2020-06-05T09:45:20Z
dc.date.available2020-06-05T09:45:20Z
dc.date.issued2019-08
dc.identifier.issn1524-4628 (Electronic) 0039-2499 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/7762
dc.description.abstractEnBackground and Purpose- Intracranial artery dissection can eventually lead to subarachnoid or intracerebral hemorrhage. Little is known about the clinical features and risks associated with extracranial vertebral artery dissection that extends intracranially. The clinical and imaging characteristics of extracranial vertebral artery dissection (eVAD) with (e+iVAD) or without (eVAD) intracranial extension were analyzed. Methods- The frequency of ischemic events, including ischemic strokes and transient ischemic attacks, was compared between e+iVAD and eVAD patients from a monocentric cohort study. Results- Among 328 patients with cervical artery dissection, vertebral artery dissection was diagnosed in 153 individuals. Twenty-nine patients had e+iVAD (19%) and 124 patients had only eVAD (81%). Cardiovascular risk factors did not differ between these 2 groups, but ischemic events were more frequent in patients with e+iVAD than in patients with eVAD (86% versus 48%, P=0.0002). Subarachnoid hemorrhage occurred in 1 patient with e+iVAD and in 9 with eVAD (6% versus 3%, P=0.53). Intracranial extension was an independent factor associated with ischemic stroke at admission (odds ratio, 6.43; 95% CI, -1.96 to 21.08; P=0.002) after adjustment for cardiovascular risk factors and imaging findings. Conclusions- In a large cohort of patients with vertebral artery dissection, intracranial extension of the vessel dissection appears associated with an increased risk of ischemic stroke.
dc.language.isoENen_US
dc.subject.enVINTAGE
dc.title.enIntracranial Extension of Extracranial Vertebral Dissection Is Associated With an Increased Risk of Ischemic Events
dc.title.alternativeStrokeen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1161/strokeaha.119.025227en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed31221053en_US
bordeaux.journalStrokeen_US
bordeaux.page2231-2233en_US
bordeaux.volume50en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue8en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03209932
hal.version1
hal.date.transferred2021-04-27T13:35:37Z
hal.exporttrue
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Stroke&rft.date=2019-08&rft.volume=50&rft.issue=8&rft.spage=2231-2233&rft.epage=2231-2233&rft.eissn=1524-4628%20(Electronic)%200039-2499%20(Linking)&rft.issn=1524-4628%20(Electronic)%200039-2499%20(Linking)&rft.au=DI%20MEGLIO,%20L.&MAZIGHI,%20M.&REINER,%20P.&PERES,%20R.&GUICHARD,%20J.%20P.&rft.genre=article


Fichier(s) constituant ce document

FichiersTailleFormatVue

Il n'y a pas de fichiers associés à ce document.

Ce document figure dans la(les) collection(s) suivante(s)

Afficher la notice abrégée