This retrospective study was performed based on clinical data consecutively collected from patients with BAD who were admitted to Zhongnan Hospital of Wuhan University from January 2015 to August 2019. Inclusion criteria were as follows: subjects who (1 (
link)) were treated within 4.5 h after symptom onset, (2 (
link)) received intravenous alteplase or/and antiplatelet therapy, (3 (
link)) completed follow-up process at 3 months after stroke, and (4 (
link)) were diagnosed by diffusion-weighted imaging (DWI). Exclusion criteria were as follows: subjects who (1 (
link)) were treated beyond 4.5 h after symptom onset, (2 (
link)) received intravenous urokinase, (3 (
link)) failed to complete magnetic resonance imaging (MRI) or had poor imaging quality, or (4 (
link)) did not complete follow-up at 3 months after stroke.
Figure 1 shows the flowchart of selection of eligible study subjects. Moreover, as illustrated in
Figure 2, BAD-related infarctions were previously defined as follows (6 (
link), 11 (
link)–15 (
link)): (1 (
link)) infarcts with a diameter ≥15 mm that involves ≥3 axial slices on DWI in the blood-supply region of lenticulostriate artery, or lesions extending to the ventral pontine surface in the blood-supply region of paramedian pontine artery; (2 (
link)) neither evidence of large arterial stenosis (>50%) or occlusion, nor evidence of cardiogenic embolism.
Demographic characteristics, including age and sex, as well as clinical data, involving onset-to-needle time (ONT), baseline National Institutes of Health Stroke Scale (NIHSS) score, blood pressure at admission, baseline blood glucose levels, NIHSS score at discharge, and length of stay at hospital were recorded. Risk factors, such as hypertension, hyperlipidemia, diabetes mellitus, history of smoking, atrial fibrillation, and history of ischemic stroke were recorded as well. The clinical data were collected by two neurologists (CN and ZK).
Wu X., Liu Y., Nie C., Kang Z., Wang Q., Sun D., Li H., Liu Y, & Mei B. (2020). Efficacy and Safety of Intravenous Thrombolysis on Acute Branch Atheromatous Disease: A Retrospective Case–Control Study. Frontiers in Neurology, 11, 581.