Prognostic Implications of Post-Endovascular Therapy Contrast Staining in Basilar Artery Occlusion Stroke - Scorecard - MDSpire

Prognostic Implications of Post-Endovascular Therapy Contrast Staining in Basilar Artery Occlusion Stroke

  • By

  • Natascha Hohmann

  • Matthias P. Fabritius

  • Sijing Gu

  • Daniel Puhr-Westerheide

  • Philipp Lohse

  • Steffen Tiedt

  • Lars Kellert

  • Konstantinos Dimitriadis

  • Sergio Grosu

  • Thomas Liebig

  • Jens Ricke

  • Wolfgang G. Kunz

  • Osman Öcal

  • Paul Reidler

  • April 28, 2026

  • 0 min

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Clinical Scorecard: Prognostic Implications of Post-Endovascular Therapy Contrast Staining in Basilar Artery Occlusion Stroke

At a Glance

CategoryDetail
Condition
Key MechanismsContrast staining indicates blood-brain barrier disruption post-endovascular therapy, correlating with worse functional outcomes.
Target Population
Care Setting

Key Highlights

  • Contrast staining on CT is present in 42.9% of BAO patients post-EVT, indicating a significant risk for poor outcomes.
  • Higher mRS scores at 90 days are significantly associated with contrast staining.

Guideline-Based Recommendations

Diagnosis

    Management

    • Consider contrast staining as a prognostic factor in treatment planning, potentially guiding the intensity of post-EVT monitoring and rehabilitation strategies.

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Patients with basilar artery occlusion treated with EVT.

        Post-interventional imaging can guide prognosis and management.

        Clinical Best Practices

        • Incorporate post-EVT imaging to evaluate blood-brain barrier integrity and adjust treatment plans accordingly.
        • Utilize mRS scores to define unfavorable outcomes in BAO patients and tailor follow-up care.

        References

        Original Source(s)

        Prognostic Implications of Post-Endovascular Therapy Contrast Staining in Basilar Artery Occlusion Stroke

        • by Natascha Hohmann, Matthias P. Fabritius, Sijing Gu, Daniel Puhr-Westerheide, Philipp Lohse, Steffen Tiedt, Lars Kellert, Konstantinos Dimitriadis, Sergio Grosu, Thomas Liebig, Jens Ricke, Wolfgang G. Kunz, Osman Öcal, Paul Reidler

        • April 28, 2026

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