侧支循环评分对急性基底动脉闭塞脑梗死患者血管内治疗预后的预测价值OA

Objective To investigate the influencing factors for the prognosis of patients with acute basilar artery occlusion after endovascular treatment,as well as the value of collateral circulation scores in predicting prognosis after en-dovascular treatment.Methods A retrospective analysis was performed for the clinical data of 74 patients with acute basi-lar artery occlusion who underwent endovascular treatment at Stroke Center of The Affiliated People's Hospital of Henan University of Medicine from January 2020 to June 2025.Modified Rankin Scale(mRS)score on day 90 after surgery was used to assess the prognosis of patients,and then the patients were divided into good prognosis group(47 patients with an mRS score of≤2)and poor prognosis group(27 patients with an mRS score of>2).The two groups were compared in terms of baseline data,risk factors,surgical data,infarction location,postoperative complications,pc-ASPECTS score,NIHSS score,and collateral circulation scores(pc-CS and BATMAN).Results There were significant differences be-tween the two groups in time of operation,NIHSS score,pc-ASPECTS score,pc-CS score,and BATMAN score(P<0.05).The receiver operating characteristic curve analysis showed that BATMAN and pc-CS had a good performance in predicting the prognosis of patients.Conclusion As the representative methods for assessing collateral circulation,BATMAN and pc-CS have a certain value in predicting prognosis after endovascular treatment for acute basilar artery occlu-sion,each with its own advantages,and they can be selected based on specific clinical needs.