Patient characteristics, angiographic findings, and results of acetazolamide-challenged single photon emission CT
Patient Characteristics | Angiographic Findings | ACZ-Challenged SPECT | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Occlusive | Maximum rACCT (s) | rACCT (s) | rACCT Ratio | |||||||||
Patient No. | Sex | Age (yr) | Diagnosis | Artery | Grade (%) | Occlusive Side [Flow Pattern] | Normal Side | Qualitative Estimation | Baseline AI | ACZ AI | rRI | |
1 | M | 61 | TIA | R MCA | 80 | 5.9 [lept(A)] | 2.9 | 2.03 | Poor | 1.03 | 0.90 | 0.87 |
2 | F | 65 | TIA | R MCA | 99 | 5.4 [lept(P)] | 2.6 | 2.08 | Poor | 1.01 | 0.89 | 0.88 |
3 | M | 55 | ATI | R ICA | Occlusion | 3.4 [lept(P)] | 2.5 | 1.36 | Normal | 1.00 | 0.96 | 0.96 |
4 | M | 68 | ATI | R ICA | Occlusion | 2.6 [Willis] | 2.6 | 1.00 | Normal | 1.05 | 1.08 | 1.03 |
5 | M | 74 | ATI | R ICA | 99 | 7.9 [physiol] | 4.2 | 1.88 | Poor | 0.86 | 0.65 | 0.76 |
6 | M | 75 | TIA | R MCA | Occlusion | 4.9 [lept(A)] | 4.7 | 1.04 | Normal | 1.03 | 1.01 | 0.98 |
7 | M | 72 | TIA | R ICA | Occlusion | 3.5 [lept(P)] | 3.0 | 1.17 | Normal | 0.95 | 0.95 | 1.00 |
8 | M | 63 | ATI | R ICA | Occlusion | 8.8 [lept(P)] | 3.9 | 2.26 | Poor | 0.78 | 0.55 | 0.71 |
9 | M | 70 | TIA | R ICA | 70 | 3.7 [physiol] | 3.1 | 1.19 | Normal | 0.96 | 0.98 | 1.02 |
10 | M | 73 | Lacuna | L MCA | 70 | 3.9 [physiol] | 3.4 | 1.15 | Normal | 0.93 | 0.95 | 1.02 |
11 | M | 71 | ATI | R ICA | 99 | 5.7 [lept(P)] | 2.4 | 2.38 | Poor | 0.69 | 0.52 | 0.75 |
12 | F | 70 | ATI | L ICA | 70 | 6.8 [physiol] | 3.4 | 2.00 | Poor | 0.97 | 0.87 | 0.90 |
13 | M | 71 | ATI | L MCA | Occlusion | 7.3 [lept(P)] | 3.2 | 2.28 | Poor | 1.00 | 0.89 | 0.89 |
14 | M | 62 | ATI | R MCA | 70 | 2.5 [physiol] | 2.4 | 1.04 | Normal | 0.95 | 1.00 | 1.05 |
15 | M | 65 | Lacuna | L ICA | 75 | 5.1 [physiol] | 3.5 | 1.46 | Poor | 0.88 | 0.83 | 0.94 |
16 | M | 64 | TIA | R ICA | 80 | 3.2 [Willis] | 2.7 | 1.19 | Normal | 1.02 | 1.00 | 0.98 |
17 | M | 47 | TIA | L MCA | Occlusion | 4.7 [lept(A)] | 2.1 | 2.24 | Poor | 0.91 | 0.79 | 0.87 |
18 | M | 60 | TIA | R ICA | 99 | 6.3 [physiol] | 3.7 | 1.70 | Poor | 0.86 | 0.77 | 0.9 |
19 | M | 53 | TIA | R ICA | Occlusion | 5.8 [lept(A)] | 3.0 | 1.93 | Poor | 0.89 | 0.80 | 0.90 |
20 | M | 83 | TIA | L ICA | 80 | 5.9 [lept(A)] | 3.1 | 1.90 | Poor | 0.97 | 0.80 | 0.82 |
21 | F | 71 | TIA | R ICA | 100 | 5.7 [lept(P)] | 3.5 | 1.63 | Poor | 1.03 | 0.76 | 0.74 |
22 | M | 52 | TIA | R MCA | 100 | 7.0 [lept(P)] | 2.7 | 2.59 | Poor | 0.96 | 0.67 | 0.70 |
23 | M | 79 | TIA | R ICA | 70 | 5.3 [lept(P)] | 3.7 | 1.43 | Normal | 1.04 | 0.97 | 0.93 |
24 | M | 69 | TIA | R ICA | 90 | 6.8 [lept(P)] | 3.5 | 1.94 | Poor | 0.99 | 0.88 | 0.89 |
25 | F | 67 | TIA | R ICA | 100 | 4.7 [lept(P)] | 2.6 | 1.81 | Poor | 1.02 | 0.87 | 0.85 |
26 | M | 77 | ATI | R ICA | 100 | 6.7 [EC-IC] | 3.2 | 2.09 | Poor | 0.94 | 0.75 | 0.80 |
27 | M | 69 | TIA | L ICA | 100 | 6.7 [Willis] | 4.3 | 1.56 | Poor | 0.93 | 0.80 | 0.86 |
28 | M | 68 | Lacuna | R ICA | 70 | 3.3 [physiol] | 2.7 | 1.22 | Normal | 1.04 | 1.03 | 0.99 |
Note.—ACZ indicates acetazolamide; SPECT, single photon emission CT; rACCT, regional arteriocapillary circulation time; AI, asymmetry index; rRI, regional reactivity index; M, male; F, female; TIA, transient ischemic attack; ATI, atherothrombotic infarction; Lacuna, lacuna infarction; R, right; L, left; MCA, middle cerebral artery; ICA, internal carotid artery; lept(A), leptomeningeal collateral via anterior cerebral artery; lept(P), leptomeningeal collateral via posterior cerebral artery; Willis, circle of Willis collateral; physiol, physiological flow pattern; EC-IC, external to internal carotid collateral.