Prolonged venous transit on perfusion imaging predicts discharge Cog-4 scores in anterior-circulation large-vessel occlusion stroke

Hamza Adel Salim, Andrew Cho, Derek Tsang, Dhairya A Lakhani, Risheng Xu, Shyam Majmundar, Mona Gad, Vaibhav Vagal, Shobit Chamoli, Karthik Lalwani, Ferdinand Hui, Adam A Dmytriw, Adrien Guenego, Kambiz Nael, Gregory W Albers, Jeremy J Heit, Tobias D Faizy, Max Wintermark, Vivek Yedavalli · 2026

Read Prolonged venous transit on perfusion imaging predicts discharge Cog-4 scores in anterior-circulation large-vessel occlusion stroke by Hamza Adel Salim, Andrew Cho, Derek Tsang, Dhairya A Lakhani, Risheng Xu, Shyam Majmundar, Mona Gad, Vaibhav Vagal, Shobit Chamoli, Karthik Lalwani, Ferdinand Hui, Adam A Dmytriw, Adrien Guenego, Kambiz Nael, Gregory W Albers, Jeremy J Heit, Tobias D Faizy, Max Wintermark, Vivek Yedavalli (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13264354.txt.

Description

Hamza Adel Salim and a large team link delayed venous drainage on brain scans to early thinking problems after stroke in a 2026 study. Two hundred fifty-three patients with large vessel blockage in the front circulation had perfusion imaging at arrival. Each also received a four-item cognitive score at discharge. That score was built from standard stroke scale items covering orientation, commands, language and attention. Prolonged venous transit meant a marked delay in two deep drainage points on the scan.

About one third of patients showed the delay, and their discharge cognitive scores were notably worse. The link held after adjusting for age, stroke severity, side and final damage volume. A combined model separated normal from impaired cognition well. Venous health may add prognostic information beyond clot and tissue measures.

Catalog record

CREATORHamza Adel Salim, Andrew Cho, Derek Tsang, Dhairya A Lakhani, Risheng Xu, Shyam Majmundar, Mona Gad, Vaibhav Vagal, Shobit Chamoli, Karthik Lalwani, Ferdinand Hui, Adam A Dmytriw, Adrien Guenego, Kambiz Nael, Gregory W Albers, Jeremy J Heit, Tobias D Faizy, Max Wintermark, Vivek Yedavalli
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE32 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13264354

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