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Table 2 Circle of willis anatomy and outcomes

From: The effect of circle of willis anatomy and scanning practices on outcomes for blunt cerebrovascular injuries

 

All BCVIs

n = 561

% (n/N)

Circle of Willis

Anomaly

16.6% (93/561)

% (95% CI)

Circle of Willis Normal

83.4% (468/561)

% (95% CI)

p

Anterior

Anomaly

83.9% (78/93)

% (95% CI)

Posterior

Anomaly

16.1% (15/93)

% (95% CI)

p

 

Any Stroke

5.4% (29/561)

9.7% (5.2–17.4)

4.3% (2.8–6.5)

0.04

9.0% (4.4–17.4)

13.3% (3.7–37.9)

0.63

 

Hemorrhagic Stroke

0.7% (4/561)

2.2% (0.6–7.5)

0.4% (0.1–1.5)

0.13

1.3% (0.2–6.9)

6.7% (1.2–29.8)

0.19

 

Ischemic Stroke (IS)

4.5% (25/561)

7.5% (3.7–14.7)

3.9% (2.5-6.0)

0.16

7.7% (3.6–15.8)

6.7% (1.2–29.8)

> 0.99

 

Any Bleeding Complication

47.3% (44/561)

47.3% (37.5–57.4)

29.5% (25.5–33.8)

0.001

47.4% (36.7–58.4)

41.7% (19.3–68.1)

> 0.99

 

ICH

24.1% (135/561)

37.6% (28.5–47.8)

21.4% (17.9–25.3)

0.001

41.0% (30.8–52.1)

20.0% (7.1–45.2)

0.12

 

IS in Patients with an ICH

2.2% (2/135)

5.7% (1.6–18.6)

1.0% (0.2–5.5)

0.16

6.3% (1.7, 20.2)

0% (0-16.7)

> 0.99

 

Other Clinically Significant Bleed (CSB)

16.0% (72/451)

29.0% (19.6–40.6)

13.6% (10.5–17.4)

0.001

26.8% (17.0-39.6)

38.5% (17.7–64.4)

0.50

 

IS in Patients with Other CSB

19.4% (14/72)

25.0% (11.2–48.9)

17.3% (9.4–29.7)

0.51

26.7% (10.9–52.0)

20.0% (3.6–62.5)

> 0.99

 

Antithrombotic Administered

89.8% (503)

91.4% (83.0-95.6)

89.5% (86.4–92.0)

0.70

92.3% (84.2–96.4)

86.7% (62.1–96.3)

0.61

 

IS in those Given Antithrombotics

4.6% (23/503)

7.1% (3.3–14.6)

4.1% (2.6–6.4)

0.25

6.9% (3.0-15.3)

7.7% (1.4–33.3)

> 0.99

 

IS in those Not Given Antithrombotics

3.5% (2/57)

12.5% (2.2–47.1)

2.0% (0.4–10.7)

0.26

16.7% (3.0-56.4)

0% (0–25.0)

> 0.99

 

ICH in those Given Antithrombotics

21.9% (110/503)

37.7% (28.1–48.3)

18.7% (15.2–22.7)

0.0003

41.0% (30.8–52.1)

15.4% (4.3–42.2)

0.12

 

ICH in those Not Given Antithrombotics

42.1% (24/57)

37.5% (13.7–69.4)

42.9% (30.0-56.7)

> 0.99

50.0% (9.5–90.6)

33.3% (9.7–70.0)

> 0.99

 

Antithrombotics Interrupted

31.2% (157/503)

26.5% (18.2–36.9)

32.2% (27.9–36.9)

0.40

24.7% (15.8–35.5)

38.5% (17.7–64.4)

0.32

 

IS in those with Antithrombotics Interrupted

3.2% (5/157)

13.0% (4.5–32.1)

1.5% (0.4–5.3)

0.02

11.1% (3.1–32.8)

20.0% (3.6–62.5)

0.54

 

IS in those without Antithrombotic Interrupted

5.2% (16/368)

4.6% (1.6, 1.7)

5.3% (3.3–8.4)

> 0.99

5.5% (1.9 14.9)

0% (0–5.0)

> 0.99

 

CSB Before Antithrombotics Administered

5.6% (28/503)

14.0% (9.2–24.4)

3.2% (2.2–5.8)

< 0.0001

15.3% (8.8–25.3)

15.4% (4.3–42.2)

> 0.99

 

IS in those with Bleed Before Antithrombotics

21.4% (6/28)

7.7% (1.4–33.3)

33.3% (15.2–58.3)

0.17

9.1% (1.6–37.7)

0% (0–25.0)

> 0.99

 

CSB After Antithrombotics Administered

7.2% (37/503)

7.1% (3.3–14.6)

7.2% (5.1–10.1)

0.70

4.2% (1.4–11.6)

23.1% (8.2–50.3)

0.04

 

IS in those with Bleed After Antithrombotics

24.3% (9/37)

57.1% (25.1–84.2)

16.7% (7.3–33.6)

0.045

75.0% (30.1–95.4)

33.3% (6.2–79.2)

0.49

 

CSB Both Before and After Administered

1.4% (8/503)

0% (0-3.2)

1.7% (0.9–3.3)

0.36

0% (0-0.6)

0% (0-3.8)

N/A

 

IS in those with Bleed Before and After

0% (0/8)

0% (0-3.2)

0% (0-0.6)

N/A

0% (0-0.6)

0% (0-3.8)

N/A

 

HLOS, Median Days (IQR)

7.0 (3.0, 13.1)

7.0 (3.0, 14.0)

7.0 (3.0, 13.0)

0.66

8.0 (4.0, 14.0)

5.0 (3.0, 8.0)

0.052

 

ICULOS, Median Days (IQR)

3.0 (1.0, 7.0)

4.0 (2.0, 8.0)

3.0 (1.0, 7.0)

0.16

5.0 (2.0, 10.0)

2.0 (0, 3.0)

0.03

 

Mortality

7.3% (41/561)

8.6% (4.4–16.1)

7.1% (5.1–9.7)

0.66

7.7% (3.6–15.8)

13.3% (3.7–37.9)

0.61

 
  1. ICH: intracerebral hemorrhage, CSB: clinically significant bleed, HLOS: hospital length of stay, ICULOS: intensive care unit length of stay. *Unless otherwise specified in the parentheses next to the percentage, the denominator for the first column is 561. The anterior artery includes the internal carotid artery, anterior cerebral artery, and anterior communicating artery. The posterior includes the posterior cerebral artery and the posterior community artery. The circle of Willis anomalies included those which were missing or absent, unformed, narrowing, incomplete, separations, aneurysms, luminal irregularities, and fetal-type variations. Bleeding complications included clinically significant bleeding requiring any actionable treatment. Bold p-values indicate statistical significant differences between groups