Hyperdensity on non-contrast CT immediately after intra-arterial revascularization

Journal of Neurology

Volumn 259, Issue 5, 2012, Pages 936-943

  Kim, Joon Tae ^a,b   Heo, Suk Hee ^b   Cho, Bang Hoon ^a   Choi, Seong Min ^a   Lee, Seung Han ^a   Park, Man Seok ^a   Yoon, Woong ^a   Cho, Ki Hyun ^a  

^a Chonnam National University Medical School   (South Korea)

^b Chonnam National University   (South Korea)

Author keywords

Extravasation of contrast; Gradient echo imaging; Hemorrhagic transformation; Hyperdensity on NCCT; Intra arterial revascularization; Non contrast computed tomography

Indexed keywords

ADULT; ARTICLE; ATHEROSCLEROSIS; BASAL GANGLION; BRAIN CORTEX; BRAIN HEMANGIOMA; BRAIN HEMATOMA; BRAIN ISCHEMIA; BRAIN STEM; CARDIOEMBOLISM; CAUDATE NUCLEUS; CEREBRAL REVASCULARIZATION; COMPUTER ASSISTED TOMOGRAPHY; CORONA RADIATA (BRAIN); DIAGNOSTIC VALUE; DIFFUSION WEIGHTED IMAGING; EMBOLISM; FALSE NEGATIVE RESULT; FEMALE; FOLLOW UP; HUMAN; INTERNAL CAROTID ARTERY OCCLUSION; MAJOR CLINICAL STUDY; MALE; MIDDLE CEREBRAL ARTERY OCCLUSION; MORTALITY; NEUROIMAGING; NON CONTRAST ENHANCED COMPUTED TOMOGRAPHY; PREDICTIVE VALUE; PRIORITY JOURNAL; RECANALIZATION; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY;

AGED; AGED, 80 AND OVER; BRAIN; BRAIN ISCHEMIA; CEREBRAL ANGIOGRAPHY; FEMALE; HUMANS; INJECTIONS, INTRA-ARTERIAL; INTRACRANIAL HEMORRHAGES; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; STROKE; THROMBOLYTIC THERAPY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84862520687     PISSN: 03405354     EISSN: 14321459     Source Type: Journal    
DOI: 10.1007/s00415-011-6281-9     Document Type: Article

References (20)

1. -(1995) Tissue plasminogen activator for acute ischemic stroke. The national institute of neurological disorders and stroke rt-PA stroke study group. N Engl J Med 333:1581-1587
2. Adams HP Jr, Woolson RF, Clarke WR, Davis PH, Bendixen BH, Love BB, Wasek PA, Grimsman KJ (1997) Design of the trial of org 10172 in acute stroke treatment (TOAST). Control Clin Trials 18:358-377 (Pubitemid 127738668)
3. Brekenfeld C, Remonda L, Nedeltchev K, Arnold M, Mattle HP, Fischer U, Kappeler L, Schroth G (2007) Symptomatic intracranial haemorrhage after intra-arterial thrombolysis in acute ischaemic stroke: Assessment of 294 patients treated with urokinase. J Neurol Neurosurg Psychiatry 78:280-285 (Pubitemid 46579667)
4. del Zoppo GJ, Mabuchi T (2003) Cerebral microvessel responses to focal ischemia. J Cereb Blood Flow Metab 23:879-894 (Pubitemid 36959394)
5. Dijkhuizen RM, Asahi M, Wu O, Rosen BR, Lo EH (2002) Rapid breakdown of microvascular barriers and subsequent hemorrhagic transformation after delayed recombinant tissue plasminogen activator treatment in a rat embolic stroke model. Stroke 33:2100-2104 (Pubitemid 34840075)
6. Hacke W, Kaste M, Fieschi C, von Kummer R, Davalos A, Meier D, Larrue V, Bluhmki E, Davis S, Donnan G, Schneider D, Diez-Tejedor E, Trouillas P (1998) Randomised double-blind placebocontrolled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Second European-Australasian acute stroke study investigators. Lancet 352:1245-1251 (Pubitemid 28470336)
7. Jang YM, Lee DH, Kim HS, Ryu CW, Lee JH, Choi CG, Kim SJ, Suh DC (2006) The fate of high-density lesions on the noncontrast CT obtained immediately after intra-arterial thrombolysis in ischemic stroke patients. Korean J Radiol 7:221-228 (Pubitemid 44905079)
8. Kastrup A, Groschel K, Ringer TM, Redecker C, Cordesmeyer R, Witte OW, Terborg C (2008) Early disruption of the blood-brain barrier after thrombolytic therapy predicts hemorrhage in patients with acute stroke. Stroke 39:2385-2387
9. Kim JT, Yoon W, Park MS, Nam TS, Choi SM, Lee SH, Kim BC, Kim MK, Cho KH (2009) Early outcome of combined thrombolysis based on the mismatch on perfusion CT. Cerebrovasc Dis 28:259-265
10. Komiyama M, Nishijima Y, Nishio A, Khosla VK (1993) Extravasation of contrast medium from the lenticulostriate artery following local intracarotid fibrinolysis. Surg Neurol 39:315-319 (Pubitemid 23150682)
11. Nogueira RG, Liebeskind DS, Sung G, Duckwiler G, Smith WS (2009) Predictors of good clinical outcomes, mortality, and successful revascularization in patients with acute ischemic stroke undergoing thrombectomy: Pooled analysis of the mechanicalembolus removal in cerebral ischemia (MERCI) and multi MERCI trials. Stroke 40:3777-3783
12. Sheehan FH, Braunwald E, Canner P, Dodge HT, Gore J, Van Natta P, Passamani ER, Williams DO, Zaret B (1987) The effect of intravenous thrombolytic therapy on left ventricular function: A report on tissue-type plasminogen activator and streptokinase from the thrombolysis in myocardial infarction (TIMI Phase I) trial. Circulation 75:817-829 (Pubitemid 17052667)
13. Singer OC, Berkefeld J, Lorenz MW, Fiehler J, Albers GW, Lansberg MG, Kastrup A, Rovira A, Liebeskind DS, Gass A, Rosso C, Derex L, Kim JS, Neumann-Haefelin T (2009) Risk of symptomatic intracerebral hemorrhage in patients treated with intra-arterial thrombolysis. Cerebrovasc Dis 27:368-374
14. Singer OC, Humpich MC, Fiehler J, Albers GW, Lansberg MG, Kastrup A, Rovira A, Liebeskind DS, Gass A, Rosso C, Derex L, Kim JS, Neumann-Haefelin T (2008) Risk for symptomatic intracerebral hemorrhage after thrombolysis assessed by diffusion-weighted magnetic resonance imaging. Ann Neurol 63:52-60 (Pubitemid 351240551)
15. Vora NA, Gupta R, Thomas AJ, Horowitz MB, Tayal AH, Hammer MD, Uchino K, Wechsler LR, Jovin TG (2007) Factors predicting hemorrhagic complications after multimodal reperfusion therapy for acute ischemic stroke. AJNR Am J Neuroradiol 28:1391-1394 (Pubitemid 47309680)
16. Wang X, Tsuji K, Lee SR, Ning M, Furie KL, Buchan AM, Lo EH (2004) Mechanisms of hemorrhagic transformation after tissue plasminogen activator reperfusion therapy for ischemic stroke. Stroke 35:2726-2730 (Pubitemid 39458380)
17. Wildenhain SL, Jungreis CA, Barr J, Mathis J, Wechsler L, Horton JA (1994) CT after intracranial intraarterial thrombolysis for acute stroke. AJNR Am J Neuroradiol 15:487-492 (Pubitemid 24089538)
18. Yoon W, Park MS, Cho KH (2010) Low-dose intra-arterial urokinase and aggressive mechanical clot disruption for acute ischemic stroke after failure of intravenous thrombolysis. AJNR Am J Neuroradiol 31:161-164
19. Yoon W, Seo JJ, Kim JK, Cho KH, Park JG, Kang HK (2004) Contrast enhancement and contrast extravasation on computed tomography after intra-arterial thrombolysis in patients with acute ischemic stroke. Stroke 35:876-881 (Pubitemid 38419795)
20. Zaidat OO, Suarez JI, Santillan C, Sunshine JL, Tarr RW, Paras VH, Selman WR, Landis DM (2002) Response to intra-arterial and combined intravenous and intra-arterial thrombolytic therapy in patients with distal internal carotid artery occlusion. Stroke 33:1821-1826 (Pubitemid 34761068)