Antegrade flow across incomplete vessel occlusions can be distinguished from retrograde collateral flow using 4-dimensional computed tomographic angiography

Stroke

Volumn 43, Issue 11, 2012, Pages 2974-2979

  Frölich, Andreas M J ^a,b   Psychogios, Marios N ^a,b   Klotz, Ernst ^a,b   Schramm, Ramona ^a,b   Knauth, Michael ^a,b   Schramm, Peter ^a,b  

^a UNIVERSITY MEDICAL CENTER GÖTTINGEN   (Germany)

^b SIEMENS AG   (Germany)

Author keywords

acute stroke; brain imaging; computed tomographic perfusion; thrombosis; vessel occlusion

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD CLOT LYSIS; BRAIN BLOOD FLOW; BRAIN INFARCTION; COLLATERAL CIRCULATION; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CORONARY ARTERY RECANALIZATION; DIGITAL SUBTRACTION ANGIOGRAPHY; DISEASE SEVERITY; ENDOVASCULAR SURGERY; FEMALE; FOUR DIMENSIONAL COMPUTED TOMOGRAPHY; HUMAN; IMAGE ANALYSIS; MAJOR CLINICAL STUDY; MALE; OCCLUSIVE CEREBROVASCULAR DISEASE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY;

ADULT; AGED; AGED, 80 AND OVER; BRAIN; CEREBRAL ANGIOGRAPHY; CEREBROVASCULAR DISORDERS; FEMALE; HUMANS; MALE; MIDDLE AGED; STROKE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84868208550     PISSN: 00392499     EISSN: 15244628     Source Type: Journal    
DOI: 10.1161/STROKEAHA.112.668889     Document Type: Article

References (21)

1. Grunwald IQ, Wakhloo AK, Walter S, Molyneux AJ, Byrne JV, Nagel S, et al. Endovascular stroke treatment today. AJNR Am J Neuroradiol. 2011;32:238-243.
2. Galimanis A, Jung S, Mono ML, Fischer U, Findling O, Weck A, et al. Endovascular therapy of 623 patients with anterior circulation stroke. Stroke. 2012;43:1052-1057.
3. Zangerle A, Kiechl S, Spiegel M, Furtner M, Knoflach M, Werner P, et al. Recanalization after thrombolysis in stroke patients: Predictors and prognostic implications. Neurology. 2007;68:39-44.
4. Bhatia R, Hill MD, Shobha N, Menon B, Bal S, Kochar P, et al. Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke: Real-world experience and a call for action. Stroke. 2010;41:2254-2258.
5. Tomsick TA, Khatri P, Jovin T, Demaerschalk B, Malisch T, Demchuk A, et al. Equipoise among recanalization strategies. Neurology. 2010;74: 1069-1076.
6. Pillai JJ, Lanzieri CF, Trinidad SB, Tarr RW, Sunshine JL, Lewin JS. Initial angiographic appearance of intracranial vascular occlusions in acute stroke as a predictor of outcome of thrombolysis: Initial experience. Radiology. 2001;218:733-738.
7. Suarez JI, Sunshine JL, Tarr R, Zaidat O, Selman WR, Kernich C, et al. Predictors of clinical improvement, angiographic recanalization, and intracranial hemorrhage after intra-arterial thrombolysis for acute ischemic stroke. Stroke. 1999;30:2094-2100.
8. Christoforidis GA, Mohammad Y, Avutu B, Tejada A, Slivka AP. Arteriographic demonstration of slow antegrade opacification distal to a cerebrovascular thromboembolic occlusion site as a favorable indicator for intra-arterial thrombolysis. AJNR Am J Neuroradiol. 2006;27:1528-1531.
9. Frölich AM, Psychogios MN, Klotz E, Schramm R, Knauth M, Schramm P. Angiographic reconstructions from whole-brain perfusion CT for the detection of large vessel occlusion in acute stroke. Stroke. 2012;43:97-102.
10. Gratama van Andel HA, Venema HW, Majoie CB, Den Heeten GJ, Grimbergen CA, Streekstra GJ. Intracranial CT angiography obtained from a cerebral CT perfusion examination. Med Phys. 2009;36:1074-1085.
11. Yang CY, Chen YF, Lee CW, Huang A, Shen Y, Wei C, et al. Multiphase CT angiography versus single-phase CT angiography: Comparison of image quality and radiation dose. AJNR Am J Neuroradiol. 2008;29:1288-1295.
12. Lima FO, Furie KL, Silva GS, Lev MH, Camargo EC, Singhal AB, et al. The pattern of leptomeningeal collaterals on CT angiography is a strong predictor of long-term functional outcome in stroke patients with large vessel intracranial occlusion. Stroke. 2010;41:2316-2322.
13. Bang OY, Saver JL, Kim SJ, Kim GM, Chung CS, Ovbiagele B, et al. Collateral flow predicts response to endovascular therapy for acute ischemic stroke. Stroke. 2011;42:693-699.
14. Maas MB, Furie KL, Lev MH, Ay H, Singhal AB, Greer DM, et al. National Institutes of Health Stroke Scale score is poorly predictive of proximal occlusion in acute cerebral ischemia. Stroke. 2009;40:2988-2993.
15. Tan IY, Demchuk AM, Hopyan J, Zhang L, Gladstone D, Wong K, et al. CT angiography clot burden score and collateral score: Correlation with clinical and radiologic outcomes in acute middle cerebral artery infarct. AJNR Am J Neuroradiol. 2009;30:525-531.
16. Saqqur M, Tsivgoulis G, Molina CA, Demchuk AM, Shuaib A, Alexandrov AV, et al. Residual flow at the site of intracranial occlusion on transcranial Doppler predicts response to intravenous thrombolysis: A multi-center study. Cerebrovasc Dis. 2009;27:5-12.
17. Grotta JC, Welch KM, Fagan SC, Lu M, Frankel MR, Brott T, et al. Clinical deterioration following improvement in the NINDS rt-PA stroke trial. Stroke. 2001;32:661-668.
18. Riedel CH, Zimmermann P, Jensen-Kondering U, Stingele R, Deuschl G, Jansen O. The importance of size: Successful recanalization by intravenous thrombolysis in acute anterior stroke depends on thrombus length. Stroke. 2011;42:1775-1777.
19. del Zoppo GJ, Poeck K, Pessin MS, Wolpert SM, Furlan AJ, Ferbert A, et al. Recombinant tissue plasminogen activator in acute thrombotic and embolic stroke. Ann Neurol. 1992;32:78-86.
20. Penumbra Pivotal Stroke Trial Investigators. The penumbra pivotal stroke trial: Safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke. 2009;40:2761-2768.
21. Mazighi M, Meseguer E, Labreuche J, Amarenco P. Bridging therapy in acute ischemic stroke: A systematic review and meta-analysis. Stroke. 2012;43:1302-1308.