The hyperdense vessel sign on CT predicts successful recanalization with the Merci device in acute ischemic stroke

Journal of NeuroInterventional Surgery

Volumn 5, Issue 4, 2013, Pages 289-293

  Froehler, Michael T ^a,b   Tateshima, Satoshi ^c   Duckwiler, Gary ^c   Jahan, Reza ^c   Gonzalez, Nestor ^b,c   Vinuela, Fernando ^c   Liebeskind, David ^d   Saver, Jeffrey L ^d   Pablo Villablanca, J ^c  

^a UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

^b UNIVERSITY OF IOWA   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

TISSUE PLASMINOGEN ACTIVATOR;

ACUTE BRAIN ISCHEMIA; AGE; AGED; ARTICLE; BRAIN ANGIOGRAPHY; BRAIN ISCHEMIA; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; CORKSCREW LIKE MECHANICAL CLOT RETRIEVER; ENDOVASCULAR SURGERY; FEMALE; HUMAN; HYPERDENSE VESSEL SIGN; MAJOR CLINICAL STUDY; MALE; PREDICTION; PRIORITY JOURNAL; RADIOLOGICAL PARAMETERS; RECANALIZATION; REPERFUSION; RETROSPECTIVE STUDY; SURGICAL EQUIPMENT;

ACUTE ISCHEMIC STROKE; ANEURYSM; ANGIOGRAPHY; ANGIOPLASTY; ARTERIOVENOUS MALFORMATION; ARTERY; ATHEROSCLEROSIS; BALLOON; BRAIN; CATHETER; CLOT RETRIEVAL; COIL; COMPLICATION; EMBOLIC; FLOW DIVERTE R; HYPERDENSE VESSEL SIGN; INTERVENTION; MALFORMATION; RECANALIZATION; STENOSIS; STENT; STROKE; SUBARACHNOID; THROMBECTOMY; THROMBOLYSIS; THROMBUS; VASCULITIS; VEIN;

AGED; BRAIN ISCHEMIA; FEMALE; HUMANS; MALE; MECHANICAL THROMBOLYSIS; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; STROKE; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 84879327332     PISSN: 17598478     EISSN: 17598486     Source Type: Journal    
DOI: 10.1136/neurintsurg-2012-010313     Document Type: Article

References (23)

1. Anon. Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 1995;333:1581-1587.
2. Smith WS, Sung G, Starkman S, et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke 2005;36:1432-1438.
3. Furlan A, Higashida R, Wechsler L, et al. Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism. JAMA 1999;282:2003-2011.
4. 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.
5. Rha JH, Saver JL. The impact of recanalization on ischemic stroke outcome: a metaanalysis. Stroke 2007;38:967-973.
6. Fields JD, Lutsep HL, Smith WS. Higher Degrees of recanalization after mechanical thrombectomy for acute stroke are associated with Improved outcome and decreased mortality: pooled analysis of the MERCI and Multi MERCI Trials. AJNR Am J Neuroradiol 2011;32:2170-2174.
7. Nogueira RG, Liebeskind DS, Sung G, et al. Predictors of good clinical outcomes, mortality, and successful revascularization in patients with acute ischemic stroke undergoing thrombectomy: pooled analysis of the Mechanical Embolus Removal in Cerebral Ischemia (MERCI) and Multi MERCI Trials. Stroke 2009;40:3777-3783.
8. Smith WS, Sung G, Saver J, et al. Mechanical thrombectomy for acute ischemic stroke: final results of the Multi MERCI trial. Stroke 2008;39:1205-1212.
9. Gralla J, Brekenfeld C, Mordasini P, et al. Mechanical thrombolysis and stenting in acute ischemic stroke. Stroke 2012;43:280-285.
10. Gacs G, Fox AJ, Barnett HJ, et al. CT visualization of intracranial arterial thromboembolism. Stroke 1983;14:756-762.
11. Pressman BD, Tourje EJ, Thompson JR. An early CT sign of ischemic infarction: increased density in a cerebral artery. AJR Am J Roentgenol 1987;149:583-586.
12. Kirchhof K, Welzel T, Mecke C, et al. Differentiation of white, mixed, and red thrombi: value of CT in estimation of the prognosis of thrombolysis phantom study. Radiology 2003;228:126-130.
13. Liebeskind DS, Sanossian N, Yong WH, et al. CT and MRI early vessel signs reflect clot composition in acute stroke. Stroke 2011;42:1237-1243.
14. Gersh KC, Nagaswami C, Weisel JW. Fibrin network structure and clot mechanical properties are altered by incorporation of erythrocytes. Thromb Haemost 2009;102:1169-1175.
15. Adams HP Jr, Bendixen BH, Kappelle LJ, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke 1993;24:35-41.
16. Higashida RT, Furlan AJ, Roberts H, et al. Trial design and reporting standards for intra-arterial cerebral thrombolysis for acute ischemic stroke. Stroke 2003;34: e109-e137.
17. Marder VJ, Chute DJ, Starkman S, et al. Analysis of thrombi retrieved from cerebral arteries of patients with acute ischemic stroke. Stroke 2006;37:2086-2093.
18. Hussain MS, Lin R, Cheng-Ching E, et al. Endovascular treatment of carotid embolic occlusions has a higher recanalization rate compared with cardioembolic occlusions. J Neurointerv Surg 2010;2:71-73.
19. Chueh JY, Wakhloo AK, Hendricks GH, et al. Mechanical characterization of thromboemboli in acute ischemic stroke and laboratory embolus analogs. AJNR Am J Neuroradiol 2011;32:1237-1244.
20. Kimura K, Iguchi Y, Shibazaki K, et al. M1 susceptibility vessel sign on T2*as a strong predictor for no early recanalization after IV-t-PA in acute ischemic stroke. Stroke 2009;40:3130-3132.
21. Kimura K, Sakamoto Y, Aoki J, et al. Clinical and MRI predictors of no early recanalization within 1 hour after tissue-type plasminogen activator administration. Stroke 2011;42:3150-3155.
22. Mattle HP, Arnold M, Georgiadis D, et al. Comparison of intraarterial and intravenous thrombolysis for ischemic stroke with hyperdense middle cerebral artery sign. Stroke 2008;39:379-383.
23. Kan I, Yuki I, Murayama Y, et al. A novel method of thrombus preparation for use in a swine model for evaluation of thrombectomy devices. AJNR Am J Neuroradiol 2010;31:1741-1743.