J Stroke.
2015 Sep;17(3):221-228. 10.5853/jos.2015.17.3.221.
Choosing a Hyperacute Stroke Imaging Protocol for Proper Patient Selection and Time Efficient Endovascular Treatment: Lessons from Recent Trials
- Affiliations
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- 1Department of Neurology, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea.
- 2Calgary Stroke Program, Departments of Clinical Neurosciences and Radiology, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada. ademchuk@ucalgary.ca
- KMID: 2381487
- DOI: http://doi.org/10.5853/jos.2015.17.3.221
Abstract
- Recently, several prospective randomized control trials regarding endovascular treatment for patients with intracranial large artery occlusions causing acute ischemic stroke have been successfully reported. Effort to minimize time delays to endovascular treatment, patient selection and the use of retrievable stent were important factors for the success of these trials. The inclusion and exclusion criteria for each of these trials did include differences in imaging protocols. In this review, we focus on the importance of baseline non-invasive angiography prior to deciding endovascular treatment. Then imaging protocols are described for each trial according to measurement of infarct volume and collateral grading.
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