Acute ischemic stroke patients with diffusion-weighted imaging-Alberta Stroke Program Early Computed Tomography Score ≤ 5 can benefit from endovascular treatment: a single-center experience and literature review.
Purpose: The recommendation strength of the guidelines for mechanical thrombectomy among patients with large pre-treatment core infarct is weak. We evaluated the safety and outcome of endovascular treatment for acute ischemic stroke with diffusion-weighted imaging-Alberta Stroke Program Early Comput...
| Published in: | Neuroradiology Vol. 61; no. 4; pp. 451 - 460 |
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| Main Authors: | , , , , , , , , |
| Format: | diagnostic images research systematic review tables/charts Journal Article |
| Published: |
Springer Nature
Apr2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135521893&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135521893 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00283940 NYZ jtl: Neuroradiology issn: 00283940 maglogo: N pubinfo: dt: Apr2019 vid: 61 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 135521893 135521893 135521893 10.1007/s00234-019-02177-1 135521893 ppf: 451 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Acute ischemic stroke patients with diffusion-weighted imaging-Alberta Stroke Program Early Computed Tomography Score ≤ 5 can benefit from endovascular treatment: a single-center experience and literature review. aug: au: Song, Kangping Guan, Min Li, Wenxian Jing, Zhen Xie, Xiaomei Shi, Changzheng Liang, Jianye Qiao, Hongyu Huang, Li'an affil: Department of Neurology, Clinical Neuroscience Institute, The First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China sug: subj: Stroke Radiography Endovascular Procedures Outcome Assessment Magnetic Resonance Imaging Methods Clinical Assessment Tools Human Retrospective Design Scales Outcomes (Health Care) Reperfusion Methods Systematic Review Stroke Patients ab: Purpose: The recommendation strength of the guidelines for mechanical thrombectomy among patients with large pre-treatment core infarct is weak. We evaluated the safety and outcome of endovascular treatment for acute ischemic stroke with diffusion-weighted imaging-Alberta Stroke Program Early Computed Tomography Score (DWI-ASPECTS) ≤ 5.Methods: Data on acute ischemic stroke patients with DWI-ASPECTS ≤ 5 who underwent endovascular treatment within 6 h, or presented an arterial spin labeling-DWI (ASL-DWI) mismatch within 12 h, at our center were retrospectively collected. We report the clinical characteristics and outcome of every patient, and review the relevant literature.Results: Among the 19 patients who were enrolled, all experienced successful reperfusion, and 10 achieved a favorable outcome (modified Rankin scale (mRS) ≤ 2). Two patients presented with symptomatic intracranial hemorrhage (sICH); both of them had a poor outcome (mRS > 2).Conclusion: Acute ischemic stroke patients with large DWI lesions caused by large vessel occlusion can achieve a favorable clinical outcome with endovascular treatment if recanalization is performed within 6 h, or after 6 h in case of an ASL-DWI mismatch. pubtype: Academic Journal doctype: diagnostic images research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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