Imaging of Patients with Suspected Large-Vessel Occlusion at Primary Stroke Centers: Available Modalities and a Suggested Approach.


Journal

AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708

Informations de publication

Date de publication:
03 2019
Historique:
received: 05 10 2018
accepted: 06 12 2018
pubmed: 2 2 2019
medline: 4 3 2020
entrez: 2 2 2019
Statut: ppublish

Résumé

The overwhelming benefit of endovascular therapy in patients with large-vessel occlusions suggests that more patients will be screened than treated. Some of those patients will be evaluated first at primary stroke centers; this type of evaluation calls for standardizing the imaging approach to minimize delays in assessing, transferring, and treating these patients. Here, we propose that CT angiography (performed at the same time as head CT) should be the minimum imaging approach for all patients with stroke with suspected large-vessel occlusion presenting to primary stroke centers. We discuss some of the implications of this approach and how to facilitate them.

Identifiants

pubmed: 30705072
pii: ajnr.A5971
doi: 10.3174/ajnr.A5971
pmc: PMC7028672
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

396-400

Informations de copyright

© 2019 by American Journal of Neuroradiology.

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Auteurs

M A Almekhlafi (MA)

From the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.

W G Kunz (WG)

Department of Radiology (W.G.K.), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

B K Menon (BK)

From the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.

R A McTaggart (RA)

Departments of Neurology, Diagnostic Imaging, and Neurosurgery (R.A.M., M.V.J.), Warren Alpert Medical School of Brown University, Providence, Rhode Island.

M V Jayaraman (MV)

Departments of Neurology, Diagnostic Imaging, and Neurosurgery (R.A.M., M.V.J.), Warren Alpert Medical School of Brown University, Providence, Rhode Island.

B W Baxter (BW)

Department of Radiology (B.W.B.), Erlanger Medical Center, Chattanooga, Tennessee.

D Heck (D)

Department of Radiology (D.H.), Forsyth Medical Center, Winston Salem, North Carolina.

D Frei (D)

Swedish Medical Center (D.F.), Denver, Colorado.

C P Derdeyn (CP)

Department of Radiology (C.P.D.), University of Iowa Hospitals and Clinics, Iowa City, Iowa.

T Takagi (T)

Department of Neurosurgery (T.T.), Hyogo College of Medicine, Nishinomiya, Hyögo, Japan.

A H Aamodt (AH)

Department of Neurology (A.H.A.), Oslo University Hospital, Oslo, Norway.

I M R Fragata (IMR)

Department of Neuroradiology (I.M.R.F.), Centro Hospitalar Lisboa Central, Lisbon, Portugal.

M D Hill (MD)

From the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.

A M Demchuk (AM)

From the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada.

M Goyal (M)

From the Departments of Radiology and Clinical Neurosciences (M.A.A., B.K.M., M.D.H., A.M.D., M.G.), University of Calgary, Calgary, Alberta, Canada mgoyal@ucalgary.ca.

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