scholarly journals Addressing a real‐life problem: treatment with intravenous thrombolysis and mechanical thrombectomy in acute stroke patients with an extended time window beyond 4.5 h based on computed tomography perfusion imaging

2019 ◽  
Vol 27 (1) ◽  
pp. 168-174 ◽  
Author(s):  
K. Feil ◽  
P. Reidler ◽  
W. G. Kunz ◽  
C. Küpper ◽  
J. Heinrich ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Stroke ◽  
Perfusion Imaging ◽  
Mechanical Thrombectomy ◽  
Time Window ◽  
Real Life ◽  
Intravenous Thrombolysis ◽  
Stroke Patients ◽  
Computed Tomography Perfusion ◽  
Computed Tomography Perfusion Imaging

Computed Tomography Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy

2015 ◽  
Vol 29 (1) ◽  
pp. 125.e1-125.e11 ◽  
Author(s):  
Thomas G. Devlin ◽  
Sachin V. Phade ◽  
Rodney K. Hutson ◽  
Mark W. Fugate ◽  
Grant R. Major ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Stroke ◽  
Carotid Endarterectomy ◽  
Perfusion Imaging ◽  
Stroke Patients ◽  
Computed Tomography Perfusion ◽  
Computed Tomography Perfusion Imaging ◽  
Selection Of

Computed tomography perfusion imaging in acute stroke

2002 ◽  
Vol 46 (3) ◽  
pp. 221-230 ◽  
Author(s):  
CJ Keith ◽  
M Griffiths ◽  
B Petersen ◽  
RJ Anderson ◽  
KA Miles
Keyword(s):  
Computed Tomography ◽  
Acute Stroke ◽  
Perfusion Imaging ◽  
Computed Tomography Perfusion ◽  
Computed Tomography Perfusion Imaging

scholarly journals In-Hospital Intravenous Thrombolysis Offers No Benefit in Mechanical Thrombectomy in Optimized Tertiary Stroke Center Setting

2020 ◽  
Author(s):  
Juha-Pekka Pienimäki ◽  
Jyrki Ollikainen ◽  
Niko Sillanpää ◽  
Sara Protto
Keyword(s):  
Clinical Outcome ◽  
Acute Stroke ◽  
Mechanical Thrombectomy ◽  
Clinical Laboratory ◽  
Intravenous Thrombolysis ◽  
Stroke Patients ◽  
Anterior Circulation ◽  
Vessel Occlusion ◽  
Ordinal Logistic Regression Analysis ◽  
Stroke Center

Abstract Purpose Mechanical thrombectomy (MT) is the first-line treatment in acute stroke patients presenting with large vessel occlusion (LVO). The efficacy of intravenous thrombolysis (IVT) prior to MT is being contested. The objective of this study was to evaluate the efficacy of MT without IVT in patients with no contraindications to IVT presenting directly to a tertiary stroke center with acute anterior circulation LVO. Materials and Methods We collected the data of 106 acute stroke patients who underwent MT in a single high-volume stroke center. Patients with anterior circulation LVO eligible for IVT and directly admitted to our institution who subsequently underwent MT were included. We recorded baseline clinical, laboratory, procedural, and imaging variables and technical, imaging, and clinical outcomes. The effect of intravenous thrombolysis on 3-month clinical outcome (mRS) was analyzed with univariate tests and binary and ordinal logistic regression analysis. Results Fifty-eight out of the 106 patients received IVT + MT. These patients had 2.6-fold higher odds of poorer clinical outcome in mRS shift analysis (p = 0.01) compared to MT-only patients who had excellent 3-month clinical outcome (mRS 0–1) three times more often (p = 0.009). There were no significant differences between the groups in process times, mTICI, or number of hemorrhagic complications. A trend of less distal embolization and higher number of device passes was observed among the MT-only patients. Conclusions MT without prior IVT was associated with an improved overall three-month clinical outcome in acute anterior circulation LVO patients.

Computed tomography perfusion imaging for monitoring transarterial chemoembolization of hepatocellular carcinoma

2017 ◽  
Vol 91 ◽  
pp. 160-167 ◽  
Author(s):  
Herman P. Marquez ◽  
Amar Karalli ◽  
Holger Haubenreisser ◽  
Rishi P. Mathew ◽  
Hatem Alkadhi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Perfusion Imaging ◽  
Transarterial Chemoembolization ◽  
Computed Tomography Perfusion ◽  
Computed Tomography Perfusion Imaging
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