ArticleThe neuroradiology journal2017
Assessment of clot length with multiphase CT angiography in patients with acute ischemic stroke.
Article in The neuroradiology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Neuroimaging Modalities Used for Ischemic Stroke Diagnosis and Monitoring.Medicina (Kaunas, Lithuania) · 2023Review
- Preprocedural Imaging : A Review of Different Radiological Factors Affecting the Outcome of Thrombectomy.Clinical neuroradiology · 2022Review
- Computed Tomography Angiography and B-Mode Ultrasonography under Artificial Intelligence Plaque Segmentation Algorithm in the Perforator Localization for Preparation of Free Anterolateral Femoral Flap.Contrast media & molecular imaging · 2022Article
- Realistic computer modelling of stent retriever thrombectomy: a hybrid finite-element analysis-smoothed particle hydrodynamics model.Journal of the Royal Society, Interface · 2021Article
- Current approaches and advances in the imaging of stroke.Disease models & mechanisms · 2021Review
- Quantitative CT angiography predicts large artery occlusion types and successful thrombectomy in acute ischemic stroke.Journal of the Chinese Medical Association : JCMA · 2021Article
- Multiphase CT Angiography: A Useful Technique in Acute Stroke Imaging-Collaterals and Beyond.AJNR. American journal of neuroradiology · 2021Review
- Direct angioplasty for acute ischemic stroke due to intracranial atherosclerotic stenosis-related large vessel occlusion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020Article
- Beyond the collaterals: Additional value of multiphase CTA in acute ischemic stroke evaluation.The neuroradiology journal · 2019Article
- An acute stroke CT imaging algorithm incorporating automated perfusion analysis.Emergency radiology · 2019Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction Existing stroke literature demonstrates that rapid recanalization of vessels improves long-term prognosis after acute ischemic stroke. However, further optimization of the speed of the thrombectomy procedure, used to recanalize a blocked vessel, is limited by our minimal knowledge of the clot dimensions pre-procedure. Knowing the clot dimensions would allow planning of the thrombectomy procedure with the appropriate size and length of stent retriever, and determination of the correct site of the stent deployment ensuring total coverage of the clot by the stent retriever. Methods We performed a feasibility study to assess if multiphase computed tomography angiography (mCTA) can be used to estimate clot length by comparing CTA imaging data with imaging data obtained from conventional digital subtraction angiography (DSA). A retrospective chart review was performed of patients with clots in the proximal middle cerebral artery and adequate collateral circulation, who underwent both mCTA and DSA. Results Clot length was not significantly different on 3D mCTA versus mCTA MIPs, nor was it significantly different on MIP mCTA versus DSA. Pathological evidence also supported our ability to measure clot length on mCTA. Conclusions We suggest that mCTA is a reliable and valid measure of clot length in acute ischemic stroke patients.
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