MR Imaging Selection of Acute Stroke Patients with Emergent Large Vessel Occlusions for Thrombectomy

被引：6

作者：

Leslie-Mazwi, Thabele M. ^{[1
,2
,3
,4
]}

Lev, Michael H. ^{[5
]}

Schaefer, Pamela W. ^{[6
,7
]}

Hirsch, Joshua A. ^{[8
,9
]}

Gonzalez, R. Gilberto ^{[10
]}

机构：

[1] Harvard Med Sch, Massachusetts Gen Hosp, Neuroendovasc Program, WAC-7-745,15 Parkman St, Boston, MA 02114 USA

[2] Harvard Med Sch, Massachusetts Gen Hosp, Neurocrit Care, WAC-7-745,15 Parkman St, Boston, MA 02114 USA

[3] Harvard Med Sch, Massachusetts Gen Hosp, Dept Neurosurg, WAC-7-745,15 Parkman St, Boston, MA 02114 USA

[4] Harvard Med Sch, Massachusetts Gen Hosp, Dept Neurol, WAC-7-745,15 Parkman St, Boston, MA 02114 USA

[5] Harvard Med Sch, Massachusetts Gen Hosp, Emergency Radiol, BLK SB-0038 MGH,55 Fruit St, Boston, MA 02114 USA

[6] Harvard Med Sch, Massachusetts Gen Hosp, Neuroradiol, Founders 228 MGH,55 Fruit St, Boston, MA 02114 USA

[7] Harvard Med Sch, Massachusetts Gen Hosp, Radiol, Founders 228 MGH,55 Fruit St, Boston, MA 02114 USA

[8] Harvard Med Sch, Massachusetts Gen Hosp, NeuroIntervent Radiol, Gray 241 MGH,55 Fruit St, Boston, MA 02114 USA

[9] Harvard Med Sch, Massachusetts Gen Hosp, Intervent Radiol, Gray 241 MGH,55 Fruit St, Boston, MA 02114 USA

[10] Harvard Med Sch, Massachusetts Gen Hosp, Neuroradiol, Gray 241 MGH,55 Fruit St, Boston, MA 02114 USA

来源：

NEUROIMAGING CLINICS OF NORTH AMERICA | 2018年 / 28卷 / 04期

关键词：

MR Imaging; DWI; Ischemic stroke; Patient selection; Large vessel occlusion; ACUTE ISCHEMIC-STROKE; INFARCT VOLUME; PERFUSION; MISMATCH; THROMBOLYSIS; DEVICES; SAFETY; ABC/2;

D O I：

10.1016/j.nic.2018.06.003

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Acute stroke caused by large vessel occlusions (LVOs) are common. The time window to treat is up to 24 hours, and the most important factor is the size of the ischemic core. If the core is small (<70-100 mL), the penumbra must be large; penumbral imaging is unnecessary. MR imaging is precise in measuring the core, and superior to alternatives. The necessary sequences are obtainable rapidly, comparable to computed tomography scans. Available evidence suggests that most patients with LVOs are slow progressors defined as having a small core 6 hours or more after ictus onset.

引用

页码：573 / 584

页数：12

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