Vessel Wall Magnetic Resonance Imaging in Acute Ischemic Stroke Effects of Embolism and Mechanical Thrombectomy on the Arterial Wall

被引:85
|
作者
Power, Sarah [1 ,2 ]
Matouk, Charles [3 ,4 ]
Casaubon, Leanne K. [2 ,5 ]
Silver, Frank L. [2 ,5 ]
Krings, Timo [1 ,2 ]
Mikulis, David J. [1 ,2 ]
Mandell, Daniel M. [1 ,2 ]
机构
[1] Univ Toronto, Dept Med Imaging, Div Neuroradiol, Toronto, ON, Canada
[2] Toronto Western Hosp, Toronto, ON M5T 2S8, Canada
[3] Yale Univ, Sch Med, Dept Neurosurg, New Haven, CT USA
[4] Yale Univ, Sch Med, Dept Diagnost Radiol, New Haven, CT 06510 USA
[5] Univ Toronto, Dept Med, Div Neurol, Toronto, ON, Canada
关键词
infarction; magnetic resonance angiography; magnetic resonance imaging; secondary prevention; stroke; thrombectomy; vasculitis; CAUSATIVE CLASSIFICATION; CEREBRAL VASCULITIS; MRI; ENHANCEMENT; SYSTEM; SUBTYPES;
D O I
10.1161/STROKEAHA.114.005618
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Purpose-The aim of the study was to determine the effects of thromboembolism and mechanical thrombectomy on the vessel wall magnetic resonance imaging (VW-MRI) appearance of the intracranial arterial wall. Methods-This was a cross-sectional study of consecutive patients with acute intracranial arterial occlusion who underwent high-resolution contrast-enhanced VW-MRI within days of stroke presentation. For each patient, we categorized arterial wall thickening and enhancement as definite, possible, or none using contralateral arteries as a reference standard. We performed.2 tests to compare the effects of medical therapy and mechanical thrombectomy. Results-Sixteen patients satisfied inclusion criteria. Median time from symptom onset to VW-MRI was 3 days (interquartile range, 2 days). Among 6 patients treated with mechanical thrombectomy using a stent retriever, VW-MRI demonstrated definite arterial wall thickening in 5 (83%) and possible thickening in 1 (17%); there was definite wall enhancement in 4 (67%) and possible enhancement in 2 (33%). Among 10 patients treated with medical therapy alone, VW-MRI demonstrated definite arterial wall thickening in 3 (30%) and possible thickening in 2 (20%); there was definite wall enhancement in 2 (20%) and possible enhancement in 2 (20%). Arterial wall thickening and enhancement were more common in patients treated with mechanical thrombectomy than with medical therapy alone (P= 0.037 and P= 0.016, respectively). Conclusions-Mechanical thrombectomy results in intracranial arterial wall thickening and enhancement, potentially mimicking the VW-MRI appearance of primary arteritis. This arterial wall abnormality is less common in patients with arterial occlusion who have been treated with medical therapy alone.
引用
收藏
页码:2330 / 2334
页数:5
相关论文
共 50 条
  • [21] Vessel Wall Magnetic Resonance Imaging in Cerebrovascular Diseases
    Mazzacane, Federico
    Mazzoleni, Valentina
    Scola, Elisa
    Mancini, Sara
    Lombardo, Ivano
    Busto, Giorgio
    Rognone, Elisa
    Pichiecchio, Anna
    Padovani, Alessandro
    Morotti, Andrea
    Fainardi, Enrico
    DIAGNOSTICS, 2022, 12 (02)
  • [22] Wall Enhancement in Evolving Cerebral Aneurysms on Magnetic Resonance Vessel Wall Imaging
    Omodaka, Shunsuke
    Endo, Hidenori
    Niizuma, Kuniyasu
    Fujimura, Miki
    Inoue, Takashi
    Endo, Toshiki
    Tominaga, Teiji
    NEUROSURGERY, 2019, 66 : 70 - 70
  • [23] Evaluation of the Arterial Wall in Vertebrobasilar Artery Dissection Using High-Resolution Magnetic Resonance Vessel Wall Imaging
    Arai, Daisuke
    Satow, Takeshi
    Komuro, Taro
    Kobayashi, Akira
    Nagata, Hirokazu
    Miyamoto, Susumu
    JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2016, 25 (06): : 1444 - 1450
  • [24] Magnetic Resonance Imaging in Acute Ischemic Stroke
    Tedyanto, Eric Hartono
    Tini, Kumara
    Pramana, Nyoman Angga Krishna
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (07)
  • [25] The Differences of Vessel Wall Features Between the Anterior and Posterior Brain Arteries Detected by High Resolution Magnetic Resonance Imaging in Patients With Acute Ischemic Stroke
    Chen, Xiangyan
    Zheng, Lu
    Li, Jia
    Yang, Wenjie
    STROKE, 2020, 51
  • [26] Correlating Hemodynamic Magnetic Resonance Imaging with high-field Intracranial Vessel Wall Imaging in Stroke
    Langdon, Weston
    Donahue, Manus J.
    van der Kolk, Anja G.
    Rane, Swati
    Strother, Megan K.
    JOURNAL OF RADIOLOGY CASE REPORTS, 2014, 8 (06): : 1 - 10
  • [27] Mechanical Thrombectomy for Acute Ischemic Stroke
    Sun, Lisa R.
    Harrar, Dana
    Drocton, Gerald
    Castillo-Pinto, Carlos
    Felling, Ryan
    Carpenter, Jessica L.
    Wernovsky, Gil
    McDougall, Cameron G.
    Gailloud, Philippe
    Pearl, Monica S.
    STROKE, 2020, 51 (10) : 3174 - 3181
  • [28] Mechanical thrombectomy in acute ischemic stroke
    Derex, L.
    Cho, T. -H.
    REVUE NEUROLOGIQUE, 2017, 173 (03) : 106 - 113
  • [29] Mechanical Thrombectomy for Acute Ischemic Stroke
    Brekenfeld, C.
    Gralla, J.
    Zubler, C.
    Schroth, G.
    ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2012, 184 (06): : 503 - 512
  • [30] Correlation of the middle cerebral artery atherosclerotic plaque characteristics with ischemic stroke recurrence: a vessel wall magnetic resonance imaging study
    Li, Fangbing
    Wang, Yilin
    Du, Ying
    Hu, Tianxiang
    Wu, Yejun
    AGING-US, 2023, 15 (15): : 7844 - 7852