Acute Stroke Triage to Intravenous Thrombolysis and Other Therapies with Advanced CT or MR Imaging: Pro MR Imaging
2009; Radiological Society of North America; Volume: 251; Issue: 3 Linguagem: Inglês
10.1148/radiol.2513081074
ISSN1527-1315
AutoresMartin Köhrmann, Peter D. Schellinger,
Tópico(s)Clinical practice guidelines implementation
ResumoHomeRadiologyVol. 251, No. 3 PreviousNext Reviews and CommentaryControversiesAcute Stroke Triage to Intravenous Thrombolysis and Other Therapies with Advanced CT or MR Imaging: Pro MR ImagingMartin Köhrmann, Peter D. SchellingerMartin Köhrmann, Peter D. SchellingerAuthor Affiliations1From the Department of Neurology, University Hospital of Erlangen, Schwabachanlage 6, D-91054 Erlangen, Germany. Received June 18, 2008; revision requested July 1; revision received December 1; final version accepted December 10.Address correspondence to P.D.S. (e-mail: [email protected]).Martin KöhrmannPeter D. SchellingerPublished Online:Jun 1 2009https://doi.org/10.1148/radiol.2513081074MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In References1 Schellinger PD, Fiebach JB, Hacke W. Imaging-based decision making in thrombolytic therapy for ischemic stroke: present status. Stroke 2003; 34: 575–583. Crossref, Medline, Google Scholar2 von Kummer R, Bozzao L, Manelfe C, eds. Early CT diagnosis of hemispheric brain infarction. Berlin, Germany: Springer Verlag, 1995. Google Scholar3 Handschu R, Garling A, Heuschmann PU, Kolominsky-Rabas PL, Erbguth F, Neundorfer B. Acute stroke management in the local general hospital. Stroke 2001; 32: 866–870. Crossref, Medline, Google Scholar4 Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 2007; 38: 1655–1711. Crossref, Medline, Google Scholar5 The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995; 333: 1581–1587. Crossref, Medline, Google Scholar6 Patel SC, Levine SR, Tilley BC, et al. Lack of clinical significance of early ischemic changes on computed tomography in acute stroke. JAMA 2001; 286: 2830–2838. Crossref, Medline, Google Scholar7 Demchuk AM, Hill MD, Barber PA, Silver B, Patel SC, Levine SR. Importance of early ischemic computed tomography changes using ASPECTS in NINDS rtPA Stroke Study. Stroke 2005; 36: 2110–2115. Crossref, Medline, Google Scholar8 Dzialowski I, Hill MD, Coutts SB, et al. Extent of early ischemic changes on computed tomography (CT) before thrombolysis: prognostic value of the Alberta Stroke Program Early CT Score in ECASS II. Stroke 2006; 37: 973–978. Crossref, Medline, Google Scholar9 Schramm P, Schellinger PD, Fiebach JB, et al. Comparison of CT and CT angiography source images with diffusion-weighted imaging in patients with acute stroke within 6 hours after onset. Stroke 2002; 33: 2426–2432. Crossref, Medline, Google Scholar10 Lindsberg PJ, Mattle HP. Therapy of basilar artery occlusion: a systematic analysis comparing intra-arterial and intravenous thrombolysis. Stroke 2006; 37: 922–928. Crossref, Medline, Google Scholar11 Schellinger PD, Hacke W. Intra-arterial thrombolysis is the treatment of choice for basilar thrombosis: pro. Stroke 2006; 37: 2436–2437. Crossref, Medline, Google Scholar12 Hacke W, Kaste M, Bluhmki E, et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 2008; 359: 1317–1329. Crossref, Medline, Google Scholar13 Furlan A, Higashida R, Wechsler L, et al. Intra-arterial prourokinase for acute ischemic stroke: the PROACT II study—a randomized controlled trial: prolyse in acute cerebral thromboembolism. JAMA 1999; 282: 2003–2011. Crossref, Medline, Google Scholar14 Furlan AJ, Eyding D, Albers GW, et al. Dose Escalation of Desmoteplase for Acute Ischemic Stroke (DEDAS): evidence of safety and efficacy 3 to 9 hours after stroke onset. Stroke 2006; 37: 1227–1231. Crossref, Medline, Google Scholar15 Hacke W, Albers G, Al-Rawi Y, et al. The Desmoteplase in Acute Ischemic Stroke Trial (DIAS): a phase II MRI-based 9-hour window acute stroke thrombolysis trial with intravenous desmoteplase. Stroke 2005; 36: 66–73. Crossref, Medline, Google Scholar16 Schellinger PD, Jansen O, Fiebach JB, et al. Monitoring intravenous recombinant tissue plasminogen activator thrombolysis for acute ischemic stroke with diffusion and perfusion MRI. Stroke 2000; 31: 1318–1328. Crossref, Medline, Google Scholar17 Schlaug G, Benfield A, Baird AE, et al. The ischemic penumbra: operationally defined by diffusion and perfusion MRI. Neurology 1999; 53: 1528–1537. Crossref, Medline, Google Scholar18 Schellinger PD, Jansen O, Fiebach JB, et al. Feasibility and practicality of MR imaging of stroke in the management of hyperacute cerebral ischemia. AJNR Am J Neuroradiol 2000; 21: 1184–1189. Medline, Google Scholar19 Buckley BT, Wainwright A, Meagher T, Briley D. Audit of a policy of magnetic resonance imaging with diffusion-weighted imaging as first-line neuroimaging for in-patients with clinically suspected acute stroke. Clin Radiol 2003; 58: 234–237. Crossref, Medline, Google Scholar20 Fiebach JB, Schellinger PD, Jansen O, et al. CT and diffusion-weighted MR-imaging in randomized order: DWI results in higher accuracy and lower interrater variability in the diagnosis of hyperacute ischemic stroke. Stroke 2002; 33: 2206–2210. Crossref, Medline, Google Scholar21 Chalela JA, Kidwell C, Nentwich L, et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet 2007; 369: 293–398. Crossref, Medline, Google Scholar22 Albers GW, Thijs V, Wechsler L, et al. Results of the Diffusion-Weighted Imaging Evaluation for Understanding Stroke Evolution (DEFUSE) Study. Stroke 2006; 37: 635–636. Google Scholar23 Davis SM, Donnan GA, Parsons MW, et al. Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): a placebo-controlled randomised trial. Lancet Neurol 2008; 7: 299–309. Crossref, Medline, Google Scholar24 Schellinger PD. EPITHET: failed chance or new hope? Lancet Neurol 2008; 7: 286–287. Crossref, Medline, Google Scholar25 Thomalla G, Schwark C, Sobesky J, et al. Outcome and symptomatic bleeding complications of intravenous thrombolysis within 6 hours in MRI-selected stroke patients: comparison of a German multicenter study with the pooled data of ATLANTIS, ECASS, and NINDS tPA trials. Stroke 2006; 37: 852–858. Crossref, Medline, Google Scholar26 Köhrmann M, Jüttler E, Fiebach JB, et al. MRI versus CT-based thrombolysis treatment within and beyond the 3 h time window after stroke onset: a cohort study. Lancet Neurol 2006; 5: 661–667. Crossref, Medline, Google Scholar27 Schellinger PD, Thomalla G, Fiehler J, et al. MRI-based and CT-based thrombolytic therapy in acute stroke within and beyond established time windows: an analysis of 1210 patients. Stroke 2007; 38: 2640–2645. Crossref, Medline, Google Scholar28 Hacke W, Furlan AJ, Al-Rawi Y, et al. Intravenous desmoteplase in patients with acute ischaemic stroke selected by MRI perfusion-diffusion weighted imaging of perfusion CT (DIAS-2): a prospective randomised double-blind, placebo-controlled study. Lancet Neurol 2009; 8: 141–150. Crossref, Medline, Google Scholar29 Latour LL, Kang DW, Ezzeddine MA, Chalela JA, Warach S. Early blood-brain barrier disruption in human focal brain ischemia. Ann Neurol 2004; 56: 468–477. Crossref, Medline, Google Scholar30 Kidwell CS, Saver JL, Villablanca JP, et al. Magnetic resonance imaging detection of microbleeds before thrombolysis: an emerging application. Stroke 2002; 33: 95–98. Crossref, Medline, Google Scholar31 Nighoghossian N, Hermier M, Adeleine P, et al. Old microbleeds are a potential risk factor for cerebral bleeding after ischemic stroke: a gradient-echo t2*-weighted brain MRI study. Stroke 2002; 33: 735–742. Crossref, Medline, Google Scholar32 Fiehler J, Boulanger JM, Kakuda W, et al. Bleeding Risk Analysis in Stroke by T2*-Weighted Imaging Before Thrombolysis (BRASIL): a multicenter study of 600 patients of the MR Stroke Collaborative Group. Stroke 2006; 37: 636. Google Scholar33 Neumann-Haefelin T, Hoelig S, Berkefeld J, et al. Leukoaraiosis is a risk factor for symptomatic intracerebral hemorrhage after thrombolysis for acute stroke. Stroke 2006; 37: 2463–2466. Crossref, Medline, Google ScholarArticle HistoryPublished in print: 2009 FiguresReferencesRelatedDetailsCited ByWhen Can an Emergency CTA Be Dispensed with for TIA Patients?Jens-ChristianAltenbernd, RazvanGramada, EugenKessler, JakobSkatulla, EduardGeppert, JensEyding, HannesNordmeyer2022 | Journal of Clinical Medicine, Vol. 11, No. 19Imaging in Acute Anterior Circulation Ischemic Stroke: Current and FutureHyun JeongKim, Hong GeeRoh2022 | Neurointervention, Vol. 17, No. 1Comparison of magnetic resonance imaging versus computed tomography‐based thrombolysis treatment in patients with acute ischemic strokeJuanLi, JiandongXiong, KaixiangChen, JunSun, QiruiFu, BoYin2022 | Journal of Clinical Ultrasound, Vol. 50, No. 2Posterior Circulation StrokeYunsunSong, Seung ChaiJung2021Schnelle MRT-Sequenzen für die akute neurologische AbklärungK. J.Wenger, E.Hattingen2021 | Notfall + Rettungsmedizin, Vol. 24, No. 5Stability of MRI radiomic features according to various imaging parameters in fast scanned T2-FLAIR for acute ischemic stroke patientsLeehiJoo, Seung ChaiJung, HyunnaLee, Seo YoungPark, MinjaeKim, Ji EunPark, Keum MiChoi2021 | Scientific Reports, Vol. 11, No. 1Schnelle MRT-Sequenzen für die akute neurologische AbklärungK. J.Wenger, E.Hattingen2020 | Der Radiologe, Vol. 60, No. 3Endovascular Thrombectomy for Acute Ischemic StrokeTasneem F.Hasan, NathanielTodnem, NeethuGopal, David A.Miller, Sukhwinder S.Sandhu, Josephine F.Huang, Rabih G.Tawk2019 | Current Cardiology Reports, Vol. 21, No. 10Neuroimaging in Acute Ischemic Stroke: Role and Recent AdvancesSe JinCho, Seung ChaiJung, Chong HyunSuh, Kyung WonKim, Dong-CheolWoo, Woo YongOh, Jong GuLee, Byung JunKim2019 | Journal of the Korean Society of Radiology, Vol. 80, No. 6Intracranial Atherosclerotic Disease-Related Acute Middle Cerebral Artery Occlusion Can Be Predicted by Diffusion-Weighted ImagingHuijunZhang, XuanSun, QiongHuang, XiangmingWang, YunhuaYue, MingfengJu, XiaopingWang, JiDing, ZhongrongMiao2019 | Frontiers in Neuroscience, Vol. 13Imaging of acute ischemic strokeScottRudkin, RussellCerejo, AshisTayal, Michael F.Goldberg2018 | Emergency Radiology, Vol. 25, No. 6Neuro-Imagerie DiagnostiqueJ.-L.Dietemann, S.Draghici, S.Kremer, A.Bogorin, M.Abu Eid, R.Sanda2018Multimodal MRI-Based Triage for Acute Stroke Therapy: Challenges and ProgressOh YoungBang, Jong-WonChung, Jeong PyoSon, Wi-SunRyu, Dong-EogKim, Woo-KeunSeo, Gyeong-MoonKim, Yoon-ChulKim2018 | Frontiers in Neurology, Vol. 9Brain ischemia: CT and MRI techniques in acute ischemic strokePedroVilela, Howard A.Rowley2017 | European Journal of Radiology, Vol. 96Peripheral blood AKAP7 expression as an early marker for lymphocyte-mediated post-stroke blood brain barrier disruptionGrant C.O'Connell, Madison B.Treadway, Ashley B.Petrone, Connie S.Tennant, NoelleLucke-Wold, Paul D.Chantler, Taura L.Barr2017 | Scientific Reports, Vol. 7, No. 1Imaging assessment of acute ischaemic stroke: a review of radiological methodsAubrey GeorgeSmith, ChrisRowland Hill2017 | The British Journal of RadiologyDiseases of the Brain, Head and Neck, Spine 2016-2019Howard A.Rowley, PedroVilela2016Magnetic resonance angiography in evaluation of acute intracranial steno-occlusive arterial diseaseMoustafa E.M.Radwan, Khaled O.Aboshaera2016 | The Egyptian Journal of Radiology and Nuclear Medicine, Vol. 47, No. 3Cost–Utility Analysis of Magnetic Resonance Imaging Management of Patients with Acute Ischemic Stroke in a Spanish HospitalElizabethParody, SalvadorPedraza, María M.García-Gil, CarlosCrespo, JoaquínSerena, AntoniDávalos2015 | Neurology and Therapy, Vol. 4, No. 1Cryptogenic Stroke—The Appropriate Diagnostic EvaluationHardikAmin, David M.Greer2014 | Current Treatment Options in Cardiovascular Medicine, Vol. 16, No. 1Geriatric Emergency Medicine2014Geriatric Emergency MedicineJolionMcGreevy, Kerry K.McCabe2014Clinician's Guide to Diagnostic ImagingPallav N.Shah2014Commonly asked questions: thrombolytic therapy in the management of acute strokeH StevenBlock, JoséBiller9 January 2014 | Expert Review of Neurotherapeutics, Vol. 13, No. 2Pearls and Pitfalls in Head and Neck and Neuroimaging2013Does a History of Migraine Affect the Rate of Thrombolysis in Young Stroke Patients?HalvorØygarden, ChristopherElnan Kvistad, LarsThomassen, UlrikeWaje-Andreassen, HalvorNaess2013 | Stroke Research and Treatment, Vol. 2013Magnetic Resonance Imaging-Based versus Computed Tomography-Based Thrombolysis in Acute Ischemic Stroke: Comparison of Safety and Efficacy within a Cohort StudyLea MorrinGerischer, Jochen B.Fiebach, Jan F.Scheitz, Heinrich J.Audebert, MatthiasEndres, Christian H.Nolte2013 | Cerebrovascular Diseases, Vol. 35, No. 3Timing-Invariant Imaging of Collateral Vessels in Acute Ischemic StrokeEwoud J.Smit, Evert-janVonken, Tomvan Seeters, Jan WillemDankbaar, Irene C.van der Schaaf, L. JaapKappelle, Bramvan Ginneken, Birgitta K.Velthuis, MathiasProkop2013 | Stroke, Vol. 44, No. 8Diseases of the Brain, Head & Neck, Spine 2012–2015JensFiehler, Howard A.Rowley2012Neuroimaging in Acute StrokeLauren M.Nentwich, WilliamVeloz2012 | Emergency Medicine Clinics of North America, Vol. 30, No. 3DETERMINATION OF SERUM VISININ LIKE PROTEIN-1 AND ITS POTENTIAL FOR THE DIAGNOSIS OF BRAIN INJURY DUE TO THE STROKE - A PILOT STUDYDavidStejskal, LenkaSporova, MarekSvestak, MichalKarpisek2011Sep1 | Biomedical Papers, Vol. 155, No. 3Acute Ischemic StrokeAlbert J.Yoo, Raul G.Nogueira, RezaHakimelahi, R. GilbertoGonzález, Joshua A.Hirsch2011ACR Appropriateness Criteria® on Cerebrovascular DiseaseRobert L.DeLaPaz, Franz J.Wippold, Rebecca S.Cornelius, SepidehAmin-Hanjani, Edgardo J.Angtuaco, Daniel F.Broderick, Douglas C.Brown, Jeffrey L.Creasy, Patricia C.Davis, Charles F.Garvin, Brian L.Hoh, Charles T.McConnell, Laszlo L.Mechtler, David J.Seidenwurm, James G.Smirniotopoulos, Paul J.Tobben, Alan D.Waxman, Greg J.Zipfel2011 | Journal of the American College of Radiology, Vol. 8, No. 8Safety and Clinical Outcome of Thrombolysis in Ischaemic Stroke Using a Perfusion CT Mismatch between 3 and 6 HoursLaszlo K.Sztriha, DulkaManawadu, JozefJarosz, JeffKeep, LalitKalra, OlivierBaud2011 | PLoS ONE, Vol. 6, No. 10Functional NeuroradiologyRonald L.Wolf2011Acute stroke magnetic resonance imaging: current status and future perspectiveStephan P.Kloska, MaxWintermark, TobiasEngelhorn, Jochen B.Fiebach2010 | Neuroradiology, Vol. 52, No. 3Advances in Imaging 2009A. GregorySorensen, Wolf-DieterHeiss2010 | Stroke, Vol. 41, No. 2Stroke Biomarkers: Progress and Challenges for Diagnosis, Prognosis, Differentiation, and TreatmentAmy KSaenger, Robert HChristenson2010 | Clinical Chemistry, Vol. 56, No. 1Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trialsKennedy RLees, ErichBluhmki, Rüdigervon Kummer, Thomas GBrott, DaniloToni, James CGrotta, Gregory WAlbers, MarkkuKaste, John RMarler, Scott AHamilton, Barbara CTilley, Stephen MDavis, Geoffrey ADonnan, WernerHacke2010 | The Lancet, Vol. 375, No. 9727European Handbook of Neurological ManagementP.Irimia, S.Asenbaum, M.Brainin, H.Chabriat, E.Martínez‐Vila, K.Niederkorn, P. D.Schellinger, R. J.Seitz, J. C.Masdeu2010Time-of-Flight MR Angiography Not for Diagnosing Subclavian Steal SyndromeHsin-Hui Huang, , Yeu-Sheng Tyan, , Teng-Fu Tsao, , 1 December 2009 | Radiology, Vol. 253, No. 3Emergency Surgery for Complicated Colorectal CancerRiccardoNascimbeni, HyginusNgassa, FrancescoDi Fabio, EleonoraValloncini, ErnestoDi Betta, BrunoSalerni2008 | Digestive Surgery, Vol. 25, No. 2Recommended Articles Imaging-based Selection for Endovascular Treatment in StrokeRadioGraphics2019Volume: 39Issue: 6pp. 1696-1713Endovascular Thrombectomy Outcomes with and without Intravenous Thrombolysis for Large Ischemic Cores Identified with CT or MRIRadiology2023Volume: 309Issue: 1Acute Symptomatic Basilar Artery Stenosis: MR Imaging Predictors of Early Neurologic Deterioration and Long-term OutcomesRadiology2016Volume: 280Issue: 1pp. 193-201Multiphase MR Angiography Collateral Map: Functional Outcome after Acute Anterior Circulation Ischemic StrokeRadiology2020Volume: 295Issue: 1pp. 192-201Attenuation Changes in ASPECTS Regions: A Surrogate for CT Perfusion–based Ischemic Core in Acute Ischemic StrokeRadiology2019Volume: 291Issue: 2pp. 451-458See More RSNA Education Exhibits Posterior Circulation Stroke: How Much Do You Know About It?Digital Posters2022ASPECT Score in Acute Stroke and Automated Software Tools: Pearls and PitfallsDigital Posters2020Recanalization Therapy is a Matter of MismatchDigital Posters2022 RSNA Case Collection Acute ischemic strokeRSNA Case Collection2020Basilar Artery EntrapmentRSNA Case Collection2021Acute thrombosed basilar tip aneurysmRSNA Case Collection2021 Vol. 251, No. 3 Metrics Altmetric Score PDF download
Referência(s)