Role of cardiac and extracranial vascular CT in the evaluation/management of cerebral ischemia and stroke

被引:6
作者
Kamalian S. [1 ]
Kamalian S. [1 ]
Pomerantz S.R. [2 ]
Tanpitukpongse T.P. [1 ]
Gupta R. [2 ]
Romero J.M. [2 ]
Katz D.S. [1 ]
机构
[1] Department of Radiology, Winthrop-University Hospital, 259 First Street, Mineola
[2] Department of Radiology, Division of Neuroradiology, Massachusetts General Hospital, 55 Fruit Street, Gray 2, Boston
关键词
Cardiac CT; Cardioembolic stroke; CT angiography; Ischemic stroke; Multimodal CT;
D O I
10.1007/s10140-013-1116-x
中图分类号
学科分类号
摘要
Collectively, cardiac and large artery sources are responsible for the largest proportion of acute ischemic stroke. Technological advancements in computed tomography (CT) continue to improve evaluation of these patients. The literature was reviewed for the potential role and impact of these innovations in evaluation and management of these patients. In conclusion, incorporation of early cardiac and extracranial vascular CT angiography (CTA) in evaluation of patients with acute ischemic stroke may potentially improve patient management and outcome, while decreasing cost. © 2013 Am Soc Emergency Radiol.
引用
收藏
页码:417 / 428
页数:11
相关论文
共 112 条
[41]  
Lima, F.O., Lev, M.H., Levy, R.A., Functional contrast-enhanced CT for evaluation of acute ischemic stroke does not increase the risk of contrast-induced nephropathy (2010) AJNR Am J Neuroradiol, 31, pp. 817-821. , 1:STN:280:DC%2BC3czjsFKjsg%3D%3D 10.3174/ajnr.A1927 20044502
[42]  
Hankey, G.J., Warlow, C.P., Sellar, R.J., Cerebral angiographic risk in mild cerebrovascular disease (1990) Stroke, 21 (2), pp. 209-222
[43]  
Barrett, J.F., Keat, N., Artifacts in CT: Recognition and avoidance (2004) Radiographics, 24, pp. 1679-1691. , 10.1148/rg.246045065 15537976
[44]  
Thompson, B.H., Stanford, W., Imaging of coronary calcification by computed tomography (2004) Journal of Magnetic Resonance Imaging, 19 (6), pp. 720-733. , DOI 10.1002/jmri.20066
[45]  
Korn, A., Bender, B., Thomas, C., Dual energy CTA of the carotid bifurcation: Advantage of plaque subtraction for assessment of grade of the stenosis and morphology (2011) Eur J Radiol, 80 (2), pp. e120-e125
[46]  
Delgado Almandoz, J.E., Romero, J.M., Pomerantz, S.R., Lev, M.H., Computed tomography angiography of the carotid and cerebral circulation (2010) Radiol Clin North Am, 48, pp. 265-281. , 10.1016/j.rcl.2010.02.007 20609874 vii-viii
[47]  
Lell, M.M., Hinkmann, F., Nkenke, E., Dual energy CTA of the supraaortic arteries: Technical improvements with a novel dual source CT system (2009) Eur J Radiol, 76, pp. 6-12. , 10.1016/j.ejrad.2009.09.022 19819092
[48]  
Ay, H., Benner, T., Arsava, E.M., Furie, K.L., Singhal, A.B., Jensen, M.B., Ayata, C., Sorensen, A.G., A computerized algorithm for etiologic classification of ischemic stroke: The causative classification of stroke system (2007) Stroke, 38 (11), pp. 2979-2984. , DOI 10.1161/STROKEAHA.107.490896, PII 0000767020071100000019
[49]  
Mackey, A.E., Abrahamowicz, M., Langlois, Y., Outcome of asymptomatic patients with carotid disease. Asymptomatic Cervical Bruit Study Group (1997) Neurology, 48, pp. 896-903. , 1:STN:280:DyaK2s3msVSjsA%3D%3D 10.1212/WNL.48.4.896 9109874
[50]  
Rothwell, P.M., Eliasziw, M., Gutnikov, S.A., Fox, A.J., Taylor, D.W., Mayberg, M.R., Warlow, C.P., Barnett, H.J.M., Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis (2003) Lancet, 361 (9352), pp. 107-116. , DOI 10.1016/S0140-6736(03)12228-3