nach oben

Neurotherapeutics

Erschienen in:

01.07.2011 | Review

Vascular Imaging in Stroke: Comparative Analysis

verfasst von: Kristian Barlinn, Andrei V. Alexandrov

Erschienen in: Neurotherapeutics | Ausgabe 3/2011

Einloggen, um Zugang zu erhalten

Abstract

Advances in stroke treatment have mirrored advances in vascular imaging. Understanding and advances in reperfusion therapies were made possible by improvements in computed tomographic angiography, magnetic resonance angiography, neurovascular ultrasound, and renewed interest in catheter angiography. As technology allows better noninvasive vascular diagnosis, digital subtraction angiography (the remaining gold standard for vascular imaging) is increasingly used for rescue procedures and elective interventions. This review will examine specific advantages and disadvantages of different vascular imaging modalities as related to stroke diagnosis.

Nur mit Berechtigung zugänglich

Turski PA, Korosec F. MR angiography of the head and neck; in Edelman RR, Hesselink JR, Zlatkin MB, Crues JV III, eds. Clinical Magnetic Resonance Imaging. Philadelphia: Saunders-Elsevier, 2006;2:1499–1537.

Bash S, Villablanca JP, Jahan R. Intracranial vascular stenosis and occlusive disease: evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR Am J Neuroradiol 2005;26:1012–1021.PubMed

Korosec F, Turski P. Velocity and volume flow measurements using phase-contrast magnetic resonance imaging. Int J Neuroradiol 1997;3:293–318.

Debrey SM, Yu H, Lynch JK, et al. Diagnostic accuracy of magnetic resonance angiography for internal carotid artery disease: a systematic review and meta-analysis. Stroke 2008;39:2237–2248.PubMedCrossRef

Phan T, Huston J III, Bernstein MA, Riederer SJ, Brown RD Jr. Contrast-enhanced magnetic resonance angiography of the cervical vessels: experience with 422 patients. Stroke 2001;32:2282–2286.PubMedCrossRef

Provenzale JM, Sarikaya B. Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR Am J Roentgenol 2009;193:1167–1174.PubMedCrossRef

Berletti R, Cavagna E, Cimini N, Moretto G, Schiavon F. Dissection of epiaortic vessels: clinical appearance and potentiality of imaging techniques. Radiol Med 2004;107:35–46.PubMed

Hand PJ, Wardlaw JM, Rowat AM. Magnetic resonance brain imaging in patients with acute stroke: feasibility and patient related difficulties. J Neurol Neurosurg Psychiatry 2005;76:1525–1527.PubMedCrossRef

Weinreb JC, Abu-Alfa AK. Gadolinium-based contrast agents and nephrogenic systemic fibrosis: why did it happen and what have we learned? J Magn Reson Imaging 2009;30:1236–1239.PubMedCrossRef

10.

Schellinger PD: The evolving role of advanced MR imaging as a management tool for adult ischemic stroke: a Western-European perspective. Neuroimaging Clin North Am 2005;15:245–258.d

11.

Tomandl BF, Klotz E, Handschu R, et al. Comprehensive imaging of ischemic stroke with multisection CT. Radiographics 2003;23:565–592PubMedCrossRef

12.

Vieco PT. CT angiography of the intracranial circulation. Neuroimaging Clin N Am 1998;8:577–592.PubMed

13.

Blank M, Kalender WA. Medical volume exploration: gaining insights virtually. Eur J Radiol 2000;33:161–169.PubMedCrossRef

14.

Lell MM, Anders K, Uder M, et al. New techniques in CT angiography. Radiographics 2006;26:45–62.CrossRef

15.

Bash S, Villablanca JP, Jahan R, et al. Intracranial vascular stenosis and occlusive disease: evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR Am J Neuroradiol 2005;26:1012–21.PubMed

16.

Puetz V, Dzialowski I, Hill MD. Calgary CTA Study Group. Intracranial thrombus extent predicts clinical outcome, final infarct size and hemorrhagic transformation in ischemic stroke: the clot burden score. Int J Stroke 2008;3:230–236.PubMedCrossRef

17.

Saqqur M, Uchino K, Demchuk AM. CLOTBUST Investigators. Site of arterial occlusion identified by transcranial Doppler predicts the response to intravenous thrombolysis for stroke. Stroke 2007;38:948–954.PubMedCrossRef

18.

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.PubMedCrossRef

19.

Wright AR, Gibson RJ, Sellar RJ. Outcome, observer reliability, and patient preferences if CTA, MRA, or Doppler ultrasound were used, individually or together, instead of digital subtraction angiography before carotid endarterectomy. J Neurol Neurosurg Psychiatry 2002;73:21–28.PubMedCrossRef

20.

Lev MH, Romero JM, Goodman DN, et al. Total occlusion versus hairline residual lumen of the internal carotid arteries: accuracy of single section helical CT angiography. AJNR Am J Neuroradiol 2003;24:1123–1129.PubMed

21.

Papke K, Kuhl CK, Fruth M, et al. Intracranial aneurysms: role of multidetector CT angiography in diagnosis and endovascular therapy planning. Radiology 2007;244:532–540.PubMedCrossRef

22.

Morgenstern LB, Hemphill JC 3 rd, Anderson C, et al. American Heart Association Stroke Council and Council on Cardiovascular Nursing. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2010;41:2108–2129.PubMedCrossRef

23.

Delgado Almandoz JE, Yoo AJ, et al. Systematic characterization of the computed tomography angiography spot sign in primary intracerebral hemorrhage identifies patients at highest risk for hematoma expansion: the spot sign score. Stroke 2009;40:2994–3000.

24.

Wada R, Aviv RI, Fox AJ, et al. CT angiography “spot sign” predicts hematoma expansion in acute intracerebral hemorrhage. Stroke 2007;38:1257–1262.PubMedCrossRef

25.

Krol AL, Dzialowski I, Roy J, et al. Incidence of radiocontrast nephropathy in patients undergoing acute stroke computed tomography angiography. Stroke 2007;38:2364–2366.PubMedCrossRef

26.

Shrier DA, Tanaka H, Numaguchi Y, Konno S, Patel U, Shibata D. CT angiography in the evaluation of acute stroke. AJNR Am J Neuroradiol 1997;18:1011–1020.PubMed

27.

Berrington de González A, Mahesh M, Kim KP, et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009;169:2071–2077.

28.

Hennerici M, Hulsbomer HB, Hefter H, et al. Natural history of asymptomatic extracranial arterial disease: results of a long-term prospective study. Brain 1987;110:777–791.PubMedCrossRef

29.

Grant EG, Benson CB, Moneta GL, et al. Carotid artery stenosis: grayscale and Doppler ultrasound diagnosis — Society of Radiologists in Ultrasound consensus conference. Ultrasound Q 2003;19:190–198.PubMedCrossRef

30.

European Carotid Surgery Trialists’ Collaborative Group. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis. Lancet 1991;337:1235–1243.CrossRef

31.

North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high grade carotid stenosis. New Engl J Med 1991;325:445–453.CrossRef

32.

Rothwell PM, Gibson RJ, Slattery J, Sellar RJ, Warlow CP. Equivalence of measurements of carotid stenosis. A comparison of three methods on 1001 angiograms. Stroke 1994;25:2435–2439.PubMedCrossRef

33.

Aburahma AF, Srivastava M, Stone PA, et al. Critical appraisal of the Carotid Duplex Consensus criteria in the diagnosis of carotid artery stenosis. J Vasc Surg 2010;14:xx.

34.

Beach KW, Bergelin RO, Leotta DF, et al. Standardized ultrasound evaluation of carotid stenosis for clinical trials: University of Washington Ultrasound Reading Center. Cardiovasc Ultrasound 2010;8:39.PubMedCrossRef

35.

Widder B, von Reutern GM, Neuerburg-Heusler D. Morphologic and Doppler sonographic criteria for determining the degree of stenosis of the internal carotid artery. Ultraschall Med 1986;7:70–75.PubMedCrossRef

36.

Spencer MP, Reid JM. Quantitation of carotid stenosis with continuous-wave (C-W) Doppler ultrasound. Stroke 1979;10:326–30.PubMedCrossRef

37.

Garami Z, Calleja S, Labiche L, Chernyshev OY, Campbell M, Malkoff M, Alexandrov AV Yield of urgent carotid scanning in acute cerebral ischemia. Stroke 2003;34:266.

38.

Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001;344:898–906.PubMedCrossRef

39.

Gröschel K, Riecker A, Schulz JB, Ernemann U, Kastrup A. Systematic review of early recurrent stenosis after carotid angioplasty and stenting. Stroke 2005;36:367–373.PubMedCrossRef

40.

Mathur A, Dorros G, Iyer SS, Vitek JJ, Yadav SS, Roubin GS. Palmaz stent compression in patients following carotid artery stenting. Cathet Cardiovasc Diagn 1997;41:137–140.CrossRef

41.

Khan S, Cloud GC, Kerry S, Markus HS. Imaging of vertebral artery stenosis: a systematic review. J Neurol Neurosurg Psychiatry 2007;78:1218–1225.PubMedCrossRef

42.

Alexandrov AV, Sloan MA, Wong LK, et al, American Society of Neuroimaging Practice Guidelines Committee. Practice Guidelines Committee. Practice standards for transcranial Doppler ultrasound: part I--test performance. J Neuroimaging 2007;17:11–8.PubMedCrossRef

43.

Nedelmann M, Stolz E, Gerriets T, et al, TCCS Consensus Group. Consensus recommendations for transcranial color-coded duplex sonography for the assessment of intracranial arteries in clinical trials on acute stroke. Stroke 2009;40:3238–3244.PubMedCrossRef

44.

Alberts MJ, Latchaw RE, Selman WR, et al, for the Brain Attack Coalition. Recommendations for comprehensive stroke centers: a consensus statement from the brain attack coalition. Stroke 2005;36:1597–1618.PubMedCrossRef

45.

Alexandrov AV, Sloan MA, Tegeler CH, et al, for the American Society of Neuroimaging Practice Guidelines Committee. Practice Standards for Transcranial Doppler (TCD) Ultrasound. Part II. Clinical Indications and Expected Outcomes. J Neuroimaging 2010;26:xx.

46.

Ritter MA, Dittrich R, Thoenissen N, et al. Prevalence and prognostic impact of microembolic signals in arterial sources of embolism. A systematic review of the literature. J Neurol 2008;255:953–961.PubMedCrossRef

47.

Markus HS, King A, Shipley M, et al. Asymptomatic embolisation for prediction of stroke in the Asymptomatic Carotid Emboli Study (ACES): a prospective bservational study. Lancet Neurol 2010;9:663–671.PubMedCrossRef

48.

Wijman CA, McBee NA, Keyl PM, et al. Diagnostic impact of early transcranial Doppler ultrasonography on the TOAST classification subtype in acute cerebral ischemia. Cerebrovasc Dis 2001;11:317–323.PubMedCrossRef

49.

Tsivgoulis G, Sharma VK, Lao AY, Malkoff MD, Alexandrov AV. Validation of transcranial Doppler with computed tomography angiography in acute cerebral ischemia. Stroke 2007;38:1245–1249.PubMedCrossRef

50.

Markus HS, Droste DW, Kaps M, et al. Dual antiplatelet therapy with clopidogrel and aspirin in symptomatic carotid stenosis evaluated using doppler embolic signal detection: the Clopidogrel and Aspirin for Reduction of Emboli in Symptomatic Carotid Stenosis (CARESS) trial. Circulation 2005;111:2233- 2240.PubMedCrossRef

51.

Wong KS, Chen C, Fu J, et al, for the CLAIR study investigators. Clopidogrel plus aspirin versus aspirin alone for reducing embolisation in patients with acute symptomatic cerebral or carotid artery tenosis (CLAIR study): a randomised, open label, blinded endpoint trial. Lancet Neurol 2010;9:489–497.PubMedCrossRef

52.

Lao AY, Sharma VK, Tsivgoulis G, et al. Detection of right-to-left shunts: comparison between the International Consensus and Spencer Logarithmic Scale criteria. J Neuroimaging 2008;18:402–406.PubMedCrossRef

53.

Demchuk AM, Burgin WS, Christou I, et al. Thrombolysis in brain infarction (TIBI) transcranial Doppler flow grades predict clinical severity, early recovery, and mortality in patients treated with intravenous tissue plasminogen activator. Stroke 2001;32:89–93.PubMedCrossRef

54.

Tsivgoulis G, Sharma VK, Lao AY, et al. Validation of transcranial Doppler with computed tomography angiography in acute cerebral ischemia. Stroke 2007;38:1245–1249.PubMedCrossRef

55.

Alexandrov AV, Demchuk A, Wein T, et al. The yield of transcranial Doppler in acute cerebral ischemia. Stroke 1999;30:1605–1609.CrossRef

56.

Tsivgoulis G, Sharma VK, Hoover SL, et al. Applications and advantages of power motion-mode Doppler in acute posterior circulation cerebral ischemia. Stroke 2008;39:1197–1204.PubMedCrossRef

57.

Feldmann E, Wilterdink JL, Kosinski A, et al, Stroke Outcomes and Neuroimaging of Intracranial Atherosclerosis (SONIA) Trial Investigators. The Stroke Outcomes and Neuroimaging of Intracranial Atherosclerosis (SONIA) trial. Neurology 2007;68:2099–2106.PubMedCrossRef

58.

Silverstrini M, Vernieri F, Pasqualetti P, et al. Impaired vasosmotor reactivity and risk of stroke in patients with asymptomatic carotid artery stenosis. JAMA 2000;283:2122–2127.CrossRef

59.

Vernieri F, Pasqualetti P, Matheis M, et al. Effect of collateral flow and cerebral vasomotor reactivity on the outcome of carotid artery occlusion. Stroke 2001;32:1552–1558.PubMedCrossRef

60.

Sloan MA, Haley EC Jr, Kassell NF, et al. Sensitivity and specificity of transcranial Doppler ltrasonography in the diagnosis of vasospasm following subarachnoid hemorrhage. Neurology 1989;39:1514–1518.PubMed

61.

Sloan MA, Burch CM, Wozniak MA, et al. Transcranial Doppler detection of vertebrobasilar vasospasm following subarachnoid hemorrhage. Stroke 1994;25:2187–2197.PubMedCrossRef

62.

Rubiera M, Cava L, Tsivgoulis G, et al. Diagnostic criteria and yield of real-time transcranial Doppler monitoring of intra-arterial reperfusion procedures. Stroke 2010;41:695–699.PubMedCrossRef

63.

Hankey GJ, Warlow CP, Molyneux AJ. Complications of cerebral angiography for patients with mild carotid territory ischaemia being considered for carotid endarterectomy. J Neurol Neurosurg Psychiatry 1990;53:542–548.PubMedCrossRef

64.

Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA 1995;273:1421–1428.CrossRef

65.

Bendszus M, Koltzenburg M, Burger R, Warmuth-Metz M, Hofmann E, Solymosi L. Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: a prospective study. Lancet 1999;354:1594–1597.PubMedCrossRef

66.

Patel SG, Collie DA, Wardlaw JM. Outcome, observer reliability, and patient preferences if CTA, MRA, or Doppler ultrasound were used, individually or together, instead of digital subtraction angiography before carotid endarterectomy. J Neurol Neurosurg Psychiatry 2002;73:21–28.PubMedCrossRef

67.

Latchaw RE, Alberts MJ, Lev MH, et al. American Heart Association Council on Cardiovascular Radiology and Intervention, Stroke Council, and the Interdisciplinary Council on Peripheral Vascular Disease. Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. Stroke 2009;40:3646–3678.PubMedCrossRef

68.

Broderick JP. Endovascular therapy for acute ischemic stroke. Stroke 2009;40:103–106.CrossRef

69.

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.PubMedCrossRef

70.

Zaidat OO, Klucznik R, Alexander MJ, et al. NIH Multi-center Wingspan Intracranial Stent Registry Study Group. The NIH registry on use of the Wingspan stent for symptomatic 70–99% intracranial arterial stenosis. Neurology 2008;70:1518 –1524.PubMedCrossRef

71.

Connors JJ 3rd, Sacks D, Furlan AJ, et al. Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention: a joint statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, the Congress of Neurological Surgeons, the AANS/CNS Cerebrovascular Section, and the Society of Interventional Radiology. J Vasc Interv Radiol 2009;20:S292-S301.PubMedCrossRef

Titel: Vascular Imaging in Stroke: Comparative Analysis
verfasst von: Kristian Barlinn
Andrei V. Alexandrov
Publikationsdatum: 01.07.2011
Verlag: Springer-Verlag
Erschienen in: Neurotherapeutics / Ausgabe 3/2011
Print ISSN: 1933-7213
Elektronische ISSN: 1878-7479
DOI: https://doi.org/10.1007/s13311-011-0042-4

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

Sozialer Aufstieg verringert Demenzgefahr

24.05.2024 Demenz Nachrichten

Ein hohes soziales Niveau ist mit die beste Versicherung gegen eine Demenz. Noch geringer ist das Demenzrisiko für Menschen, die sozial aufsteigen: Sie gewinnen fast zwei demenzfreie Lebensjahre. Umgekehrt steigt die Demenzgefahr beim sozialen Abstieg.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Was nützt die Kraniektomie bei schwerer tiefer Hirnblutung?

17.05.2024 Hirnblutung Nachrichten

Eine Studie zum Nutzen der druckentlastenden Kraniektomie nach schwerer tiefer supratentorieller Hirnblutung deutet einen Nutzen der Operation an. Für überlebende Patienten ist das dennoch nur eine bedingt gute Nachricht.

Thrombektomie auch bei großen Infarkten von Vorteil

16.05.2024 Ischämischer Schlaganfall Nachrichten

Auch ein sehr ausgedehnter ischämischer Schlaganfall scheint an sich kein Grund zu sein, von einer mechanischen Thrombektomie abzusehen. Dafür spricht die LASTE-Studie, an der Patienten und Patientinnen mit einem ASPECTS von maximal 5 beteiligt waren.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2011

Stroke Epidemiology: Advancing Our Understanding of Disease Mechanism and Therapy

Stroke Prevention-Surgical and Interventional Approaches to Carotid Stenosis

Rehabilitation—Emerging Technologies, Innovative Therapies, and Future Objectives

Blood Biomarkers of Ischemic Stroke

Treatment of Risk Factors to Prevent Stroke