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08-09-2022 | Stroke | Editorial Comment

Editorial comment: Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy

Author: Xiudi Lu

Published in: European Radiology | Issue 12/2022

Key Points

• The fluid-attenuated inversion recovery vascular hyperintensity (FVH) sign on FLAIR has been reported as a surrogate marker to predict collateral status and clinical outcome in patients with stroke. Most previous studies on the relationship between FVH and prognosis generally focused on the pre-treatment of stroke.

• This article focused on FVH in AIS patients with LVO post-treatment EVT. It proved that the post-treatment FVH sign may be associated with poor clinical outcome. It may offer an additional imaging biomarker for the prognosis evaluation of EVT patients.

Lee KY, Kim JW, Park M, Suh SH, Ahn SJ (2022) Interpretation of fluid-attenuated inversion recovery vascular hyperintensity in stroke. J Neuroradiol 49:258–266CrossRefPubMed

Derraz I, Ahmed R, Benali A et al (2021) FLAIR vascular hyperintensities and functional outcome in nonagenarians with anterior circulation large-vessel ischemic stroke treated with endovascular thrombectomy. Eur Radiol 31:7406–7416CrossRefPubMed

Zhu L, Jiang F, Wang M et al (2021) Fluid-attenuated inversion recovery vascular hyperintensity as a potential predictor for the prognosis of acute stroke patients after intravenous thrombolysis. Front Neurosci 15:808436CrossRefPubMed

Chen NH, Zhang YM, Jiang FP et al (2022) FLAIR vascular hyperintensity predicts early neurological deterioration in patients with acute ischemic stroke receiving endovascular thrombectomy. Neurol Sci 43(6):3747–3757CrossRefPubMed

Xu XQ, Shen GC, Ma G et al (2022) Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy. Eur Radiol. https://doi.org/10.1007/s00330-022-08886-1

Derraz I, Ahmed R, Mourand I et al (2022) FLAIR vascular hyperintensities predict functional outcome after endovascular thrombectomy in patients with large ischemic cores. Eur Radiol. https://doi.org/10.1007/s00330-022-08683-w

Grosch AS, Kufner A, Boutitie F et al (2020) Extent of FLAIR hyperintense vessels may modify treatment effect of thrombolysis: a post hoc analysis of the WAKE-UP trial. Front Neurol 11:623881CrossRefPubMed

Wang E, Wu C, Yang D (2021) Association between fluid-attenuated inversion recovery vascular hyperintensity and outcome varies with different lesion patterns in patients with intravenous thrombolysis. Stroke Vasc Neurol 6(3):449–457CrossRefPubMedPubMedCentral

Title: Editorial comment: Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy
Author: Xiudi Lu
Publication date: 08-09-2022
Publisher: Springer Berlin Heidelberg
Keywords: Stroke
Thrombectomy
Published in: European Radiology / Issue 12/2022
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-022-09099-2

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Editorial comment: Prognostic value of post-treatment fluid-attenuated inversion recovery vascular hyperintensity in ischemic stroke after endovascular thrombectomy

Key Points

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Key Points

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