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01-02-2015 | Cerebrovascular Disorders (H Adams, Section Editor)

Imaging Selection for Reperfusion Therapy in Acute Ischemic Stroke

Authors: Jeremy J. Heit, MD, PhD, Max Wintermark, MD

Published in: Current Treatment Options in Neurology | Issue 2/2015

Opinion statement

Neuroimaging is essential in the evaluation of the acute stroke patient. Computed tomography (CT) or magnetic resonance imaging (MRI) should be used to confirm the diagnosis of acute stroke, exclude stroke mimics, and triage patients for intravenous tissue plasminogen activator and endovascular revascularization therapies. Advanced neuroimaging techniques, including CT-angiography, MR-angiography, CT-perfusion, and MR-perfusion should be used to further inform acute stroke treatment decisions. Patients considered for endovascular stroke therapy should have (1) a vascular occlusion that can be reached by an endovascular approach; (2) a small area of core cerebral infarction; and (3) viable tissue at risk of infarction if prompt revascularization is not achieved (penumbra).

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Title: Imaging Selection for Reperfusion Therapy in Acute Ischemic Stroke
Authors: Jeremy J. Heit, MD, PhD
Max Wintermark, MD
Publication date: 01-02-2015
Publisher: Springer US
Published in: Current Treatment Options in Neurology / Issue 2/2015
Print ISSN: 1092-8480
Electronic ISSN: 1534-3138
DOI: https://doi.org/10.1007/s11940-014-0332-3

At a glance: The STEP trials

Springer Medicine

Imaging Selection for Reperfusion Therapy in Acute Ischemic Stroke

Opinion statement

At a glance: The STEP trials

Springer Medicine

Opinion statement

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