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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Chinese consensus statement on the evaluation and intervention of collateral circulation for ischemic stroke
Li-Ping Liu1, An-Ding Xu, Lawrence K S Wong
1Departments of Neurology and Stroke Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
CNS Neuroscience & Therapeutics
|February 6, 2014
Summary
Assessing collateral circulation is vital for ischemic stroke management. Current imaging techniques like DSA and CTA aid evaluation, while interventions aim to improve flow, though new technologies require more evidence.
Area of Science:
- Neurology
- Vascular Medicine
- Medical Imaging
Background:
- Collateral circulation is increasingly important in ischemic stroke management.
- Recent data highlights the significance of collateral flow assessment.
Purpose of the Study:
- To enhance understanding of evaluating and improving collateral flow.
- To guide better treatment selection for ischemic stroke patients.
Main Methods:
- Expert panel consensus based on up-to-date clinical research review.
- Interpretation of neuroimaging techniques for collateral assessment.
Main Results:
- Digital Subtraction Angiography (DSA) is the gold standard for collateral evaluation.
- Computed Tomography Angiography (CTA), Magnetic Resonance Angiography (MRA), and Transcranial Doppler (TCD/TCCS) are valuable for specific assessments.
- Interventions include direct (e.g., Extracranial-Intracranial bypass) and indirect methods (e.g., External counterpulsation).
Conclusions:
- Collateral assessment is crucial for therapeutic selection, infarction prediction, and prognosis in ischemic stroke.
- More data is needed to support the clinical significance of novel technologies.
- Individualized strategies for augmenting collateral flow are considered.
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