A quantitative analysis of CT angiography, large vessel occlusion, and thrombectomy rates in acute ischaemic stroke

E Griffin1, D Herlihy2, R Hayden2

  • 1Interventional Neuroradiology Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland; Royal College of Surgeons, 123 St Stephens Green, Dublin, Ireland.

Clinical Radiology
|May 25, 2019
PubMed

Insights

Workload for acute computed tomography angiography (CTA) in suspected acute ischemic stroke (AIS) patients was analyzed. Large vessel occlusion (LVO) and thrombectomy rates varied significantly based on stroke diagnosis confirmation, highlighting the need for service planning.

Area of Science:

  • Neurology
  • Radiology
  • Public Health

Background:

  • Acute ischemic stroke (AIS) management relies on rapid diagnosis and intervention.
  • Computed tomography angiography (CTA) is crucial for identifying large vessel occlusion (LVO) in AIS.
  • Stroke center workload and thrombectomy rates require accurate assessment for service provision.

Purpose of the Study:

  • To determine the workload of acute CTA in suspected AIS patients.
  • To analyze rates of LVO and thrombectomy relative to stroke diagnoses.
  • To compare these metrics across three Irish stroke centers.

Main Methods:

  • Retrospective review of CTA data (2015-2017) from three stroke centers.
  • Quantification of CTA studies, LVO, and thrombectomy rates.
  • Correlation with hospital discharge diagnoses (HIPE system).

Main Results:

  • 2,358 acute CTA studies were performed for suspected AIS.
  • LVO rates were 18.4% (suspected AIS), 18.4% (discharge diagnosis), and 40.2% (confirmed AIS).
  • Thrombectomy rates were 12% (suspected AIS), 12% (discharge diagnosis), and 26% (confirmed AIS).

Conclusions:

  • Understanding CTA workload and LVO/thrombectomy rates is vital for stroke service planning.
  • Rates differ significantly based on diagnostic certainty (suspected vs. confirmed AIS).
  • Data is essential for optimizing acute stroke care delivery globally.
Abstract

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