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动脉内溶栓治疗期间用于指导的脑血容量床旁评估。

In-room assessment of cerebral blood volume for guidance during intra-arterial thrombolytic therapy.

作者信息

Lin C-J, Yu M, Hung S-C, Teng M M H, Guo W-Y, Chang F-C, Luo C-B, Chu W-F, Chang C-Y

机构信息

Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Interv Neuroradiol. 2012 Dec;18(4):463-8. doi: 10.1177/159101991201800413. Epub 2012 Dec 3.

DOI:10.1177/159101991201800413
PMID:23217642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3520561/
Abstract

In acute ischemic stroke, the ability to estimate the penumbra and infarction core ratio helps to triage those who will potentially benefit from thrombolytic therapies. Flat-panel post-contrast DynaCT imaging can provide both vasculature and parenchymal blood volume within the angio room to monitor hemodynamic changes during the endovascular procedures. We report on an 80-year-old woman who suffered from an acute occlusion of the right distal cervical internal carotid artery. She was transferred to the angio room where in-room post-contrast flat-panel DynaCT imaging (syngo Neuro PBV IR) was performed to access the ischemic tissue, followed by successful mechanical thrombolytic therapy.

摘要

在急性缺血性卒中中,评估半暗带和梗死核心比例的能力有助于对那些可能从溶栓治疗中获益的患者进行分类。平板增强后DynaCT成像可在血管造影室提供血管系统和实质血容量,以监测血管内手术过程中的血流动力学变化。我们报告了一名80岁女性,她患有右侧颈内动脉远端急性闭塞。她被转运至血管造影室,在那里进行了室内增强后平板DynaCT成像(syngo Neuro PBV IR)以评估缺血组织,随后成功进行了机械溶栓治疗。

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Effects of extending the time window of thrombolysis to 4.5 hours: observations in the Swedish stroke register (riks-stroke).溶栓时间窗延长至 4.5 小时的效果:瑞典卒中登记研究(riks-stroke)的观察结果。
Stroke. 2011 Sep;42(9):2492-7. doi: 10.1161/STROKEAHA.111.618587. Epub 2011 Jul 28.
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Cerebral blood volume imaging by flat detector computed tomography in comparison to conventional multislice perfusion CT.平探测器 CT 脑血容量成像与常规多层灌注 CT 比较。
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Flat detector CT in the evaluation of brain parenchyma, intracranial vasculature, and cerebral blood volume: a pilot study in patients with acute symptoms of cerebral ischemia.平板探测器 CT 在脑实质、颅内血管和脑血容量评估中的应用:急性脑缺血症状患者的初步研究。
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