Imaging and Treatment of Patients with Acute Stroke: An Evidence-Based Review

Abstract
SUMMARY: Evidence-based medicine has emerged as a valuable tool to guide clinical decision-making, by summarizing the best possible evidence for both diagnostic and treatment strategies. Imaging plays a critical role in the evaluation and treatment of patients with acute ischemic stroke, especially those who are being considered for thrombolytic or endovascular therapy. Time from stroke-symptom onset to treatment is a strong predictor of long-term functional outcome after stroke. Therefore, imaging and treatment decisions must occur rapidly in this setting, while minimizing unnecessary delays in treatment. The aim of this review was to summarize the best available evidence for the diagnostic and therapeutic management of patients with acute ischemic stroke.
Abbreviations
- DPM
- diffusion-perfusion mismatch
- IA
- intra-arterial
- ICH
- intracranial hemorrhage
- r-proUK
- recombinant prourokinase
- TIMI
- Thrombolysis in Myocardial Infarction
- © 2014 American Society of Neuroradiology
Indicates open access to non-subscribers at www.ajnr.org
Jump to section
Related Articles
- No related articles found.
Cited By...
- Using Correlative Properties of Neighboring Pixels to Improve Gray-White Differentiation in Pediatric Head CT Images
- Associations Between Collateral Status and Thrombus Characteristics and Their Impact in Anterior Circulation Stroke
- Role of Genetic Variation in Collateral Circulation in the Evolution of Acute Stroke: A Multimodal Magnetic Resonance Imaging Study
This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.
- Andrew Bivard, Leonid Churilov, Mark ParsonsNature Reviews Neurology 2020 16 10
- Heitor C. Alves, Kilian M. Treurniet, Bruna G. Dutra, Ivo G. H. Jansen, Anna M.M. Boers, Emilie M.M. Santos, Olvert A. Berkhemer, Diederik W.J. Dippel, Aad van der Lugt, Wim H. van Zwam, Robert J. van Oostenbrugge, Hester F. Lingsma, Yvo B.W.E.M. Roos, Albert J. Yoo, Henk A. Marquering, Charles B.L.M. MajoieStroke 2018 49 2
- Marina Padroni, Andrea Bernardoni, Carmine Tamborino, Gloria Roversi, Massimo Borrelli, Andrea Saletti, Alessandro De Vito, Cristiano Azzini, Luca Borgatti, Onofrio Marcello, Christopher d’Esterre, Stefano Ceruti, Ilaria Casetta, Ting-Yim Lee, Enrico Fainardi, Alice Y. W. ChangPLOS ONE 2016 11 1
- Isha R. Chavva, Anna L. Crawford, Mercy H. Mazurek, Matthew M. Yuen, Anjali M. Prabhat, Sam Payabvash, Gordon Sze, Guido J. Falcone, Charles C. Matouk, Adam de Havenon, Jennifer A. Kim, Richa Sharma, Steven J. Schiff, Matthew S. Rosen, Jayashree Kalpathy‐Cramer, Juan E. Iglesias Gonzalez, W. Taylor Kimberly, Kevin N. ShethAnnals of Neurology 2022 92 4
- Carla Vert, Carmen Parra-Fariñas, Àlex RoviraEuropean Journal of Radiology 2017 96
- Yu-Chieh Jill Kao, Esteban A. Oyarzabal, Hua Zhang, James E. Faber, Yen-Yu Ian ShihStroke 2017 48 3
- Richard L. Robertson, Susan Palasis, Michael J. Rivkin, Sumit Pruthi, Twyla B. Bartel, Nilesh K. Desai, Nadja Kadom, Abhaya V. Kulkarni, H. F. Samuel Lam, Mohit Maheshwari, Sarah S. Milla, David M. Mirsky, John S. Myseros, Sonia Partap, Rupa Radhakrishnan, Bruno P. Soares, Andrew T. Trout, Unni K. Udayasankar, Matthew T. Whitehead, Boaz KarmazynJournal of the American College of Radiology 2020 17 5
- Giuseppe Corrias, Andrea Mazzotta, Marta Melis, Filippo Cademartiri, Qi Yang, Jasjit S. Suri, Luca SabaExpert Review of Neurotherapeutics 2021 21 7
- Fabrizio Giammello, Sara Rosa Maria De Martino, Luigi Simonetti, Raffaele Agati, Stella Battaglia, Luigi Cirillo, Mauro Gentile, Ludovica Migliaccio, Stefano Forlivesi, Michele Romoli, Ciro Princiotta, Caterina Tonon, Silvia Stagni, Simone Galluzzo, Raffaele Lodi, Giuseppe Trimarchi, Antonio Toscano, Rosa Fortunata Musolino, Andrea ZiniLa radiologia medica 2022 127 4
- T.P. Madaelil, A. Sharma, C. Hildebolt, M. ParsonsAmerican Journal of Neuroradiology 2018 39 3