Radiology: For patients with ischemic stroke, X-ray angiography is not enough!

For the x-ray receiving vessel acute ischemic vascular the contrast downlink mechanical thrombectomy of stroke for patients using stents or other antiplatelet agent aids to maintain the patency increase the risk of perioperative complications.

MRI diffusion-weighted imaging is an imaging reference standard for assessing brain tissue vitality, and plays an important role in clinical decision whether to continue recanalization of stenosis and occlusive lesions or to guide the use of related neuroprotective agents.

Recently, a study published in the journal Radiology evaluated the guiding role of MRI in clinical decision-making during the interventional treatment of acute ischemic stroke, and provided an imaging reference standard for the clinical development of corresponding treatment standards.

This study retrospectively evaluated patients with continuous acute ischemic stroke who underwent endovascular interventional therapy from July 2019 to May 2020.

Of the 47 patients who received interventional therapy for acute stroke, 12 patients (median age 69 years; interquartile range: 60-77 years; 9 men) received MRI and X-ray angiography, while the remaining 35 patients Patients (median age 80 years; interquartile range: 68-86 years; 22 men) only underwent angiography.

Figure 75-year-old male patient with potential intracranial atherosclerosis shown by mechanical thrombectomy.

Original source:

Kazim H Narsinh, Bridget F Kilbride, Kerstin Mueller, et al.