Scoring flow restoration in cerebral angiograms after endovascular revascularization in acute ischemic stroke patients

被引:46
作者
Gerber, Johannes C. [1 ]
Miaux, Yves J. [2 ]
von Kummer, Ruediger [1 ]
机构
[1] Tech Univ Dresden, Med Fak Carl Gustav Carus, Neuroradiol, D-01307 Dresden, Germany
[2] Synarc, Newark, CA USA
关键词
Acute ischemic stroke; Endovascular therapy; Recanalization; Reperfusion; Grading scales; BASILAR ARTERY-OCCLUSION; INTRAARTERIAL THROMBOLYSIS; VESSEL OCCLUSIONS; RECANALIZATION; THERAPY; REPERFUSION; TRIAL; TICI; PROUROKINASE; SELECTION;
D O I
10.1007/s00234-014-1460-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Endovascular revascularization techniques are increasingly used to treat arterial occlusions in patients with acute ischemic stroke. To monitor and communicate treatment results, a valid, reproducible, and clinically relevant, yet easy to use grading scheme of arterial recanalization and tissue reperfusion for digital subtraction angiography is needed. An ideal scoring system would consider the target arterial lesion, the perfusion deficit, and the collateral status before treatment and measure recanalization, reperfusion, early venous shunting, vasospasm, as well as distal embolization after flow restoration. Currently, a variety of different flow restoration scales are in use, including the Thrombolysis in Myocardial Infarction scoring system, the Thrombolysis in Cerebral Infarction score, and the Arterial Occlusive Lesion score, which describe the local recanalization result. These scores are not used homogeneously throughout the literature, are often modified and not fully documented, which make them inept to compare treatment effects across studies. In addition, none of these scores cover all of the above-mentioned aspects, nor are they able to describe satisfactorily all relevant angiographic findings, and data on their reliability and predictive power regarding clinical outcome are sparse. We aimed to review and illustrate the different revascularization scales, discuss their advantages and limitations as well as the available data regarding standardization, reliability testing, and outcome prediction. In addition, we give examples for the use of the scales and show potential pitfalls.
引用
收藏
页码:227 / 240
页数:14
相关论文
共 47 条
  • [1] Not All "Successful" Angiographic Reperfusion Patients Are an Equal Validation of a Modified TICI Scoring System
    Almekhlafi, Mohammed A.
    Mishra, Sachin
    Desai, Jamsheed A.
    Nambiar, Vivek
    Volny, Ondrej
    Goel, Ankur
    Eesa, Muneer
    Demchuk, Andrew M.
    Menon, Bijoy K.
    Goyal, Mayank
    [J]. INTERVENTIONAL NEURORADIOLOGY, 2014, 20 (01) : 21 - 27
  • [2] AMES A, 1968, AM J PATHOL, V52, P437
  • [3] Clinical and radiological predictors of recanalisation and outcome of 40 patients with acute basilar artery occlusion treated with intra-arterial thrombolysis
    Arnold, M
    Nedeltchev, K
    Schroth, G
    Baumgartner, RW
    Remonda, L
    Loher, TJ
    Stepper, F
    Sturzenegger, M
    Schuknecht, B
    Mattle, HP
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2004, 75 (06) : 857 - 862
  • [4] Diagnosis of Recanalization of the Intracranial Artery Has Poor Inter-Rater Reliability
    Bar, M.
    Mikulik, R.
    Jonszta, T.
    Krajina, A.
    Roubec, M.
    Skoloudik, D.
    Prochazka, V.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2012, 33 (05) : 972 - 974
  • [5] The interventional management of stroke (IMS) II study
    Broderick, Joseph P.
    [J]. STROKE, 2007, 38 (07) : 2127 - 2135
  • [6] Endovascular Therapy after Intravenous t-PA versus t-PA Alone for Stroke
    Broderick, Joseph P.
    Palesch, Yuko Y.
    Demchuk, Andrew M.
    Yeatts, Sharon D.
    Khatri, Pooja
    Hill, Michael D.
    Jauch, Edward C.
    Jovin, Tudor G.
    Yan, Bernard
    Silver, Frank L.
    von Kummer, Ruediger
    Molina, Carlos A.
    Demaerschalk, Bart M.
    Budzik, Ronald
    Clark, Wayne M.
    Zaidat, Osama O.
    Malisch, Tim W.
    Goyal, Mayank
    Schonewille, Wouter J.
    Mazighi, Mikael
    Engelter, Stefan T.
    Anderson, Craig
    Spilker, Judith
    Carrozzella, Janice
    Ryckborst, Karla J.
    Janis, L. Scott
    Martin, Renee H.
    Foster, Lydia D.
    Tomsick, Thomas A.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (10) : 893 - 903
  • [7] Mechanical Characterization of Thromboemboli in Acute Ischemic Stroke and Laboratory Embolus Analogs
    Chueh, J. Y.
    Wakhloo, A. K.
    Hendricks, G. H.
    Silva, C. F.
    Weaver, J. P.
    Gounis, M. J.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2011, 32 (07) : 1237 - 1244
  • [8] Ciccone A, 2013, NEW ENGL J MED, V368, P904, DOI [10.1056/NEJMoa1213701, 10.1056/NEJMc1304759]
  • [9] PROACT: A phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke
    del Zoppo, GJ
    Higashida, RT
    Furlan, AJ
    Pessin, MS
    Rowley, HA
    Gent, M
    [J]. STROKE, 1998, 29 (01) : 4 - 11
  • [10] LOCAL INTRA-ARTERIAL FIBRINOLYTIC THERAPY IN ACUTE CAROTID TERRITORY STROKE - A PILOT-STUDY
    DELZOPPO, GJ
    FERBERT, A
    OTIS, S
    BRUCKMANN, H
    HACKE, W
    ZYROFF, J
    HARKER, LA
    ZEUMER, H
    [J]. STROKE, 1988, 19 (03) : 307 - 313