Digital subtraction angiography in cerebrovascular disease: current practice and perspectives on diagnosis, acute treatment and prognosis

被引:39
作者
Shaban, Shirin [1 ,2 ]
Huasen, Bella [6 ]
Haridas, Abilash [1 ,7 ]
Killingsworth, Murray [1 ,2 ,3 ,4 ]
Worthington, John [1 ,8 ]
Jabbour, Pascal [9 ]
Bhaskar, Sonu Menachem Maimonides [1 ,2 ,3 ,5 ,10 ]
机构
[1] Ingham Inst Appl Med Res, Clin Sci Stream, Neurovasc Imaging Lab, Sydney, NSW, Australia
[2] Univ New South Wales UNSW, South Western Sydney Clin Sch, Liverpool, NSW, Australia
[3] NSW Brain Clot Bank, NSW Hlth Pathol, Sydney, NSW, Australia
[4] NSW Hlth Pathol, Dept Anat Pathol, Correlat Microscopy Fac, Sydney, NSW, Australia
[5] Liverpool Hosp & South Western Sydney Local Hlth, Dept Neurol & Neurophysiol, Sydney, NSW, Australia
[6] Lancashire Univ Teaching Hosp, Lancashire Care NHS Fdn Trust, Dept Intervent Radiol, Preston, Lancs, England
[7] St Josephs Hosp, Baycare Med Grp, Pediat Neurosurg Cerebrovasc & Skull Base Neurosu, Tampa, FL USA
[8] Royal Prince Alfred Hosp, RPA Comprehens Stroke Serv, Dept Neurol, Camperdown, NSW, Australia
[9] Thomas Jefferson Univ, Jefferson Hosp Neurosci, Div Neurovasc Surg & Endovasc Neurosurg, Philadelphia, PA USA
[10] Liverpool Hosp, Dept Neurol & Neurophysiol, Clinical Sci Bldg,Elizabeth St, Sydney, NSW 2170, Australia
关键词
Digital subtraction angiography (DSA); Cerebrovascular angiography; Cerebrovascular disease; Acute ischaemic stroke; Prognosis; Reperfusion; Interventional neurology; CEREBRAL ARTERIOVENOUS-MALFORMATIONS; UNRUPTURED INTRACRANIAL ANEURYSMS; FOLLOW-UP; CT ANGIOGRAPHY; SUBARACHNOID HEMORRHAGE; ENDOVASCULAR COILING; MOYAMOYA-DISEASE; IMAGING FINDINGS; NATURAL-HISTORY; ARTERY STENOSIS;
D O I
10.1007/s13760-021-01805-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Digital Subtraction Angiography (DSA) is the gold-standard imaging modality in acute cerebrovascular diagnosis. The role of DSA has become increasingly prominent since the incorporation of endovascular therapy in standards of care for acute ischemic stroke. It is used in the assessment of cerebral vessel patency; however, the therapeutic role of DSA from a prognostic standpoint merits further investigation. The current paper provides an update on current practice on diagnostic, therapeutic and prognostic use of DSA in acute cerebrovascular diseases and various indications and perspectives that may apply, or limit its use, in ongoing surveillance or prognosis. Pre-clinical and clinical studies on the aspects, including but not limited to the morphology of cerebrovasculature in acute ischaemic stroke, are required to delineate and inform its prognostic role.
引用
收藏
页码:763 / 780
页数:18
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