Secondary Medium Vessel Occlusions When Clots Move North

被引：38

作者：

Goyal, Mayank ^{[1
,2
]}

Kappelhof, Manon ^{[2
,3
]}

McDonough, Rosalie ^{[4
]}

Ospel, Johanna Maria ^{[2
,5
]}

机构：

[1] Univ Calgary, Dept Radiol, 1403 29th St NW, Calgary, AB T2N 2T9, Canada

[2] Univ Calgary, Dept Clin Neurosci, Calgary, AB, Canada

[3] Univ Med Ctr Amsterdam, Amsterdam, Netherlands

[4] Univ Hosp Hamburg Eppendorf, Dept Neuroradiol, Hamburg, Germany

[5] Univ Hosp Basel, Dept Neuroradiol, Basel, Switzerland

来源：

STROKE | 2021年 / 52卷 / 03期

关键词：

acute ischemic stroke; angiography; prognosis; ISCHEMIC-STROKE; THROMBECTOMY;

D O I：

10.1161/STROKEAHA.120.032799

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Medium vessel occlusions (MeVOs, ie, M2, M3, A2, A3, P2, and P3 segment occlusions) are increasingly recognized as a target for endovascular treatment in acute ischemic stroke. It is important to note that not all MeVOs are equal. Primary MeVOs occur de novo with the underlying mechanisms being very similar to large vessel occlusion strokes. Secondary MeVOs arise from large vessel occlusions through clot migration or fragmentation, either spontaneously or following treatment with intravenous thrombolysis or endovascular treatment. Currently, there are little data on the prevalence, management, and prognosis of acute ischemic stroke due to secondary MeVOs. This type of stroke is, however, likely to become more relevant in the future as indications for endovascular treatment continue to broaden. In this article, we describe different types of secondary MeVOs, imaging findings associated with them, challenges related to the diagnosis of secondary MeVOs, and their potential implications for treatment strategies and clinical outcomes.

引用

页码：1147 / 1153

页数：7

共 20 条

[1] Endovascular Treatment Decisions in Patients with M2 Segment MCA Occlusions [J].

Almekhlafi, M. ;

Ospel, J. M. ;

Saposnik, G. ;

Kashani, N. ;

Demchuk, A. ;

Hill, M. D. ;

Goyal, M. ;

Menon, B. K. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2020, 41 (02) :280-285

[2] Thrombus Migration Paradox in Patients With Acute Ischemic Stroke [J].

Alves, Heitor C. ;

Treurniet, Kilian M. ;

Jansen, Ivo G. H. ;

Yoo, Albert J. ;

Dutra, Bruna G. ;

Zhang, Guang ;

Yo, Lonneke ;

van Es, Adriaan C. G. M. ;

Emmer, Bart J. ;

van den Berg, Rene ;

van den Wijngaard, Ido R. ;

Nijeholt, Geert J. Lycklama a ;

Vos, Jan-Albert ;

Roos, Yvo B. W. E. M. ;

Schonewille, Wouter ;

Marquering, Henk A. ;

Majoie, Charles B. L. M. .

STROKE, 2019, 50 (11) :3156-3163

[3] Brain CT perfusion improves intracranial vessel occlusion detection on CT angiography [J].

Becks, Marinus J. ;

Manniesing, Rashindra ;

Vister, Jeroen ;

Pegge, Sjoert A. H. ;

Steens, Stefan C. A. ;

van Dijk, Ewoud J. ;

Prokop, Mathias ;

Meijer, Frederick J. A. .

JOURNAL OF NEURORADIOLOGY, 2019, 46 (02) :124-129

[4] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].

Berkhemer, O. A. ;

Fransen, P. S. S. ;

Beumer, D. ;

van den Berg, L. A. ;

Lingsma, H. F. ;

Yoo, A. J. ;

Schonewille, W. J. ;

Vos, J. A. ;

Nederkoorn, P. J. ;

Wermer, M. J. H. ;

van Walderveen, M. A. A. ;

Staals, J. ;

Hofmeijer, J. ;

van Oostayen, J. A. ;

Nijeholt, G. J. Lycklama A. ;

Boiten, J. ;

Brouwer, P. A. ;

Emmer, B. J. ;

de Bruijn, S. F. ;

van Dijk, L. C. ;

Kappelle, L. J. ;

Lo, R. H. ;

Van Dijk, E. J. ;

de Vries, J. ;

de Kort, P. L. M. ;

van Rooij, W. J. J. ;

van den Berg, J. S. P. ;

van Hasselt, B. A. A. M. ;

Aerden, L. A. M. ;

Dallinga, R. J. ;

Visser, M. C. ;

Bot, J. C. J. ;

Vroomen, P. C. ;

Eshghi, O. ;

Schreuder, T. H. C. M. L. ;

Heijboer, R. J. J. ;

Keizer, K. ;

Tielbeek, A. V. ;

den Hertog, H. M. ;

Gerrits, D. G. ;

van den Berg-Vos, R. M. ;

Karas, G. B. ;

Steyerberg, E. W. ;

Flach, H. Z. ;

Marquering, H. A. ;

Sprengers, M. E. S. ;

Jenniskens, S. F. M. ;

Beenen, L. F. M. ;

van den Berg, R. ;

Koudstaal, P. J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20

[5] CT Angiography in Evaluating Large-Vessel Occlusion in Acute Anterior Circulation Ischemic Stroke: Factors Associated with Diagnostic Error in Clinical Practice [J].

Fasen, B. A. C. M. ;

Heijboer, R. J. J. ;

Hulsmans, F. -J. H. ;

Kwee, R. M. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2020, 41 (04) :607-611

[6] MeVO: the next frontier? [J].

Goyal, Mayank ;

Ospel, Johanna Maria ;

Menon, Bijoy K. ;

Hill, Michael D. .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2020, 12 (06) :545-547

[7] Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials [J].

Goyal, Mayank ;

Menon, Bijoy K. ;

van Zwam, Wim H. ;

Dippel, Diederik W. J. ;

Mitchell, Peter J. ;

Demchuk, Andrew M. ;

Davalos, Antoni ;

Majoie, Charles B. L. M. ;

van der Lugt, Aad ;

de Miquel, Maria A. ;

Donnan, Geoff Rey A. ;

Roos, Yvo B. W. E. M. ;

Bonafe, Alain ;

Jahan, Reza ;

Diener, Hans-Christoph ;

van den Berg, Lucie A. ;

Levy, Elad I. ;

Berkhemer, Olvert A. ;

Pereira, Vitor M. ;

Rempel, Jeremy ;

Millan, Monica ;

Davis, Stephen M. ;

Roy, Daniel ;

Thornton, John ;

San Roman, Luis ;

Ribo, Marc ;

Beumer, Debbie ;

Stouch, Bruce ;

Brown, Scott ;

Campbell, Bruce C. V. ;

van Oostenbrugge, Robert J. ;

Saver, Jeff Rey L. ;

Hill, Michael D. ;

Jovin, Tudor G. .

LANCET, 2016, 387 (10029) :1723-1731

[8] The Catch Mini stent retriever for mechanical thrombectomy in distal intracranial occlusions [J].

Hofmeister, Jeremy ;

Kulcsar, Zsolt ;

Bernava, Gianmarco ;

Pellaton, Alain ;

Yilmaz, Hasan ;

Erceg, Gorislav ;

Vargas, Maria Isabel ;

Lovblad, Karl-Olof ;

Machi, Paolo .

JOURNAL OF NEURORADIOLOGY, 2018, 45 (05) :305-309

[9] Multivessel Occlusion in Patients Subjected to Thrombectomy: Prevalence, Associated Factors, and Clinical Implications [J].

Kaesmacher, Johannes ;

Mosimann, Pascal J. ;

Giarrusso, Mattia ;

El-Koussy, Marwan ;

Zibold, Felix ;

Piechowiak, Eike ;

Dobrocky, Tomas ;

Meier, Raphael ;

Jung, Simon ;

Bellwald, Sebastian ;

Arnold, Marcel ;

Mordasini, Pasquale ;

Fischer, Urs ;

Gralla, Jan .

STROKE, 2018, 49 (06) :1355-1362

[10] Thrombus Migration in the Middle Cerebral Artery: Incidence, Imaging Signs, and Impact on Success of Endovascular Thrombectomy [J].

Kaesmacher, Johannes ;

Maegerlein, Christian ;

Kaesmacher, Mirjam ;

Zimmer, Claus ;

Poppert, Holger ;

Friedrich, Benjamin ;

Boeckh-Behrens, Tobias ;

Kleine, Justus F. .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2017, 6 (02)

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