Document Detail

Saving the ischemic penumbra: Endovascular thrombolysis versus medical treatment.
MedLine Citation:
PMID:  24998858     Owner:  NLM     Status:  Publisher    
Endovascular thrombolysis may allow rapid arterial recanalization in patients with acute ischemic stroke. We present the first study to our knowledge comparing the ischemic penumbra saved with endovascular versus medical therapy. A retrospective review of 21 patients undergoing endovascular intervention for stroke from 2010 to 2011 was contrasted with 21 consecutive patients treated with antiplatelet agents alone. Immediate computed tomography perfusion (CTP) scan of the head and neck was obtained in all patients. Patients with lacunar and posterior circulation infarcts, and those who were medically unstable for MRI post-operatively were excluded. CTP and MRI underwent volumetric calculation. CTP penumbra was correlated with diffusion restriction volumes on MRI, and an assessment was made on the volume of ischemic burden saved with either endovascular treatment or antiplatelet agents. The median age was 70years (interquartile range 62-80). Median National Institutes of Health Stroke Scale score was 18 and 14 in the control and endovascular groups, respectively. Intravenous tissue plasminogen activator was administered in 22 of 42 patients (52%). Median penumbra calculated was 32,808 mm(3) in the control group and 46,255mm(3) in the endovascular group. Median penumbra spared was 9550mm(3) (4980-18,811) in the control group versus 38,155mm(3) in the endovascular group (p=0.0001). Endovascular thrombolysis may be more efficient than medical therapy alone in saving ischemic penumbra. Future advances in recanalization techniques will further improve the efficacy of endovascular therapy.
George M Ghobrial; Nohra Chalouhi; Mahmoud Zohra; Richard T Dalyai; Michelle L Ghobrial; Fred Rincon; Adam E Flanders; Stavropoula I Tjoumakaris; Pascal Jabbour; Robert H Rosenwasser; L Fernando Gonzalez
Related Documents :
20119838 - Intramedullary low grade astrocytoma and ependymoma. surgical results and predicting fa...
12389888 - Prognostic factors in a series of 185 consecutive spontaneous supratentorial intracereb...
12234398 - Role of venous drainage in cerebral arteriovenous malformation surgery, as related to t...
10481768 - Metastatic spinal cord compression. influence of time between onset of motoric deficits...
10973018 - Closure of the patent ductus arteriosus with the amplatzer pda device: immediate result...
10826458 - Superiority of lansoprazole vs ranitidine in healing nonsteroidal anti-inflammatory dru...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-3
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  -     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Ltd. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  CR1 is potentially associated with rate of decline in sporadic Alzheimer's disease.
Next Document:  In-hospital outcomes of aneurysmal subarachnoid hemorrhage associated with cocaine use in the USA.