Do We Know When to Stop The Endovascular Stroke Treatment?: A Case Report With Flat-Detector CT Cerebral Blood Volume Study


Ozdemir O., Emre O.

JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH, cilt.31, sa.3, ss.596-600, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 3
  • Basım Tarihi: 2014
  • Dergi Adı: JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.596-600
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

It is important to know when to abort further attempts in endovascular stroke therapy during the perioperative period to prevent potential complications of late recanalization. Futile recanalization may be due to infarct growth during endovascular stroke therapy and may contribute to poor outcomes. It is possible to select appropriate cases for endovascular stroke therapy with current neuroimaging modalities; however, it is not feasible to evaluate infarct growth during endovascular stroke procedure. Herein we present a case with right middle cerebral artery (MCA) occlusion for which three attempts of thrombectomy with a stent retriever failed to recanalize the MCA. We aborted further attempts at revascularization after assessment of FDCT-CBV, which showed a large MCA territory CBV abnormality during procedure, and transferred the patient for decompressive surgery. The measurement of CBV within the neuro-angiography suite is a promising method that may facilitate patient selection for endovascular treatment and may also guide decision making regarding when to abort or to continue further attempts.