[Significance of susceptibility-weighted angiography for endovascular thrombectomy of acute ischemic stroke]

No Shinkei Geka. 2014 Feb;42(2):115-21.
[Article in Japanese]

Abstract

Efficacy of intravenous systemic thrombolysis is limited in patients with large-vessel occlusion and for whom more than 4.5 hours have passed since onset. As such, mechanical thrombectomy has been the mainstay therapy for these patients. Localization of the intra-arterial clot prior to thrombectomy can be beneficial in cases of acute ischemic stroke. Here, we present 3 cases of acute ischemic stroke that were initially imaged with susceptibility-weighted angiography(SWAN)before endovascular thrombectomy(middle cerebral artery occlusion, internal carotid artery occlusion, basilar artery occlusion)was attempted. In all 3 cases, clot localization by SWAN was consistent with that by angiography, and recanalization was successful. Identifying clot location and composition may help determine the optimal treatment and predict successful recanalization.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Brain Ischemia / diagnosis
  • Brain Ischemia / surgery*
  • Cerebral Angiography* / methods
  • Female
  • Humans
  • Male
  • Stroke / diagnosis
  • Stroke / drug therapy
  • Stroke / surgery*
  • Thrombectomy* / methods
  • Thrombolytic Therapy
  • Treatment Outcome