Pathologic validation of clot length determined using thin section non-contrast CT.

Abstract:

BACKGROUND AND PURPOSE:Recent studies have demonstrated that in acute ischemic stroke patients, thin section non-contrast CT (NCCT) can be used to determine the length of the hyperdense intracranial thrombus, and that clot length using this approach predicts the likelihood of vessel recanalization after intravenous tissue plasminogen activator. SUMMARY OF CASE:An acute ischemic stroke patient presented with a left middle cerebral artery occlusion and underwent emergent catheter based therapy. Clot length was determined using pretreatment thin section NCCT and was independently confirmed by the pathologist after whole clot extraction. CONCLUSIONS:The concordance between the NCCT measured clot length and the pathological examination in this case provides additional support for the accuracy of using thin section NCCT data to determine clot length in all patients.

journal_name

J Neurointerv Surg

authors

Yoo AJ,Leslie-Mazwi TM,Riedel CH,Chandra RV

doi

10.1136/neurintsurg-2012-010369

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

e16

issue

4

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2012-010369

journal_volume

5

pub_type

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