Collaterals in endovascular therapy for stroke

被引:48
作者
Sheth, Sunil A. [1 ]
Liebeskind, David S. [2 ]
机构
[1] Univ Calif Los Angeles, Dept Radiol, Div Intervent Neuroradiol, Los Angeles, CA USA
[2] Univ Calif Los Angeles, Dept Neurol, Neurovasc Imaging Res Core, Los Angeles, CA 90024 USA
关键词
collateral circulation; endovascular; reperfusion; stroke; thrombectomy; 4D CT ANGIOGRAPHY; LEPTOMENINGEAL COLLATERALS; INTERVENTIONAL MANAGEMENT; SUCCESSFUL REVASCULARIZATION; BLOOD-FLOW; TIME; REPERFUSION; OUTCOMES; VESSELS; SELECTION;
D O I
10.1097/WCO.0000000000000166
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of review Endovascular therapy is a promising aspect of acute ischemic stroke treatment. The ideal population of patients who benefit from treatment remains undefined, and the status of collateral circulation at presentation may be a key feature in their identification. Recent findings Adequate collateral flow has been recently demonstrated to be associated with improved clinical status on presentation, increased likelihood of recanalization with endovascular therapy, and better functional outcome at 3 months. Summary In this review, we define the collateral circulation, review methods of its measurement, and present recent clinical data on its impact in endovascular therapy for acute ischemic stroke. We outline our current understandings and discuss their relevance in future directions with clinical stroke management.
引用
收藏
页码:10 / 15
页数:6
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