title: In-room assessment of cerebral blood volume for guidance during intra-arterial thrombolytic therapy.
abstract: In acute ischemic stroke, the ability to estimate the penumbra and infarction core ratio helps to triage those who will potentially benefit from thrombolytic therapies. Flat-panel post-contrast DynaCT imaging can provide both vasculature and parenchymal blood volume within the angio room to monitor hemodynamic changes during the endovascular procedures. We report on an 80-year-old woman who suffered from an acute occlusion of the right distal cervical internal carotid artery. She was transferred to the angio room where in-room post-contrast flat-panel DynaCT imaging (syngo Neuro PBV IR) was performed to access the ischemic tissue, followed by successful mechanical thrombolytic therapy.
authors.affiliation: Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan. bcjlin@gmail.com
authors.forename: C-J
authors.initials: CJ
authors.lastname: Lin
authors.forename: M
authors.initials: M
authors.lastname: Yu
authors.forename: S-C
authors.initials: SC
authors.lastname: Hung
authors.forename: M M H
authors.initials: MM
authors.lastname: Teng
authors.forename: W-Y
authors.initials: WY
authors.lastname: Guo
authors.forename: F-C
authors.initials: FC
authors.lastname: Chang
authors.forename: C-B
authors.initials: CB
authors.lastname: Luo
authors.forename: W-F
authors.initials: WF
authors.lastname: Chu
authors.forename: C-Y
authors.initials: CY
authors.lastname: Chang
mesh_terms: D000369:Aged, 80 and over; D001810:Blood Volume; D002545:Brain Ischemia / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy*; D002533:Cerebral Angiography / Q000379:methods*; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D061185:Mechanical Thrombolysis / Q000379:methods*; D020521:Stroke / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods