Clinical–Diffusion Mismatch and Benefit From Thrombolysis 3 to 6 Hours After Acute Stroke
Author(s) -
Martin Ebinger,
Takeshi Iwanaga,
Jane Prosser,
Deidre Anne De Silva,
Hanne Christensen,
Marnie Collins,
Mark Parsons,
Christopher Levi,
Christopher F. Bladin,
P. Alan Barber,
Geoffrey A. Donnan,
Stephen M. Davis
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.548073
Subject(s) - medicine , thrombolysis , stroke (engine) , perfusion scanning , perfusion , placebo , cardiology , anesthesia , pathology , myocardial infarction , mechanical engineering , alternative medicine , engineering
The clinical-diffusion mismatch (CDM) model has been proposed as a simpler tool than perfusion-diffusion mismatch (PDM) to select acute ischemic stroke patients for thrombolytic therapy. We hypothesized that in the 3- to 6-hour time window, the effect of tPA was significantly greater in patients with CDM than in patients without CDM.
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