Effectiveness of Diagnostic Strategies in Suspected Delayed Cerebral Ischemia
Author(s) -
Sapna Rawal,
Carolina Barnett,
Ava JohnBaptiste,
HlaHla Thein,
Timo Krings,
Gabriël J.E. Rinkel
Publication year - 2014
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.114.005916
Subject(s) - medicine , vasospasm , digital subtraction angiography , radiology , perfusion scanning , perfusion , ischemia , subarachnoid hemorrhage , angiography , cardiology
Delayed cerebral ischemia (DCI) is a serious complication after aneurysmal subarachnoid hemorrhage. If DCI is suspected clinically, imaging methods designed to detect angiographic vasospasm or regional hypoperfusion are often used before instituting therapy. Uncertainty in the strength of the relationship between imaged vasospasm or perfusion deficits and DCI-related outcomes raises the question of whether imaging to select patients for therapy improves outcomes in clinical DCI.
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