著者
Hiroyuki Kawano Teruyuki Hirano
出版者
The Japanese Society for Neuroendovascular Therapy
雑誌
Journal of Neuroendovascular Therapy (ISSN:18824072)
巻号頁・発行日
pp.ra.2023-0045, (Released:2023-08-26)
参考文献数
63

The minimal requirements for imaging studies prior to endovascular treatment (EVT) of acute ischemic stroke are those that can provide the information necessary to determine the indication for treatment (treatment triage) and procedural strategies without being time-consuming. An important notion is to determine whether the patient can benefit from EVT. We should recognize that the perfect diagnostic imaging technique does not yet exist, and each has advantages and disadvantages. Generally, stroke imaging protocols to triage for EVT include the following three options: 1) non-contrast CT and CTA, 2) CT perfusion and CTA, and 3) MRI and MRA. It is not known if perfusion imaging or MRI is mandatory for patients with stroke presenting within 6 hours of onset, although non-contrast CT alone has less power to obtain the necessary information. Dual-energy CT can distinguish between post-EVT hemorrhage and contrast agent leakage immediately after EVT.
著者
橋本 洋一郎 米村 公伸 寺崎 修司 稲富 雄一郎 米原 敏郎 Teruyuki HIRANO 平野 照之 内野 誠
出版者
一般社団法人日本脳神経超音波学会
雑誌
Neurosonology:神経超音波医学 (ISSN:0917074X)
巻号頁・発行日
vol.17, no.2, pp.55-61, 2004 (Released:2007-09-26)
参考文献数
41
被引用文献数
1 1

Ocular ischemic syndrome can be of either the acute type (amaurosis fugax, retinal artery occlusion and ischemic optic neuropathy) or the chronic type (venous stasis retinopathy and ischemic oculopathy). We carried out etiological studies on 35patients (19men, 16women, aged 62±16years) with retinal artery occlusion and 21patients (13men, 8women, aged 47±19 years) with amaurosis fugax. In all patients, carotid ultrasonography was performed to clarify the extent of carotid artery disease ipsilateral to the retinal artery occlusion and amaurosis fugax. All the patients underwent electrocardiography and transesophageal echocardiography. Arterial stenosis exceeding 50% of the diameter of the internal carotid artery ipsilateral to the symptomatic eye was more frequent in patients with retinal artery occlusion than in those with amaurosis fugax. Patent foramen ovale more frequent in the latter than in the former. Patients with venous stasis retinopathy and ischemic oculopathy (neovascular glaucoma) had occlusion of the ipsilateral carotid artery with reversed ophthalmic artery or severe stenosis of the ipilateral carotid artery with stenosis of the ipsilateral ophthalmic artery. Neurosonologic studies can provide valuable clinical data on ocular ischemic syndrome.