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02/12/2024
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Nguyễn, V. S., Lê, T. N., Phạm, X. H., Trần, P. N., & Nguyễn, M. C. (2024). ASSESSMENT OF VASCULAR CONDITION OF ACUTE ISCHEMIC STROKE DUE TO ANTERIOR CIRCULATION OBSTRUCTION AT E HOSPITAL. Vietnam Medical Journal, 544(3). https://doi.org/10.51298/vmj.v544i3.11984
ASSESSMENT OF VASCULAR CONDITION OF ACUTE ISCHEMIC STROKE DUE TO ANTERIOR CIRCULATION OBSTRUCTION AT E HOSPITAL
Main Article Content
Abstract
Objective: Assessment of vascular condition of acute ischemic stroke due to anterior circulation obstruction at E hospital. Subjects and methods: 40 patients diagnosed with acute ischemic stroke due to anterior circulation obstruction and treated with mechanical thrombectomy at E Hospital. CT angiography (CTA) was compared with digital subtraction angiography (DSA) for diagnosing large artery obstruction. Results: Acute ischemic stroke due to anterior circulation obstruction was most commonly found in the middle cerebral artery (65%), followed by the internal carotid artery (20%), and both the internal carotid and middle cerebral arteries (15%). CTA had a sensitivity of 100%, specificity of 98.2%, positive predictive value of 95.9%, and negative predictive value of 100% for diagnosing large artery obstruction. Conclusion: CT Angiography of the brain are valuable in diagnosing acute ischemic stroke due to anterior circulation obstruction.
Article Details
Keywords
Acute ischemic stroke, anterior circulation obstruction, CT Angiography, digital subtraction angiography.
References
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3. Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 50(12), 344 - 418 (2019).
4. Lee SJ, Liu B, Rane N, et al. Correlation between CT angiography and digital subtraction angiography in acute ischemic strokes. Clin Neurol Neurosurg 200, 106-109 (2021).
5. Trương Thị Phương Thảo, Lê Văn Phước, Nguyễn Quang Thái Dương và cộng sự. Vai trò của chụp CLVT mạch máu trong chẩn đoán hẹp tắc động mạch nội sọ ở BN đột quỵ do thiếu máu não cấp. Tạp chí Y học TP. Hồ Chí Minh 26, 201 - 205 (2022).
6. Saver JL, Goyal M, Bonafe A, et. al. Solitaire™ with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (SWIFT PRIME) trial: protocol for a randomized, controlled, multicenter study comparing the Solitaire revascularization device with IV tPA with IV tPA alone in acute ischemic stroke. International journal of stroke 10, 439 - 448 (2015).
7. Campbell BCV, Mitchell PJ, Yan B, et. al. A multicenter, randomized, controlled study to investigate EXtending the time for Thrombolysis in Emergency Neurological Deficits with Intra-Arterial therapy (EXTEND-IA). International Journal of Stroke 9, 126 - 132 (2014).
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9. Huynh N, Wintermark M, English J, et al. How accurate is CT angiography in evaluating intracranial atherosclerotic disease? Stroke 39, 1184-1188 (2008).
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