Systematic review and meta-analysis of vascular imaging features to predict outcome following intravenous rtPA for acute ischemic stroke

Bibliographic Details
Title: Systematic review and meta-analysis of vascular imaging features to predict outcome following intravenous rtPA for acute ischemic stroke
Authors: Ricardo C Nogueira, Edson eBor-Seng-Shu, Nazia eSaeed, Manoel Jacobsen Teixeira, Ronney ePanerai, Thompson G Robinson
Source: Frontiers in Neurology, Vol 7 (2016)
Publisher Information: Frontiers Media S.A., 2016.
Publication Year: 2016
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: cerebral autoregulation, cerebral hemodynamics, clinical outcome, intracerebral haemorrhage, rtPA, Intracranial circulation, Neurology. Diseases of the nervous system, RC346-429
More Details: Background: The present review investigated which findings in vascular imaging techniques can be used to predict clinical outcome and risk of symptomatic intracerebral haemorrhage (sICH) in patients who underwent intravenous thrombolytic treatment. Methods: Publications were searched and inclusion criteria were as follows: 1) published manuscripts, 2) patients with acute ischemic stroke managed with intravenous rtPA, and 3) availability of imaging assessment to determine vessel patency or regulation of cerebral blood flow prior to, during and/or after thrombolytic treatment. Clinical outcomes were divided into neurological outcome (NIHSS within 7 days) and functional outcome (modified Rankin score in 2 – 3 months). sICH was defined as rtPA-related intracerebral bleeding associated with any worsening of NIHSS. Results: Thirty-nine articles were selected. Recanalization was associated with improved neurological and functional outcome (OR=7.83; 95% CI, 3.71 – 16.53 and OR=11.12; 95% CI, 5.85 – 21.14; p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-2295
Relation: http://journal.frontiersin.org/Journal/10.3389/fneur.2016.00077/full; https://doaj.org/toc/1664-2295
DOI: 10.3389/fneur.2016.00077
Access URL: https://doaj.org/article/520263caf37341a5abcaafd13d040461
Accession Number: edsdoj.520263caf37341a5abcaafd13d040461
Database: Directory of Open Access Journals
More Details
ISSN:16642295
DOI:10.3389/fneur.2016.00077
Published in:Frontiers in Neurology
Language:English