System Delay and Mortality among Patients with STEMI Treated with Primary Percutaneous Coronary Intervention

Rapid multimodal imaging is essential in the workup and management of acute ischemic stroke. Early parenchymal findings on noncontrast computed tomography or standard magnetic resonance imaging are used to triage patients for intravenous thrombolysis and to provide insight on prognosis. In the wake of recent endovascular stroke trials, advanced techniques including perfusion imaging and noninvasive vascular imaging are becoming important tools to guide potential endovascular treatment or expand therapy windows. Advanced imaging is also important in pediatric ischemic stroke which requires a slightly different workflow and treatment approach. Here, we will discuss key imaging findings in acute ischemic stroke, as well as the present and future of neuroimaging in light of recent and ongoing clinical trials.

/pdf/role-of-imaging-in-acute-ischemic-stroke-wtzpqeje1b.pdf

Role of Imaging in Acute Ischemic Stroke

Patient eligibility for thrombectomy after acute stroke: Northern French Alps database analysis.

Source Citation Goyal M, Menon BK, van Zwam WH, et al; HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five rand...

In large-vessel ischemic stroke, adding endovascular thrombectomy to usual care reduced 90-day disability.

Overall improvement in the interpretation of images obtained in the emergency department and involvement in decision making will reinforce the participation of radiology in the local stroke team and will increase the added value of radiology to stroke care.

https://pubs.rsna.org/doi/pdf/10.1148/radiol.2015151965

Recent Endovascular Trials: Implications for Radiology Departments, Radiology Residency, and Neuroradiology Fellowship Training at Comprehensive Stroke Centers

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Recent Endovascular Trials: Implications for Radiology Departments, Radiology Residency, and Neuroradiology Fellowship Training at Comprehensive Stroke Centers