Keywords:
Neuroradiology brain, Vascular, CT, CT-Angiography, Diagnostic procedure, Acute, Ischaemia / Infarction
Authors:
G. Rebella, M. Federici, M. Pensa, V. Cozzolino, L. Strada, M. Del Sette, A. Castaldi; Genoa/IT
DOI:
10.1594/ecr2018/C-0993
Conclusion
Our study,
through an expert-opinion analysis,
suggested that CTP could be a useful tool for selecting patients for i.v.
thrombolysis.
In particular,
CTP data significantly influenced therapeutic choice in patients with milder strokes.
We think that CTP can be helpful in order to include more possible candidates to rtPA,
potentially excluded on clinical criteria,
such as age,
severity,
and time delay.
In our study we also found that CTP was useful as a prognostic index,
identifying patients more prone to have good prognosis in case of a normal CTP value or larger mismatch,
after adjustment for age,
sex,
treatment, NIHSS,
and ASPECT score.
Limitation of our study is the retrospective design and the contribute of only one expert to formulate opinions.
On the other hand,
strength of our study is the blindness of the expert,
who evaluated every single case like it was a clinical decision to be taken at the moment.