Clot Length Distribution and Predictors in Anterior Circulation Stroke: Implications for Intra-Arterial Therapy [Brief Reports]

Conclusions— The majority of anterior circulation proximal occlusions are ≥8 mm long, helping to explain the low published rates of intravenous tissue-type plasminogen activator recanalization. Internal carotid artery-terminus occlusion is an excellent marker for clot length ≥8 mm; vessel-imaging status alone may be sufficient. Thin-section noncontrast computed tomography seems useful for patients with middle cerebral artery occlusion because of the wide variability of clot lengths.

http://stroke.ahajournals.org/cgi/content/short/44/12/3553?rss=1

Source: Stroke - November 25, 2013 Category: Neurology Authors: Kamalian, S., Morais, L. T., Pomerantz, S. R., Aceves, M., Sit, S. P., Bose, A., Hirsch, J. A., Lev, M. H., Yoo, A. J. Tags: Acute Cerebral Infarction, Computerized tomography and Magnetic Resonance Imaging, Thrombolysis, Other Stroke Treatment - Surgical Brief Reports Source Type: research