We evaluated CT angiography (CTA) as a non-invasive alternative for diagnosis of CV and assessed if CTA could have a role in choosing appropriate treatment. 2020 Apr;41(4):612-618. doi: 10.3174/ajnr.A6462. Neuroradiology 49:997–1007Schuknecht B (2007) High-concentration contrast media (HCCM) in CT angiography of the carotid system: impact on therapeutic decision making. ScienceDirect ® is a registered trademark of Elsevier B.V.Validation of a New Reference Standard for the Diagnosis of VasospasmNational Institute of Neurological Disorders and Stroke (NINDS)Copyright © 2010 AUR. By continuing you agree to the Copyright © 2020 Elsevier B.V. or its licensors or contributors. AIm: Computed tomography perfusion (CTP) has recently been used to identify regions of potential ischemia due to cerebral vasospasm, ... As the current gold standard, digital subtraction angiography (DSA) can straightforwardly and accurately diagnose anatomic narrowing of cerebral arteries. Endovascular treatment and/ or intra-arterial injection can then be performed in time … Accuracy test characteristics, agreement rates, kappa values, and bias indices were calculated.Performing validation methods for a new reference standard is an evolving and ongoing process because limitations and bias in the reference standard are identified. for conﬁ rming the diagnosis of vasospasm and in a re-cent analysis of 597 studies it was found to be a safe meth-od. A treatment recommendation based on CTA was compared to actual treatment received.Final analysis included 34 patients. Used to predict the risk of cerebral vasospasm after SAH based on: 1. blood thickness 2. presence of IVH.
While there are many different techniques for evaluating PTV, the gold standard for diagnosis remains DSA.
Introduction: Cerebral vasospasm (CV) is one of the most dreaded complications in patients who survive acute subarachnoid haemorrhage (SAH), and conventional cerebral angiography (DSA) is the gold standard for its diagnosis. Lippincott-Raven, Philadelphia, pp 1111–1121Suarez JI, Tarr RW, Selman WR (2006) Aneurysmal subarachnoid haemorrhage. AJNR Am J Neuroradiol 21:1011–1015Otawara Y, Ogasawara K, Ogawa A, Sasaki M, Takahashi K (2002) Evaluation of vasospasm after subarachnoid hemorrhage by use of multislice computed tomographic angiography. Principal findings: Currently, the gold standard for vasospasm diagnosis is cerebral angiography, replaceable by computed tomography angiography, only when angiography is not avail- able. You can also search for this author in Neurosurgery 51:939–942, discussion 942–943Yoon DY, Choi CS, Kim KH, Cho BM (2006) Multidetector-row CT angiography of cerebral vasospasm after aneurysmal subarachnoid hemorrhage: comparison of volume-rendered images and digital subtraction angiography. Neuroradiology 48:787–794Westerlaan HE, Gravendeel J, Fiore D, Metzemaekers JD, Groen RJ, Mooij JJ, Oudkerk M (2007) Multislice CT angiography in the selection of patients with ruptured intracranial aneurysms suitable for clipping or coiling. Below is the link to the electronic supplementary material. Despite the current use of several different methods for diagnosis and follow-up of cerebral vasospasm after subarachnoid hemorrhage, an easy, quick, reliable, and noninvasive method is still needed for evaluation of this entity. Unable to load your delegates due to an error Cerebral vasospasm (CV) is one of the most dreaded complications in patients who survive acute subarachnoid haemorrhage (SAH), and conventional cerebral angiography (DSA) is the gold standard for its diagnosis. Unable to load your collection due to an error
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