Autor: |
Miriam Fernández-Gómez, Félix Gallo-Pineda, Carlos Hidalgo-Barranco, Laura Amaya-Pascasio, Cristina delToro-Pérez, Patricia Martínez-Sánchez, Gracia Castro-Luna |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
|
Zdroj: |
European Journal of Radiology Open, Vol 10, Iss , Pp 100462- (2023) |
Druh dokumentu: |
article |
ISSN: |
2352-0477 |
DOI: |
10.1016/j.ejro.2022.100462 |
Popis: |
Purpose: Acute intracranial internal carotid artery (ICA) occlusion can mimic an extracranial affectation on Computed Tomography angiography (CTA). This fact could be explained by the extension of the thrombus in the ICA concerning its arterial branches. This study aims to determine how this factor may influence imaging findings. Methods: A retrospective study was conducted from a single-center database of patients undergoing mechanical thrombectomy due to ICA occlusion between October 2017 and March 2022 (n = 77). Patients with acute intracranial ICA occlusion were included (n = 29) and divided into two groups, according to ICA opacification on CTA: the discernible extracranial ICA or group D, and the pseudo-occlusion or group P. Patency of posterior communicating, anterior choroidal, and ophthalmic arteries on digital subtraction angiography were collected to determine thrombus extension. Sensitivity and specificity were calculated for CTA. Results: Significant differences were found in DSA between group P (n = 17) and group D (n = 12) in the frequency of patency of major artery branches: the presence of posterior communicating (PCOM) and anterior choroidal arteries (AChA) was observed in 2 patients in group P vs. 10 in group D (p |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
|