دورية أكاديمية

Implications of Post-recanalization Perfusion Deficit After Acute Ischemic Stroke: a Scoping Review of Clinical and Preclinical Imaging Studies.

التفاصيل البيبلوغرافية
العنوان: Implications of Post-recanalization Perfusion Deficit After Acute Ischemic Stroke: a Scoping Review of Clinical and Preclinical Imaging Studies.
المؤلفون: van der Knaap N; Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands., Franx BAA; Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands. a.a.franx@umcutrecht.nl., Majoie CBLM; Department of Radiology and Nuclear Medicine, Amsterdam University Medical Center, Location University of Amsterdam, Amsterdam, The Netherlands., van der Lugt A; Department of Radiology & Nuclear Medicine, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands., Dijkhuizen RM; Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands. r.m.dijkhuizen@umcutrecht.nl.
مؤلفون مشاركون: CONTRAST consortium
المصدر: Translational stroke research [Transl Stroke Res] 2024 Feb; Vol. 15 (1), pp. 179-194. Date of Electronic Publication: 2023 Jan 19.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 101517297 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1868-601X (Electronic) Linking ISSN: 18684483 NLM ISO Abbreviation: Transl Stroke Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Springer
مواضيع طبية MeSH: Brain Ischemia*/diagnostic imaging , Brain Ischemia*/therapy , Brain Ischemia*/complications , Ischemic Stroke*/diagnostic imaging , Ischemic Stroke*/complications , Stroke*/diagnostic imaging , Stroke*/therapy , Stroke*/etiology, Animals ; Humans ; Ischemia/complications ; Reperfusion/methods ; Treatment Outcome ; Cerebrovascular Circulation/physiology
مستخلص: The goal of reperfusion therapy for acute ischemic stroke (AIS) is to restore cerebral blood flow through recanalization of the occluded vessel. Unfortunately, successful recanalization does not always result in favorable clinical outcome. Post-recanalization perfusion deficits (PRPDs), constituted by cerebral hypo- or hyperperfusion, may contribute to lagging patient recovery rates, but its clinical significance remains unclear. This scoping review provides an overview of clinical and preclinical findings on post-ischemic reperfusion, aiming to elucidate the pattern and consequences of PRPD from a translational perspective. The MEDLINE database was searched for quantitative clinical and preclinical studies of AIS reporting PRPD based on cerebral circulation parameters acquired by translational tomographic imaging methods. PRPD and stroke outcome were mapped on a charting table, creating an overview of PRPD after AIS. Twenty-two clinical and twenty-two preclinical studies were included. Post-recanalization hypoperfusion is rarely reported in clinical studies (4/22) but unequivocally associated with detrimental outcome. Post-recanalization hyperperfusion is more commonly reported (18/22 clinical studies) and may be associated with positive or negative outcome. PRPD has been replicated in animal studies, offering mechanistic insights into causes and consequences of PRPD and allowing delineation of possible courses of PRPD. Complex relationships exist between PRPD and stroke outcome. Diversity in methods and lack of standardized definitions in reperfusion studies complicate the characterization of reperfusion patterns. Recommendations are made to advance the understanding of PRPD mechanisms and to further disentangle the relation between PRPD and disease outcome.
(© 2023. The Author(s).)
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معلومات مُعتمدة: CVON2015-01 Dutch Heart Foundation; HA2015.01.06 Brain Foundation, Netherlands; LSHM17016 Ministerie van Economische Zaken
فهرسة مساهمة: Keywords: Acute ischemic stroke; Hyperperfusion; Hypoperfusion; Perfusion deficit; Recanalization; Reperfusion
تواريخ الأحداث: Date Created: 20230118 Date Completed: 20240119 Latest Revision: 20240305
رمز التحديث: 20240305
مُعرف محوري في PubMed: PMC10796479
DOI: 10.1007/s12975-022-01120-6
PMID: 36653525
قاعدة البيانات: MEDLINE
الوصف
تدمد:1868-601X
DOI:10.1007/s12975-022-01120-6