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Defining CT Perfusion Thresholds for Infarction in the Golden Hour and With Ultra-Early Reperfusion

Authors
Najm, MohamedAl-Ajlan, Fahad S.Boesen, Mari E.Hur, LisaKim, Chi KyungFainardi, EnricoHill, Michael D.Demchuk, Andrew M.Goyal, MayankLee, Ting Y.Menon, Bijoy K.
Issue Date
May-2018
Publisher
CAMBRIDGE UNIV PRESS
Keywords
CT perfusion; endovascular therapy; early reperfusion
Citation
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, v.45, no.3, pp.339 - 342
Indexed
SCIE
SCOPUS
Journal Title
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
Volume
45
Number
3
Start Page
339
End Page
342
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/76066
DOI
10.1017/cjn.2017.287
ISSN
0317-1671
Abstract
In this brief report, computed tomography perfusion (CTP) thresholds predicting follow-up infarction in patients presenting <3 hours from stroke onset and achieving ultra-early reperfusion (<45 minutes from CTP) are reported. CTP thresholds that predict follow-up infarction vary based on time to reperfusion: Tmax >20 to 23 seconds and cerebral blood flow <5 to 7 ml/min(-1)/(100 g)(-1) or relative cerebral blood flow <0.14 to 0.20 optimally predicted the final infarct. These thresholds are stricter than published thresholds.
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