急性缺血性脑卒中血管成形术（英文）精选.pptVIP

Emergent Revascularization For Acute Ischemic Stroke Rishi Gupta, MD Staff, Cerebrovascular Center The Cleveland Clinic Foundation Introduction Intro (Cont’d) Large Vessel Occlusion Cerebral Blood Flow changes in Acute Ischemic Stroke Tissue outcome following arterial occlusion is determined by cerebral blood flow thresholds below which neuronal integrity and function is differentially affected 1 ISCHEMIC PENUMBRA  ISCHEMIC CORE CT Perfusion Retrospective review of 57 patients treated with Intra-arterial t-PA for MCA occlusion Mean NIHSS = 16 CT Perfusion performed prior