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Research ArticleNeurointervention

Accuracy of CT Angiography for Differentiating Pseudo-Occlusion from True Occlusion or High-Grade Stenosis of the Extracranial ICA in Acute Ischemic Stroke: A Retrospective MR CLEAN Substudy

M. Kappelhof, H.A. Marquering, O.A. Berkhemer, J. Borst, A. van der Lugt, W.H. van Zwam, J.A. Vos, G. Lycklama à Nijeholt, C.B.L.M. Majoie and B.J. Emmer on behalf of the MR CLEAN Investigators
American Journal of Neuroradiology April 2018, DOI: https://doi.org/10.3174/ajnr.A5601
M. Kappelhof
aFrom the Departments of Radiology (M.K., H.A.M., O.A.B., J.B., C.B.L.M.M, B.J.E.)
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H.A. Marquering
aFrom the Departments of Radiology (M.K., H.A.M., O.A.B., J.B., C.B.L.M.M, B.J.E.)
bBiomedical Engineering and Physics (H.A.M.), Academic Medical Center, Amsterdam, the Netherlands
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O.A. Berkhemer
aFrom the Departments of Radiology (M.K., H.A.M., O.A.B., J.B., C.B.L.M.M, B.J.E.)
dNeurology (O.A.B.), Erasmus Medical Center, Rotterdam, the Netherlands
eDepartment of Radiology (O.A.B., W.H.v.Z.), Maastricht University Medical Center, Maastricht, the Netherlands
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J. Borst
aFrom the Departments of Radiology (M.K., H.A.M., O.A.B., J.B., C.B.L.M.M, B.J.E.)
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A. van der Lugt
cDepartments of Radiology (A.v.d.L.)
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W.H. van Zwam
eDepartment of Radiology (O.A.B., W.H.v.Z.), Maastricht University Medical Center, Maastricht, the Netherlands
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J.A. Vos
fDepartment of Radiology (J.A.V.), St. Antonius Hospital, Nieuwegein, the Netherlands
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G. Lycklama à Nijeholt
gDepartment of Radiology (G.L.à.N.), Haaglanden Medical Centre, The Hague, the Netherlands.
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C.B.L.M. Majoie
aFrom the Departments of Radiology (M.K., H.A.M., O.A.B., J.B., C.B.L.M.M, B.J.E.)
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B.J. Emmer
aFrom the Departments of Radiology (M.K., H.A.M., O.A.B., J.B., C.B.L.M.M, B.J.E.)
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References

  1. 1.↵
    1. Berkhemer OA,
    2. Fransen PS,
    3. Beumer D, et al
    . A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 2015;372:11–20 doi:10.1056/NEJMoa1411587 pmid:25517348
    CrossRefPubMedWeb of Science
  2. 2.↵
    1. Dababneh H,
    2. Bashir A,
    3. Hussain M, et al
    . Endovascular treatment of tandem internal carotid and middle cerebral artery occlusions. J Vasc Interv Neurol 2014;14:25–30 pmid:25422711
    PubMed
  3. 3.↵
    1. Behme D,
    2. Mpotsaris A,
    3. Zeyen P, et al
    . Emergency stenting of the extracranial internal carotid artery in combination with anterior circulation thrombectomy in acute ischemic stroke: a retrospective multicenter study. AJNR Am J Neuroradiol 2015;36:2340–45 doi:10.3174/ajnr.A4459 pmid:26294652
    Abstract/FREE Full Text
  4. 4.↵
    1. Campbell BC,
    2. Mitchell PJ,
    3. Kleinig TJ, et al
    ; EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 2015;372:1009–18 doi:10.1056/NEJMoa1414792 pmid:25671797
    CrossRefPubMed
  5. 5.↵
    1. Saver JL,
    2. Goyal M,
    3. Bonafe A, et al
    ; SWIFT PRIME Investigators. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med 2015;372:2285–95 doi:10.1056/NEJMoa1415061 pmid:25882376
    CrossRefPubMed
  6. 6.↵
    1. Kim JJ,
    2. Dillon WP,
    3. Glastonbury CM, et al
    . Sixty-four-section multidetector CT angiography of carotid arteries: a systematic analysis of image quality and artifacts. AJNR Am J Neuroradiol 2010;31:91–99 doi:10.3174/ajnr.A1768 pmid:19729539
    Abstract/FREE Full Text
  7. 7.↵
    1. Korn A,
    2. Bender B,
    3. Brodoefel H, et al
    . Grading of carotid artery stenosis in the presence of extensive calcifications: dual-energy CT angiography in comparison with contrast-enhanced MR angiography. Clin Neuroradiol 2015;25:33–40 doi:10.1007/s00062-013-0276-0 pmid:24343701
    CrossRefPubMed
  8. 8.↵
    1. Fujimoto S,
    2. Toyoda K,
    3. Kishikawa K, et al
    . Accuracy of conventional plus transoral carotid ultrasonography in distinguishing pseudo-occlusion from total occlusion of the internal carotid artery. Cerebrovasc Dis 2006;22:170–76 doi:10.1159/000093451 pmid:16710083
    CrossRefPubMedWeb of Science
  9. 9.↵
    1. Fürst G,
    2. Saleh A,
    3. Wenserski F, et al
    . Reliability and validity of noninvasive imaging of internal carotid artery pseudo-occlusion. Stroke 1999;30:1444–49 doi:10.1161/01.STR.30.7.1444 pmid:10390321
    Abstract/FREE Full Text
  10. 10.↵
    1. Desole A,
    2. Campanile F,
    3. Tosato F, et al
    . Surgical treatment for pseudo-occlusion of the internal carotid artery. Interact Cardiovasc Thorac Surg 2015;20:636–40 doi:10.1093/icvts/ivv016 pmid:25678628
    CrossRefPubMed
  11. 11.↵
    1. Marquering HA,
    2. Nederkoorn PJ,
    3. Beenen LF, et al
    . Carotid pseudo-occlusion on CTA in patients with acute ischemic stroke: a concerning observation. Clin Neurol Neurosurg 2013;115:1591–94 doi:10.1016/j.clineuro.2013.02.008 pmid:23453709
    CrossRefPubMed
  12. 12.↵
    1. Duijsens HM,
    2. Spaander F,
    3. van Dijk LC, et al
    . Endovascular treatment in patients with acute ischemic stroke and apparent occlusion of the extracranial internal carotid artery on CTA. J Neurointerv Surg 2015;7:709–14 doi:10.1136/neurintsurg-2014-011297 pmid:25118191
    Abstract/FREE Full Text
  13. 13.↵
    1. Ng FC,
    2. Choi PM,
    3. Datta M, et al
    . Perfusion-derived dynamic 4D CT angiography identifies carotid pseudo-occlusion in hyperacute stroke. J Neuroimaging 2016;26:588–91 doi:10.1111/jon.12375 pmid:27383381
    CrossRefPubMed
  14. 14.↵
    1. Prakkamakul S,
    2. Pitakvej N,
    3. Dumrongpisutikul N, et al
    . Mid-cervical flame-shaped pseudo-occlusion: diagnostic performance of mid-cervical flame-shaped extracranial internal carotid artery sign on computed tomographic angiography in hyperacute ischemic stroke. Neuroradiology 2017;59:989–96 doi:10.1007/s00234-017-1882-3 pmid:28785800
    CrossRefPubMed
  15. 15.↵
    1. Akpınar S,
    2. Gelener P,
    3. Yilmaz G
    . Aetiologies of internal carotid artery pseudo-occlusions in acute stroke patients: what neurointerventionalists can expect. Br J Radiol 2017;90:20160352 doi:10.1259/bjr.20160352 pmid:27995806
    CrossRefPubMed
  16. 16.↵
    1. Fransen PS,
    2. Beumer D,
    3. Berkhemer OA, et al
    ; MR CLEAN Investigators. MR CLEAN, a multicenter randomized clinical trial of endovascular treatment for acute ischemic stroke in the Netherlands: study protocol for a randomized controlled trial. Trials 2014;15:343 doi:10.1186/1745-6215-15-343 pmid:25179366
    CrossRefPubMed
  17. 17.↵
    1. Park ST,
    2. Kim JK,
    3. Yoon KH, et al
    . Atherosclerotic carotid stenoses of apical versus body lesions in high-risk carotid stenting patients. AJNR Am J Neuroradiol 2010;31:1106–12 doi:10.3174/ajnr.A2000 pmid:20093309
    Abstract/FREE Full Text
  18. 18.↵
    1. Goyal M,
    2. Demchuk AM,
    3. Menon BK, et al
    ; ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 2015;372:1019–30 doi:10.1056/NEJMoa1414905 pmid:25671798
    CrossRefPubMed
  19. 19.↵
    1. Jovin TG,
    2. Chamorro A,
    3. Cobo E, et al
    ; REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 2015;372:1–11 doi:10.1056/NEJMoa1503780 pmid:25882510
    CrossRefPubMed
  20. 20.↵
    1. Miyazaki Y,
    2. Mori T,
    3. Tajiri H, et al
    . Comparison of four-dimensional CT angiography (4D-CTA) with MRA in acute ischemic stroke patients with probable internal carotid artery occlusion. Stroke 2012;43:A2859
  21. 21.↵
    1. Zhang S,
    2. Chen W,
    3. Tang H, et al
    . The prognostic value of a four-dimensional CT angiography-based collateral grading scale for reperfusion therapy in acute ischemic stroke patients. PLoS One 2016;11:1–12 doi:10.1371/journal.pone.0160502 pmid:27505435
    CrossRefPubMed
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M. Kappelhof, H.A. Marquering, O.A. Berkhemer, J. Borst, A. van der Lugt, W.H. van Zwam, J.A. Vos, G. Lycklama à Nijeholt, C.B.L.M. Majoie, B.J. Emmer
Accuracy of CT Angiography for Differentiating Pseudo-Occlusion from True Occlusion or High-Grade Stenosis of the Extracranial ICA in Acute Ischemic Stroke: A Retrospective MR CLEAN Substudy
American Journal of Neuroradiology Apr 2018, DOI: 10.3174/ajnr.A5601

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Accuracy of CT Angiography for Differentiating Pseudo-Occlusion from True Occlusion or High-Grade Stenosis of the Extracranial ICA in Acute Ischemic Stroke: A Retrospective MR CLEAN Substudy
M. Kappelhof, H.A. Marquering, O.A. Berkhemer, J. Borst, A. van der Lugt, W.H. van Zwam, J.A. Vos, G. Lycklama à Nijeholt, C.B.L.M. Majoie, B.J. Emmer
American Journal of Neuroradiology Apr 2018, DOI: 10.3174/ajnr.A5601
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  • Assessment of Apparent Internal Carotid Tandem Occlusion on High-Resolution Vessel Wall Imaging: Comparison with Digital Subtraction Angiography
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