Cerebrovascular imaging of cerebral ischemia in acute type A aortic dissection

Stanford type A aortic dissection (AAD) sometimes causes acute ischemic stroke (AIS) or transient ischemic attack (TIA). There is little understanding of cerebrovascular imaging of AIS or TIA in patients with AAD. Consecutive AIS/TIA patients with AAD who were admitted within 4.5 h of onset were rev...

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Bibliographic Details
Published in:Journal of the neurological sciences 2018-05, Vol.388, p.23-27
Main Authors: Matsubara, Soichiro, Koga, Masatoshi, Ohara, Tomoyuki, Iguchi, Yasuyuki, Minatoya, Kenji, Tahara, Yoshio, Fukuda, Tetsuya, Miyazaki, Yuichi, Kajimoto, Katsufumi, Sakamoto, Yuki, Makita, Naoki, Tokuda, Naoki, Nagatsuka, Kazuyuki, Ando, Yukio, Toyoda, Kazunori
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - therapy
Aortic Aneurysm - complications
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - therapy
Aortic dissection
Carotid Artery, Internal - diagnostic imaging
Cerebral Angiography
Cerebral Arteries - diagnostic imaging
Cerebral infarction
Clinical Trials as Topic
Diffusion Magnetic Resonance Imaging
Emergency Medical Services
Female
Humans
Imaging
Imaging, Three-Dimensional
Infarction, Middle Cerebral Artery - complications
Infarction, Middle Cerebral Artery - diagnostic imaging
Infarction, Middle Cerebral Artery - therapy
Ischemic Attack, Transient - complications
Ischemic Attack, Transient - diagnostic imaging
Ischemic Attack, Transient - therapy
Magnetic Resonance Angiography
Male
MRI
Retrospective Studies
Stroke
Thrombolysis
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Summary:Stanford type A aortic dissection (AAD) sometimes causes acute ischemic stroke (AIS) or transient ischemic attack (TIA). There is little understanding of cerebrovascular imaging of AIS or TIA in patients with AAD. Consecutive AIS/TIA patients with AAD who were admitted within 4.5 h of onset were reviewed. We compared findings of MRI/MRA between these and consecutive AIS/TIA patients without AAD within 4.5 h of onset. Seventeen AAD and 249 non-AAD patients were identified. Compared to non-AAD patients, AAD patients had infarcts more frequently in the right anterior cerebral artery (ACA) territory (18% vs. 2%, P = 0.007) and the right middle cerebral artery (MCA) territory (71% vs. 29%, P 
ISSN:0022-510X
1878-5883
DOI:10.1016/j.jns.2018.02.044