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. 2022 Jul;64(7):1457-1460.
doi: 10.1007/s00234-022-02963-4. Epub 2022 Apr 23.

Fusion of magnetic resonance angiography and cisternography in acute ischemic stroke reveals the vessel anatomy ahead of the clot: a technical note to see beyond obstacles

Enricomaria Mormina  1 , Antonio Armando Caragliano #  1 , Agostino Tessitore #  1 , Marco Cavallaro  1 , Orazio Buonomo  1 , Carmela Visalli  2 , Antonio Pitrone  1 , Mariano Velo  1 , Karol Galletta  1 , Mirta Longo  1 , Marcello Longo  1 , Francesca Granata  1 , Sergio Lucio Vinci  1
Affiliations

Fusion of magnetic resonance angiography and cisternography in acute ischemic stroke reveals the vessel anatomy ahead of the clot: a technical note to see beyond obstacles

Enricomaria Mormina et al. Neuroradiology. 2022 Jul.

Abstract

We describe how the fusion process between magnetic resonance angiography (MRA) and cisternography (MRC) promptly reveals vessel anatomy ahead of the clot, in patients affected by acute anterior circulation large vessel occlusion. This technique showed in 100% of subjects (n = 22) a clear tracing of vessel anatomy before and beyond the clot. The duration of the whole process is short and could be considered safe since no outcome differences have been found when compared with a control group (n = 23). This technique could play a relevant role in guiding endovascular therapy, especially in unexpected unfavorable anatomical arteries configurations.

Keywords: Acute ischemic stroke; Cisternography; Endovascular treatment; MRA; Patient selection.

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