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- Valérie Wolff, Valérie Lauer, Olivier Rouyer, Marc Bataillard, and Christian Marescaux.
- Hôpital de Hautepierre, hôpitaux universitaires de Strasbourg, pôle tête et cou, unité neurovasculaire, 67098 Strasbourg cedex, France. valerie.wolff@chru-strasbourg.fr
- Presse Med. 2012 May 1; 41 (5): 504-13.
AbstractCerebral MRI with angio-MR are more effective than CT scan for selecting patients with ischemic stroke for thrombolysis. The use of cerebral MRI has to be available 24h a day and everyday as a standardized emergency procedure. Off-label criteria for thrombolysis after acute ischemic stroke are too restritive and have to be revised. In acute ischemic stroke, imaging that shows the collateral circulation within the hypoperfusion area has to be used to estimate the potential of therapeutic revascularization. When there are contraindications for intravenous thrombolysis, the endovascular approach must be argued individually by neurologists and neurointerventionalists together.Copyright © 2012 Elsevier Masson SAS. All rights reserved.
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