Computed Tomographic (CT) Perfusion and CT Angiography as Screening Tools for Vasospasm Following Subarachnoid Hemorrhage
Status: | Completed |
---|---|
Conditions: | Cardiology, Neurology |
Therapuetic Areas: | Cardiology / Vascular Diseases, Neurology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 2/7/2015 |
Start Date: | September 2009 |
End Date: | December 2011 |
Contact: | Michelle Miller-Thomas, MD |
Email: | thomasm@mir.wustl.edu |
Phone: | 314-362-5949 |
Computed Tomographic Perfusion and Computed Tomographic Angiography as Screening Tools for Vasospasm Following Subarachnoid Hemorrhage
Cerebral vasospasm is a devastating complication of subarachnoid hemorrhage after cerebral
aneurysm rupture leading to cerebral ischemia and potentially cerebral infarction. The
current gold standard diagnostic imaging study for cerebral vasospasm is catheter cerebral
angiography, an invasive diagnostic procedure carrying a complication rate of 1-2% per
procedure. Computed tomographic perfusion imaging (CTP) and computed tomographic
angiography (CTA) are noninvasive diagnostic imaging studies frequently utilized in the
evaluation of embolic and thrombotic cerebral infarct. The investigators hypothesize that
CTP and CTA may be utilized as screening tools for cerebral vasospasm following aneurysmal
subarachnoid hemorrhage requiring treatment and provide prognostic information.
aneurysm rupture leading to cerebral ischemia and potentially cerebral infarction. The
current gold standard diagnostic imaging study for cerebral vasospasm is catheter cerebral
angiography, an invasive diagnostic procedure carrying a complication rate of 1-2% per
procedure. Computed tomographic perfusion imaging (CTP) and computed tomographic
angiography (CTA) are noninvasive diagnostic imaging studies frequently utilized in the
evaluation of embolic and thrombotic cerebral infarct. The investigators hypothesize that
CTP and CTA may be utilized as screening tools for cerebral vasospasm following aneurysmal
subarachnoid hemorrhage requiring treatment and provide prognostic information.
Inclusion Criteria:
- subarachnoid hemorrhage after aneurysm rupture
Exclusion Criteria:
- renal insufficiency
- pregnancy
- contrast reaction
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