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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

American Journal of Neuroradiology May 18, 2018

Kappelhof M, et al. - Researchers attempted to investigate the accuracy of CTA for differentiating pseudo-occlusion from true occlusion of the extracranial ICA. They enrolled all patients from the Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN) with an apparent ICA occlusion on CTA and available DSA images. In this analysis, two independent observers classified CTA images as atherosclerotic cause (occlusion/high-grade stenosis), dissection, or suspected pseudo-occlusion. Results of this study suggested that extracranial ICA pseudo-occlusions could be differentiated from true carotid occlusions on CTA.
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