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Khasanova L.T.

SavelyevaCity Clinical Hospital No. 31

Koltsova E.A.

Pirogov Russian National Research Medical University (Pirogov University)

Zashezova M.K.

Chazov National Medical Research Centre of Cardiology

Okhtova D.K.

Sochi City Clinical Hospital No. 4

Gavrilova O.V.

SavelyevaCity Clinical Hospital No. 31

Zhitkevich D.I.

Pirogov Russian National Research Medical University (Pirogov University)

Egorov V.K.

Pirogov Russian National Research Medical University (Pirogov University)

Neuroimaging predictors of hemorrhagic transformation of ischemic stroke

Authors:

Khasanova L.T., Koltsova E.A., Zashezova M.K., Okhtova D.K., Gavrilova O.V., Zhitkevich D.I., Egorov V.K.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(12‑2): 34‑38

DOI: 10.17116/jnevro202412412234

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NEUROIMAGING PREDICTORS OF HEMORRHAGIC TRANSFORMATION OF ISCHEMIC STROKE
NEUROIMAGING PREDICTORS OF HEMORRHAGIC TRANSFORMATION OF ISCHEMIC STROKE

To cite this article:

Khasanova LT, Koltsova EA, Zashezova MK, Okhtova DK, Gavrilova OV, Zhitkevich DI, Egorov VK. Neuroimaging predictors of hemorrhagic transformation of ischemic stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(12‑2):34‑38. (In Russ.)
https://doi.org/10.17116/jnevro202412412234

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
 
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Hemorrhagic transformation (HT) is a serious complication that worsens outcomes and increases mortality in patients with ischemic stroke (IS). HT can occur both spontaneously and after reperfusion therapy. Severe ischemic injury in IS is not sufficient in itself to cause HT; one of the key elements in its development is reperfusion. Delayed reperfusion in the area of severe ischemic injury mainly increases the likelihood of HT due to disruptions in the blood-brain barrier (BBB), which, in turn, play a key role in the formation of HT in the acute period of IS. Currently, perfusion CT and MRI are the most widely used imaging methods for assessing the patient’s condition and predicting clinical outcome. To assess the degree of ischemic injury, there are various neuroimaging indicators that reflect the level of ischemic damage in IS and can be used as predictors of HT. To date, the most reliable tools for assessing the risk of HT include very low cerebral blood volume (VLCBV), time to reach maximum concentration of contrast agent (Tmax), permeability surface-area product (PS), lesion volume in diffusion-weighted images (DWI), and poor collateral circulation.

Keywords:

ischemic stroke
hemorrhagic transformation
thrombolytic therapy
reperfusion therapy
neuroimaging
predictors of hemorrhagic transformation
very low cerebral blood volume

Authors:

Khasanova L.T.

SavelyevaCity Clinical Hospital No. 31

Koltsova E.A.

Pirogov Russian National Research Medical University (Pirogov University)

Zashezova M.K.

Chazov National Medical Research Centre of Cardiology

Okhtova D.K.

Sochi City Clinical Hospital No. 4

Gavrilova O.V.

SavelyevaCity Clinical Hospital No. 31

Zhitkevich D.I.

Pirogov Russian National Research Medical University (Pirogov University)

Egorov V.K.

Pirogov Russian National Research Medical University (Pirogov University)

Received:

03.09.2024

Accepted:

04.09.2024

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