Chinese Consensus Statement on the Evaluation and Intervention of Collateral Circulation for Ischemic Stroke

Li‐Ping Liu; An‐Ding Xu; Lawrence K.S. Wong; David Z. Wang; Yong‐Jun Wang

doi:10.1111/cns.12226

journal article Open Access Feb 05, 2014

Chinese Consensus Statement on the Evaluation and Intervention of Collateral Circulation for Ischemic Stroke

Li‐Ping Liu An‐Ding Xu Lawrence K.S. Wong David Z. Wang Yong‐Jun Wang

CNS Neuroscience & Therapeutics Vol. 20 No. 3 pp. 202-208 · Wiley

View at Publisher Save 10.1111/cns.12226

Abstract

SummaryBackgroundCollateral circulation is becoming more significant in the individual management strategy of ischemic stroke, there are more data updated recently.AimTo make the further acknowledgment of the evaluation and how to improving collateral flow, for better treatment selection.MethodA panel of experts on stroke providing related statement based on review the results from most up‐to‐date clinical research.ResultsDSA is the gold standard in evaluating all levels of collaterals. CTA can be used for evaluating leptomeningeal collaterals, MRA for CoW, TCD or TCCS can be used as screening tool for primary evaluation. The treatment modalities include direct interventions, such as Extracranial–Intracranial bypass, and indirect interventions, as External counterpulsation and pressor therapy. The consideration of methodology to augment and improve can be considered on an individual basis.DiscussionIn this consensus, we interpret the definition, neuroimaging evaluation, intervention and potential strategy on collaterals in the future.ConclusionAssessment of collateral circulation is crucial for selecting therapeutic options, predicting infarction volume and making prognosis after ischemic stroke. Data is still needed to provide therapeutic evidence for many new developed technologies. Until more evidence is available, the clinical significance of applying the new technologies is unclear and perhaps limited.

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Details

Published: Feb 05, 2014
Vol/Issue: 20(3)
Pages: 202-208
License: View

Authors

L

Li‐Ping Liu

Departments of Neurology and Stroke Center Beijing Tiantan Hospital Capital Medical University Beijing China

A

An‐Ding Xu

Department of Neurology The First Affiliated Hospital Jinan University Guangzhou Guangzhou China

L

Lawrence K.S. Wong

Department of Medicine & Therapeutics The Chinese University of Hong Kong Prince of Wales Hospital Shatin Hong Kong

D

David Z. Wang

OSF/INI Comprehensive Stroke Center Department of Neurology University of Illinois College of Medicine at Peoria Peoria IL USA

Y

Yong‐Jun Wang

Departments of Neurology and Stroke Center Beijing Tiantan Hospital Capital Medical University Beijing China

Cite This Article

Li‐Ping Liu, An‐Ding Xu, Lawrence K.S. Wong, et al. (2014). Chinese Consensus Statement on the Evaluation and Intervention of Collateral Circulation for Ischemic Stroke. CNS Neuroscience & Therapeutics, 20(3), 202-208. https://doi.org/10.1111/cns.12226

Chinese Consensus Statement on the Evaluation and Intervention of Collateral Circulation for Ischemic Stroke

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