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A Review of Cerebral Angiography Studies

Hassan Kassem-Moussa, MD; Carmelo Graffagnino, MD

Arch Neurol. 2002;59:1870-1873.

Background  Spontaneous recanalization is an understudied phenomenon in stroke. It is often overestimated by nonocclusion rates. The heterogeneity of the causes and manifestations of stroke and of the studies assessing vascular patency has created difficulties in assigning accurate rates of its incidence.

Methods  Systematic review of published articles about cerebral angiography in stroke.

Results  Lack of anticipated occlusions (nonocclusion rates) was noted in 28% of patients in suspected vessels 6 hours after stroke onset, whereas documented occlusions were noted in 17% of patients who underwent spontaneous lysis at 6 to 8 hours. At 3 to 4 days, the nonocclusion rate was 50% of studied vessels.

Conclusions  In the first 6 to 8 hours from stroke onset, spontaneous recanalization occurs in approximately 17% of patients, whereas nonocclusion exists in about 28% of patients and up to 50% by 4 days after stroke.

From the Division of Neurology, Department of Medicine, Duke University Medical Center, Durham, NC.

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