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Section IV - Iatrogenic hemorrhagic strokes: thrombolysis-related hemorrhagic strokes

Published online by Cambridge University Press:  20 October 2016

Alexander Tsiskaridze
Affiliation:
Sarajishvili Institute of Neurology, Tblisi State University, Georgia
Arne Lindgren
Affiliation:
Department of Neurology, University Hospital Lund, Sweden
Adnan I. Qureshi
Affiliation:
Department of Neurology, University of Minnesota
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Treatment-Related Stroke
Including Iatrogenic and In-Hospital Strokes
, pp. 155 - 168
Publisher: Cambridge University Press
Print publication year: 2016

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References

References

The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995; 333:1581–7.Google Scholar
Hacke, W, Kaste, M, Fieschi, C, et al. Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Lancet. 1998; 352:1245–51.CrossRefGoogle ScholarPubMed
Hacke, W, Kaste, M, Bluhmki, E, et al. ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008; 359(13):1317–29.Google Scholar
The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Intracerebral hemorrhage after intravenous t-PA therapy for ischemic stroke. Stroke. 1997; 28:2109–18.Google Scholar
Fiorelli, M, Bastianello, S, von Kummer, R, et al. Hemorrhagic transformation within 36 hours of a cerebral infarct: relationships with early clinical deterioration and 3-month outcome in the European Cooperative Acute Stroke Study I (ECASS I) cohort. Stroke. 1999; 30:2280–4.Google Scholar
del Zoppo, G J, Higashida, R T, Furlan, A J, et al. PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke. PROACT Investigators. Prolyse in Acute Cerebral Thromboembolism. Stroke. 1998; 29:411.Google Scholar
Furlan, A, Higashida, R, Wechsler, L, et al. Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism. JAMA. 1999; 282:2003–11.Google Scholar
IMS Study Investigators. Combined intravenous and intraarterial recanalization for acute ischemic stroke: The Interventional Management of Stroke Study. Stroke. 2004; 35:904–11.Google Scholar
IMS II Trial Investigators. The Interventional Management of Stroke (IMS) II Study. Stroke. 2007; 38:2127–35.Google Scholar
Smith, W S, Sung, G, Starkman, S, et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke. 2005; 36:1432–8.Google Scholar
Smith, W S, Sung, G, Saver, J, et al. Mechanical thrombectomy for acute ischemic stroke: Final results of the Multi MERCI trial. Stroke. 2008; 39:1205–12.Google Scholar
Penumbra Pivotal Stroke Trial Investigators. The penumbra pivotal stroke trial: Safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke. 2009; 40:2761–8.Google Scholar
Saver, J L, Jahan, R, Levy, E I, et al. SWIFT Trialists. Solitaire Flow Restoration Device versus the Merci Retriever in Patients with Acute Ischaemic Stroke (SWIFT): A randomised, parallel-group, non-inferiority trial. Lancet. 2012; 380(9849):1241–9.CrossRefGoogle Scholar
Nogueira, R G, Lutsep, H L, Gupta, R, et al. TREVO 2 Trialists. Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO 2): A randomised trial. Lancet. 2012; 380(9849):1231–40.Google Scholar
Broderick, J P, Palesch, Y Y, Demchuk, A M, et al. Interventional Management of Stroke (IMS) III Investigators. Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. N Engl J Med. 2013; 368(10):893903.Google Scholar
Berkhemer, O A, Fransen, P S, Beumer, D, et al. MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015; 372(1):1120.Google Scholar
Goyal, M, Demchuk, A M, Menon, B K, et al. ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med. 2015; 372(11):1019–30.Google Scholar
Campbell, B C, Mitchell, P J, Kleinig, T J, et al. EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med. 2015; 372(11):1009–18.CrossRefGoogle ScholarPubMed
Alexandrov, A V, Black, S E, Ehrlich, L E, Caldwell, C B, Norris, J W. Predictors of hemorrhagic transformation occurring spontaneously and on anticoagulants in patients with acute ischemic stroke. Stroke. 1997; 28:1198–202.CrossRefGoogle ScholarPubMed
Wang, X, Lo, E H. Triggers and mediators of hemorrhagic transformation in cerebral ischemia. Mol Neurobiol. 2003; 28:229–44.Google Scholar
Gasche, Y, Copin, J C, Sugawara, T, Fujimura, M, Chan, P H. Matrix metalloproteinase inhibition prevents oxidative stress-associated blood–brain barrier disruption after transient focal cerebral ischemia. J Cereb Blood Flow Metab. 2001; 21:1393–400.Google Scholar
Khatri, R, Khatri, P, Khoury, J, et al. Microcatheter contrast injections during intra-arterial thrombolysis increase intracranial hemorrhage risk. J Neurointerv Surg. 2010; 2:115–19.Google Scholar
Demchuk, A M, Morgenstern, L B, Krieger, D W, et al. Serum glucose level and diabetes predict tissue plasminogen activator-related intracerebral hemorrhage in acute ischemic stroke. Stroke. 1999; 30:34–9.Google Scholar
Natarajan, S K, Dandona, P, Karmon, Y, et al. Prediction of adverse outcomes by blood glucose level after endovascular therapy for acute ischemic stroke. Clinical Article J Neurosurg. 2011; 114:1785–99.Google ScholarPubMed
Molina, C A, Alvarez-Sabin, J, Montaner, J, et al. Thrombolysis-related hemorrhagic infarction: A marker of early reperfusion, reduced infarct size, and improved outcome in patients with proximal middle cerebral artery occlusion. Stroke. 2002; 33:1551–6.Google Scholar
Dubey, N, Bakshi, R, Wasay, M, Dmochowski, J. Early computed tomography hypodensity predicts hemorrhage after intravenous tissue plasminogen activator in acute ischemic stroke. J Neuroimaging. 2001; 11:184–8.Google Scholar
Barber, P A, Demchuk, A M, Zhang, J, Buchan, A M. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet. 2000; 355:1670–4.Google Scholar
Dzialowski, I, Hill, M D, Coutts, S B, et al. Extent of early ischemic changes on computed tomography (CT) before thrombolysis: prognostic value of the Alberta Stroke Program Early CT Score in ECASS II. Stroke. 2006; 37:973–8.Google Scholar
Hill, M D, Rowley, H A, Adler, F, et al. PROACT-II Investigators. Selection of acute ischemic stroke patients for intra-arterial thrombolysis with pro-urokinase by using ASPECTS. Stroke. 2003; 34:1925–31.Google Scholar
Hill, M D, Demchuk, A M, Tomsick, T A, Palesch, Y Y, Broderick, J P. Using the baseline CT scan to select acute stroke patients for IV-IA therapy. Am J Neuroradiol. 2006; 27:1612–16.Google Scholar
Hill, M D, Demchuk, A M, Goyal, M, et al. IMS3 Investigators. Alberta Stroke Program early computed tomography score to select patients for endovascular treatment: Interventional Management of Stroke (IMS)-III Trial. Stroke. 2014; 45(2):444–9.Google Scholar
Whiteley, W N, Slot, K B, Fernandes, P, Sandercock, P, Wardlaw, J. Risk factors for intracranial hemorrhage in acute ischemic stroke patients treated with recombinant tissue plasminogen activator: a systematic review and meta-analysis of 55 studies. Stroke. 2012; 43(11):2904–9.Google Scholar
Henninger, N, Lin, E, Baker, S P, et al. Leukoaraiosis predicts poor 90-day outcome after acute large cerebral artery occlusion. Cerebrovasc Dis. 2012; 33(6):525–31.Google Scholar
Orrison, W W Jr, Snyder, K V, Hopkins, L N, et al. Whole-brain dynamic CT angiography and perfusion imaging. Clin Radiol. 2011; 66:566–74.Google Scholar
Gasparotti, R, Grassi, M, Mardighian, D, et al. Perfusion CT in patients with acute ischemic stroke treated with intra-arterial thrombolysis: Predictive value of infarct core size on clinical outcome. Am J Neuroradiol. 2009; 30:722–7.Google Scholar
Bhatt, A, Vora, N A, Thomas, A J, et al. Lower pre-treatment cerebral blood volume increases hemorrhagic risks after intra-arterial revascularization in acute stroke. Neurosurgery. 2008; 63:874–9.Google Scholar
Liebeskind, D S, Tomsick, T A, Foster, L D, et al. IMS III Investigators. Collaterals at angiography and outcomes in the Interventional Management of Stroke (IMS) III trial. Stroke. 2014;45(3):759–64.CrossRefGoogle ScholarPubMed
Kidwell, C S, Chalela, J A, Saver, J L, et al. Comparison of MRI and CT for detection of acute intracerebral hemorrhage. JAMA. 2004; 292:1823–30.Google Scholar
Kakuda, W, Thijs, V N, Lansberg, M G, et al. DEFUSE Investigators. Clinical importance of microbleeds in patients receiving IV thrombolysis. Neurology. 2005; 65:1175–8.Google Scholar
Fiehler, J, Albers, G W, Boulanger, J M, et al. MR Stroke Group. Bleeding risk analysis in stroke imaging before thrombolysis. Stroke. 2007; 38:2738–44.Google Scholar
Soo, Y O, Siu, D Y, Abrigo, J, et al. Risk of intracerebral hemorrhage in patients with cerebral microbleeds undergoing endovascular intervention. Stroke. 2012; 43(6):1532–6.Google Scholar
Shi, Z S, Loh, Y, Liebeskind, D S, Saver, J L, et al. Leukoaraiosis predicts parenchymal hematoma after mechanical thrombectomy in acute ischemic stroke. Stroke. 2012; 43(7):1806–11.Google Scholar
del Zoppo, G J, von Kummer, R, Hamann, G F. Ischaemic damage of brain microvessels: inherent risks for thrombolytic treatment in stroke. JNNP. 1998; 65:19.Google Scholar
Warach, S, Latour, L L. Evidence of reperfusion injury, exacerbated by thrombolytic therapy, in human focal brain ischemia using a novel imaging marker of early blood–brain barrier disruption. Stroke. 2004; 35(suppl I):2659–61.Google Scholar
Lansberg, M G, Thijs, V N, Bammer, R, et al. DEFUSE Investigators. Risk factors of symptomatic intracerebral hemorrhage after tPA therapy for acute stroke. Stroke. 2007; 38:2275–8.Google Scholar
Singer, O C, Kurre, W, Humpich, M C, et al. MR Stroke Study Group Investigators. Risk assessment of symptomatic intracerebral hemorrhage after thrombolysis using DWI-ASPECTS. Stroke. 2009; 40(8):2743–8.Google Scholar
Deguchi, I, Dembo, T, Fukuoka, T, et al. Usefulness of MRA-DWI mismatch in neuroendovascular therapy for acute cerebral infarction. Eur J Neurol. 2012; 19(1):114–20.Google Scholar
Yoon, W, Seo, J J, Kim, J K, et al. Contrast enhancement and contrast extravasation on computed tomography after intra-arterial thrombolysis in patients with acute ischemic stroke. Stroke. 2004; 35:876–81.Google Scholar
Broderick, J, Connolly, S, Feldmann, E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke. 2007; 38:2001–23.CrossRefGoogle ScholarPubMed
Mokin, M, Kass-Hout, T, Kass-Hout, O, Zivadinov, R, Mehta, B. Blood pressure management and evolution of thrombolysis-associated intracerebral hemorrhage in acute ischemic stroke. J Stroke Cerebrovasc Dis. 2012; 21(8):852–9.Google Scholar
Ko, Y, Park, J H, Yang, M H, et al. The significance of blood pressure variability for the development of hemorrhagic transformation in acute ischemic stroke. Stroke. 2010; 41:2512–18.Google Scholar
Goldstein, J N, Marrero, M, Masrur, S, et al. Management of thrombolysis-associated symptomatic intracerebral hemorrhage. Arch Neurol. 2010; 67:965–9.Google Scholar
Mendelow, A D, Gregson, B A, Fernandes, H M, et al. STICH investigators. Early versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): A randomised trial. Lancet. 2005; 365:387–97.CrossRefGoogle Scholar
Williams, A, Sittampalam, M, Barua, N, Mohd Nor, A. Case series of post-thrombolysis patients undergoing hemicraniectomy for malignant anterior circulation ischaemic stroke. Cardiovasc Psychiatry Neurol. 2011; 254569.Google Scholar
Alshekhlee, A, Horn, C, Jung, R, Alawi, A A, Cruz-Flores, S. In-hospital mortality in acute ischemic stroke treated with hemicraniectomy in US hospitals. J Stroke Cerebrovasc Dis. 2011; 20:196201.Google Scholar
Fargen, K M, Hoh, B L, Fautheree, G L, et al. Aggressive intervention to treat a young woman with intracranial hemorrhage following unsuccessful intravenous thrombolysis for left middle cerebral artery occlusion. Case report. J Neurosurg. 2011; 115:359–63.Google Scholar

References

The National Institute of Neurological Disorders and Stroke tPA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995; 333:1581–7.Google Scholar
Hacke, W, Kaste, M, Fieschi, C, et al. Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The European Cooperative Acute Stroke Study (ECASS). JAMA. 1995; 13:1017–25.Google Scholar
Hacke, W, Kaste, M, Fieschi, C, et al. Second European-Australasian Acute Stroke Study Investigators. Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Lancet. 1998; 352:1245–51.Google Scholar
Hacke, W, Donnan, G, Fieschi, C, et al. Association of outcome with early stroke treatment: Pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials. Lancet. 2004; 363:768–74.Google Scholar
Hacke, W, Kaste, M, Bluhmki, E, et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med. 2008; 359:1317–29.CrossRefGoogle ScholarPubMed
Albers, G W, Clark, W M, Madden, K P, Hamilton, S A. ATLANTIS trial: results for patients treated within 3 hours of stroke onset. Alteplase Thrombolysis for Acute Noninterventional Therapy in Ischemic Stroke. Stroke. 2002; 33:493–5.Google Scholar
Wahlgren, N, Ahmed, N, Eriksson, N, et al. Safe Implementation of Thrombolysis in Stroke-Monitoring Study Investigators. Multivariable analysis of outcome predictors and adjustment of main outcome results to baseline data profile in randomized controlled trials: Safe Implementation of Thrombolysis in Stroke-Monitoring STudy (SITS-MOST). Stroke. 2008; 3316–22.Google Scholar
Fonarow, G C, Smith, E E, Saver, J L, et al. Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: Patient characteristics, hospital factors, and outcomes associated with door-to-needle times within 60 minutes. Circulation. 2011; 7:750–8.Google Scholar
Mishra, N K, Ahmed, N, Andersen, G, et al. VISTA collaborators; SITS collaborators. Thrombolysis in very elderly people: Controlled comparison of SITS International Stroke Thrombolysis Registry and Virtual International Stroke Trials Archive. BMJ. 2010; 341:c6046. doi:10.1136.Google Scholar
Intracerebral haemorrhage after intravenous t-PA therapy for ischemic stroke. The NINDS t-PA Stroke Study Group. Stroke. 1997; 11: 2109–18.Google Scholar
Saposni, G, Raptis, S, Kapral, M K, et al. Investigators of the Registry of the Canadian Stroke Network and the Stroke Outcome Research Canada Working Group. The iScore predicts poor functional outcomes early after hospitalization for an acute ischemic stroke. Stroke. 2011; 12:3421–8.Google Scholar
Saposnik, G, Fang, J, Kapral, M K, et al. Investigators of the Registry of the Canadian Stroke Network (RCSN); Stroke Outcomes Research Canada (SORCan) Working Group. The iScore predicts effectiveness of thrombolytic therapy for acute ischemic stroke. Stroke. 2012; 5:1315–22.Google Scholar
Mazya, M, Egido, J A, Ford, G A, et al. SITS Investigators. Predicting the risk of symptomatic intracerebral hemorrhage in ischemic stroke treated with intravenous alteplase: Safe Implementation of Treatments in Stroke (SITS) symptomatic intracerebral hemorrhage risk score. Stroke. 2012; 43:1524–31.Google Scholar
Mazya, M V, Bovi, P, Castillo, J, et al. External validation of the SEDAN score for prediction of intracerebral hemorrhage in stroke thrombolysis. Stroke. 2013; 44:1595–600.Google Scholar
Butcher, K, Christensen, S, Parsons, M, et al. EPITHET Investigators. Postthrombolysis blood pressure elevation is associated with hemorrhagic transformation. Stroke. 2010; 1:72–7.Google Scholar
Diedler, J, Ahmed, N, Sykora, M, et al. Safety of intravenous thrombolysis for acute ischemic stroke in patients receiving antiplatelet therapy at stroke onset. Stroke. 2010; 2:288–94.Google Scholar
Martinez-Ramirez, S, Delgado-Mederos, R, Marín, R, et al. Statin pretreatment may increase the risk of symptomatic intracranial haemorrhage in thrombolysis for ischemic stroke: Results from a case-control study and a meta-analysis. J Neurol. 2012; 1:111–18.Google Scholar
Diedler, J, Ahmed, N, Glahn, J, et al. Is the maximum dose of 90 mg alteplase sufficient for patients with ischemic stroke weighing >100 kg? Stroke. 2011; 6:1615–20.Google Scholar
Putaala, J, Sairanen, T, Meretoja, A, et al. Post-thrombolytic hyperglycemia and 3-month outcome in acute ischemic stroke. Cerebrovasc Dis. 2011; 1:8392.Google Scholar
Mustanoja, S, Meretoja, A, Putaala, J, et al. Helsinki Stroke Thrombolysis Registry Group. Outcome by stroke etiology in patients receiving thrombolytic treatment: descriptive subtype analysis. Stroke. 2011; 1:102–6.Google Scholar
Qureshi, A I, Chaudhry, S A, Hassan, A E, et al. Thrombolytic treatment of patients with acute ischemic stroke related to underlying arterial dissection in the United States. Arch Neurol. 2011; 12:1536–42.Google Scholar
Mazya, M V, Ahmed, N, Ford, G A, et al. Remote or extraischemic intracerebral hemorrhage – an uncommon complication of stroke: Results from the Safe Implementation of Treatments in Stroke – International Stroke Thrombolysis Register. Stroke. 2014; 45:1657–63.Google Scholar
Castellanos, M, Sobrino, T, Millán, M, et al. Serum cellular fibronectin and matrix metalloproteinase-9 as screening biomarkers for the prediction of parenchymal hematoma after thrombolytic therapy in acute ischemic stroke: A multicenter confirmatory study. Stroke. 2007; 6:1855–914.Google Scholar
Albers, G W, Thijs, V N, Wechsler, L, et al. DEFUSE Investigators. Magnetic resonance imaging profiles predict clinical response to early reperfusion: The Diffusion and Perfusion Imaging Evaluation for Understanding Stroke Evolution (DEFUSE) study. Ann Neurol. 2006; 5:508–17.Google Scholar
Campbell, B C, Christensen, S, Butcher, K S, et al. EPITHET Investigators. Regional very low cerebral blood volume predicts hemorrhagic transformation better than diffusion-weighted imaging volume and thresholded apparent diffusion coefficient in acute ischemic stroke. Stroke. 2010; 1:82–8.Google Scholar
Fiehler, J, Albers, G W, Boulanger, J M, et al. MR STROKE Group. Bleeding Risk Analysis in Stroke Imaging before thromboLysis (BRASIL): Pooled analysis of T2*-weighted magnetic resonance imaging data from 570 patients. Stroke. 2007; 2738–44.Google Scholar
Dannenberg, S, Scheitz, J F, Rozanski, M, et al. Number of cerebral microbleeds and risk of intracerebral hemorrhage after intravenous thrombolysis. Stroke. 2014; 10:2900–5.Google Scholar
Gratz, P P, El-Koussy, M, Hsieh, K, et al. Preexisting cerebral microbleeds on susceptibility-weighted magnetic resonance imaging and post-thrombolysis bleeding risk in 392 patients. Stroke. 2014; 6:1684–8.Google Scholar
Jung, S, Mono, M L, Findling, O, et al. White matter lesions and intra-arterial thrombolysis. J Neurol. 2012; 7:1331–6.Google Scholar
Neumann-Haefelin, T, Hoelig, S, Berkefeld, J, et al. Leukoaraiosis is a risk factor for symptomatic intracerebral hemorrhage after thrombolysis for acute stroke. Stroke. 2006; 37: 2463–6.Google Scholar
Broderick, J P, Palesch, Y Y, Demchuk, A M, et al. Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. N Engl J Med. 2013; 368:893903.Google Scholar
Kidwell, C S, Jahan, R, Saver, J L. Endovascular treatment for acute ischemic stroke. N Engl J Med. 2013; 368:2434–5.Google Scholar
Ciccone, A, Valvassori, L, Nichelatti, M, et al. Endovascular treatment for acute ischemic stroke. N Engl J Med. 2013; 368:904–13.Google Scholar
Berkhemer, O A, Fransen, P S, Beumer, D, et al. MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015; 1:1120.Google Scholar
Goyal, M, Demchuk, A M, Menon, B K, et al. ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med. 2015; 11:1019–30.Google Scholar
Saver, J L, Goyal, M, Bonafe, A, et al. SWIFT PRIME Investigators. Solitaire™ with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (SWIFT PRIME) trial: Protocol for a randomized, controlled, multicenter study comparing the Solitaire revascularization device with IV tPA with IV tPA alone in acute ischemic stroke. Int J Stroke. 2015; 3:439–48.Google Scholar
Campbell, B C, Mitchell, P J, Kleinig, T J, et al. EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med. 2015; 11:1009–18.Google Scholar
Bang, O Y, Saver, J L, Kim, S J, et al. Collateral flow averts hemorrhagic transformation after endovascular therapy for acute ischemic stroke. Stroke. 2011; 42:2235–9.Google ScholarPubMed
Warach, S, Latour, L L. Evidence of reperfusion injury, exacerbated by thrombolytic therapy, in human focal brain ischemia using a novel imaging marker of early blood–brain barrier disruption. Stroke. 2004; 35:2659–61.Google Scholar
Khatri, R, McKinney, A M, Swenson, B, et al. Blood–brain barrier, reperfusion injury, and hemorrhagic transformation in acute ischemic stroke. Neurology. 2012; 79:S52–7.Google Scholar
Giraud, M, Cho, T H, Nighoghossian, N, et al. Early blood brain barrier changes in acute ischemic stroke: A sequential MRI study. J Neuroimaging. 2015; 25:959–63.Google Scholar

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