215 -2 (88) 2026 - Baxadirxanov M.M., Mirzayeva N.B. - MULTISLICE COMPUTED TOMOGRAPHY ANGIOGRAPHY IN ACUTE ISCHEMIC STROKE WITHIN THE THERAPEUTIC TIME WINDOW: DIAGNOSTIC AND PROGNOSTIC IMPLICATIONS

MULTISLICE COMPUTED TOMOGRAPHY ANGIOGRAPHY IN ACUTE ISCHEMIC STROKE WITHIN THE THERAPEUTIC TIME WINDOW: DIAGNOSTIC AND PROGNOSTIC IMPLICATIONS

Baxadirxanov M.M. - Republican Scientific Center for Emergency Medical Care Uzbekistan

Mirzayeva N.B. - Republican Scientific Center for Emergency Medical Care Uzbekistan

Resume

This study aimed to evaluate the diagnostic and prognostic value of multislice computed tomography angiography (CTA) in acute ischemic stroke (AIS). A total of 120 patients aged 18–85 years were included. Patients were examined within the therapeutic time window (0–6 hours) using CTA to assess major vessel status, stenosis or occlusion degree, and collateral circulation. Results were compared between patients receiving thrombolytic therapy and those receiving standard conservative treatment. The study demonstrated that CTA provides rapid and accurate diagnosis, allows identification of major vessel occlusion and collateral flow, and plays a crucial role in guiding therapeutic decisions and predicting functional outcomes. Patients treated with thrombolysis showed significantly better functional recovery. The findings support the integration of CTA into standard protocols in stroke centers to improve short- and long-term patient outcomes.

Keywords: acute ischemic stroke, multislice CTA, vessel occlusion, collateral circulation, thrombolysis, functional recovery

First page

1183

Last page

1188

For citation:Baxadirxanov M.M., Mirzayeva N.B. - MULTISLICE COMPUTED TOMOGRAPHY ANGIOGRAPHY IN ACUTE ISCHEMIC STROKE WITHIN THE THERAPEUTIC TIME WINDOW: DIAGNOSTIC AND PROGNOSTIC IMPLICATIONS//New Day in Medicine 2(88)2026 1183-1188 https://newdayworldmedicine.com/en/new_day_medicine/2-88-2026

List of References

1. Smith WS, et al. Multimodal CT imaging in acute stroke. Stroke. 2015;46(6):1574–1580. doi:10.1161/STROKEAHA.115.009741.
2. Wintermark M, et al. CTA and collateral circulation in acute stroke. Radiology. 2013;269(2):464–474. doi:10.1148/radiol.13121500.
3. Leiva-Salinas C, et al. Multislice CTA in emergency stroke management. J Neuroimaging. 2016;26(3):265–272. doi:10.1111/jon.12264.
4. Adams HP, et al. Guidelines for the early management of stroke. Stroke. 2007;38(5):1655–1711. doi: 10.1161/STROKEAHA.107.181486.Smith WS, et al. Multimodal CT imaging in acute stroke. Stroke. 2015;46(6):1574–1580. doi:10.1161/STROKEAHA.115.009741
5. Wintermark M, et al. CTA and collateral circulation in acute stroke. Radiology. 2013;269(2):464–474. doi:10.1148/radiol.13121500
6. Leiva-Salinas C, et al. Multislice CTA in emergency stroke management. J Neuroimaging. 2016;26(3):265–272. doi:10.1111/jon.12264
7. Adams HP, et al. Guidelines for the early management of stroke. Stroke. 2007;38(5):1655–1711. doi:10.1161/STROKEAHA.107.181486
8. Smith WS, et al. Multimodal CT imaging in acute stroke. Stroke. 2015;46(6):1574–1580. doi:10.1161/STROKEAHA.115.009741
9. Wintermark M, et al. CTA and collateral circulation in acute stroke. Radiology. 2013;269(2):464–474. doi:10.1148/radiol.13121500
10. Leiva-Salinas C, et al. Multislice CTA in emergency stroke management. J Neuroimaging. 2016;26(3):265–272. doi:10.1111/jon.12264
11. Adams HP, et al. Guidelines for the early management of stroke. Stroke. 2007;38(5):1655–1711. doi:10.1161/STROKEAHA.107.181486

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