Emergency Radiology

, Volume 20, Issue 5, pp 417–428

Role of cardiac and extracranial vascular CT in the evaluation/management of cerebral ischemia and stroke

  • Shahmir Kamalian
  • Shervin Kamalian
  • Stuart R. Pomerantz
  • Teerath P. Tanpitukpongse
  • Rajiv Gupta
  • Javier M. Romero
  • Douglas S. Katz
Review Article


Collectively, cardiac and large artery sources are responsible for the largest proportion of acute ischemic stroke. Technological advancements in computed tomography (CT) continue to improve evaluation of these patients. The literature was reviewed for the potential role and impact of these innovations in evaluation and management of these patients. In conclusion, incorporation of early cardiac and extracranial vascular CT angiography (CTA) in evaluation of patients with acute ischemic stroke may potentially improve patient management and outcome, while decreasing cost.


Ischemic stroke Cardioembolic stroke Multimodal CT Cardiac CT CT angiography 


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Copyright information

© Am Soc Emergency Radiol 2013

Authors and Affiliations

  • Shahmir Kamalian
    • 1
  • Shervin Kamalian
    • 2
  • Stuart R. Pomerantz
    • 2
  • Teerath P. Tanpitukpongse
    • 1
  • Rajiv Gupta
    • 2
  • Javier M. Romero
    • 2
  • Douglas S. Katz
    • 1
  1. 1.Department of RadiologyWinthrop-University HospitalMineolaUSA
  2. 2.Department of Radiology, Division of NeuroradiologyMassachusetts General HospitalBostonUSA

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