Table 12.
Advice table for the use of CT and MR in the diagnosis and management of neurological complications
Advice for the use of CT and MR in the diagnosis and management of neurological complications | Strength of advice | Imaging modality | CT specifications | MR specifications |
---|---|---|---|---|
(1) Emergent brain imaging is advised in all patients with new neurological symptoms compatible with cerebral ischaemia after left cardiac chamber ablation before initiation of any specific therapy |
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CT or MRI | ||
(2) In patients who are potential candidates for treatment with intravenous fibrinolysis, a non-contrast CT or MRI is advised to exclude intracranial haemorrhage |
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CT | Cerebral non-contrast CT | |
(3) In patients who are potential candidates for treatment with mechanical thrombectomy, non-invasive imaging of the intracranial arteries is advised during the initial imaging evaluation |
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CT or MR | Angiography | Angiography |
(4) In patients presenting with new neurological symptoms within 6 weeks of the ablation, emergent brain imaging is advised, followed in the case of pathological findings by a chest CT to evaluate for atrio-oesophageal fistula |
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CT or MR |
CT, computed tomography; MR, magnetic resonance.