Cerebral Amyloid Angiopathy Imaging Markers, Radiological Boston Criteria, and Thrombolysis Outcomes in Ischemic Stroke

In thrombolyzed patients with acute ischemic stroke, cortical superficial siderosis burden is strongly and consistently associated with higher risk of severe hemorrhage, disability, and death, making it a particularly relevant CAA marker when weighing thrombolytic risk versus benefit. Meeting radiological Boston criteria, versions 1.0 or 1.5, increases hemorrhagic risk, but meeting the latest 2.0 criteria does not.

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Publication Details

Journal
Stroke
Published
2026-01-29
DOI
https://doi.org/10.1161/strokeaha.125.054654
Primary Topic
Intracerebral and Subarachnoid Hemorrhage Research
Type
article
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article

Cerebral Amyloid Angiopathy Imaging Markers, Radiological Boston Criteria, and Thrombolysis Outcomes in Ischemic Stroke

William Betzner, Michel Christopher Frank Shamy, Federico Carpani, Fouzi Bala et al.
Stroke
Intracerebral and Subarachnoid Hemorrhage Research
article

Cerebral Amyloid Angiopathy Imaging Markers, Radiological Boston Criteria, and Thrombolysis Outcomes in Ischemic Stroke

William Betzner, Michel Christopher Frank Shamy, Federico Carpani, Fouzi Bala, Kaden Lam, Tolulope T. Sajobi, Julia J. Hopyan, Dar Dowlatshahi, Shahab Marzoughi, Gary Hunter, Ibrahim Alhabli, Luciana Catanese, Nishita Singh, Aleksandra Pikula, Aleksander Tkach, Aravind Ganesh, Bijoy K. Menon, Richard H. Swartz, Mohammed A. Almekhlafi, Mahesh P. Kate, Brian H Buck, Thalia S. Field
article en

Abstract

In thrombolyzed patients with acute ischemic stroke, cortical superficial siderosis burden is strongly and consistently associated with higher risk of severe hemorrhage, disability, and death, making it a particularly relevant CAA marker when weighing thrombolytic risk versus benefit. Meeting radiological Boston criteria, versions 1.0 or 1.5, increases hemorrhagic risk, but meeting the latest 2.0 criteria does not.

StrokeVol. 57(4)
Université de Tours (FR), Sunnybrook Health Science Centre (CA), University Health Network (CA), University of British Columbia (CA), University of Ottawa (CA), University of Alberta (CA), University of Calgary (CA), Toronto Western Hospital (CA), Ottawa Hospital (CA), Kelowna General Hospital (CA), Health Sciences Centre (CA), Population Health Research Institute (CA), University of Alberta Hospital (CA), University of Saskatchewan (CA), O'Brien Institute (AU), Centre Hospitalier Universitaire de Tours (FR), Ontario Brain Institute (CA)
Good health and well-being
Openalex Percentile: Top 74%
Intracerebral and Subarachnoid Hemorrhage Research
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