Magnetic resonance imaging/angiography and transcranial Doppler velocities in sickle cell anemia: results from the SWiTCH trial

Author:

Helton Kathleen J.1,Adams Robert J.2,Kesler Karen L.3,Lockhart Alex3,Aygun Banu4,Driscoll Catherine5,Heeney Matthew M.6,Jackson Sherron M.2,Krishnamurti Lakshmanan7,Miller Scott T.8,Sarnaik Sharada A.9,Schultz William H.10,Ware Russell E.10

Affiliation:

1. St. Jude Children’s Research Hospital, Memphis, TN;

2. Medical University of South Carolina, Charleston, SC;

3. Rho Inc., Chapel Hill, NC;

4. Cohen Children’s Medical Center, New Hyde Park, NY;

5. Montefiore Medical Center, New York, NY;

6. Children’s Hospital Boston, Boston, MA;

7. Pittsburgh Children’s Hospital, Pittsburgh, PA;

8. SUNY-Downstate, Brooklyn, NY;

9. Wayne State University, Detroit, MI; and

10. Cincinnati Children’s Hospital, Cincinnati, OH

Abstract

Key Points Children with SCA and stroke show severe parenchymal and vascular abnormalities that can be assessed using a vasculopathy grading scale. Results from the SWiTCH Trial support concerns about ineffectiveness of transfusion therapy in preventing cerebrovascular injury progression.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference43 articles.

1. The natural history of stroke in sickle cell disease.;Powars;Am J Med,1978

2. Stroke in sickle cell disease: demographic, clinical, and therapeutic considerations.;Ohene-Frempong;Semin Hematol,1991

3. Abnormalities of the central nervous system in very young children with sickle cell anemia.;Wang;J Pediatr,1998

4. Brain imaging findings in pediatric patients with sickle cell disease.;Steen;Radiology,2003

5. Mortality in children and adolescents with sickle cell disease.;Leikin;Pediatrics,1989

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