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Stroke Transfer: Collateral Blood Flow, Not Time, Is Brain? (CME/CE)

(MedPage Today) -- Leptomeningeal collaterals crucial to maintaining ASPECTS during patient transfer
Source: MedPage Today Cardiovascular - Category: Cardiology Source Type: news

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Abstract Background and PurposeWhereas intravenous thrombolysis (IVT) is allowed in acute ischaemic stroke (IS) in patients on vitamin K antagonists if INR≤1.7, there is no similar recommendations for patients on direct oral anticoagulants (DOACs), notably due to the lack of coagulation tests to assess the therapeutic effects. Although the literature is scarce, consisting in small case series and retrospective studies, considering the frequency of this situation, the French Vascular Neurology Society and the French study Group on Haemostasis and Thrombosis have worked on a joined position paper to provide a practical po...
Source: European Journal of Neurology - Category: Neurology Authors: Tags: Original Article Source Type: research
Conclusions: These results suggest that DPSCs treatment may serve as a potential therapy for clinical stroke patients in the future.Cell Physiol Biochem 2018;45:258 –266
Source: Cellular Physiology and Biochemistry - Category: Cytology Source Type: research
Authors: Kowalski M, Deutsch C, Hofmann S, Franz N, Billion M, Ferdosi A, Bramlage P, Imnadze G, Warnecke H Abstract Introduction: The "transfemoral (TF) first" approach to access route selection in transcatheter aortic valve implantation (TAVI) is popular; however, the risk of major vascular complications is substantial. The "best for TF" approach identifies only the patients with ideal anatomy for TF-TAVI, potentially minimizing complications. Aim: To characterize the outcomes of patients undergoing TAVI at a large-volume site that employs this approach. Material and methods: Patients who u...
Source: Polish Journal of Cardio-Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research
Jefferson Health added its fourth new member since 2015 with the completion of its merger with Magee Rehabilitation Hospital.   The leaders of Jefferson and Magee said Tuesday the integration will enable two organizations, both nationally ranked, to provide “an even higher level of care” to patients regaining independence from spinal cord injury, stroke, brain injury, amputation, multiple sclerosis and/or orthopedic injuries. Jefferson and Magee have had a clinical affiliation for several decades.…
Source: bizjournals.com Health Care:Biotechnology headlines - Category: Biotechnology Authors: Source Type: news
Areport released this morning by the National Academy of Sciences confirms that despite the demonization of vaping by many anti-tobacco groups and health departments, use of these products is much safer than smoking, and there are no known long-term health effects associated with vaping.This does not mean, of course, that vaping is safe. It just means that we don't know what the long-term effects may be. But it is important to stress that at this time, we don't know of any long-term adverse health effects.The report also concludes that the " second-hand " aerosol produced by vaping is safer than secondhand tobacc...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - Category: Addiction Source Type: blogs
An estimated 22 million Americans suffer from sleep apnea, putting them at greater risk for diabetes, heart disease, stroke and memory loss
Source: Health News: CBSNews.com - Category: Consumer Health News Source Type: news
No émi Klára Tóth, Edina Gabriella Székely, Katalin Réka Czuriga-Kovács, Ferenc Sarkady, Orsolya Nagy, Levente István Lánczi, Ervin Berényi, Klára Fekete, István Fekete, László Csiba, Zsuzsa Bagoly
Source: Frontiers in Neurology - Category: Neurology Source Type: research
We report for the first time that occipital BBB permeability is an independent predictor of visual acuity at baseline, as well as at 12 and 24 months, in type 2 diabetics with established BRB leakage. Our results suggest that occipital BBB permeability might be an independent biomarker for visual impairment in patients with established BRB leakage.
Source: Journal of Neuroendocrinology - Category: Endocrinology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Source: Gait and Posture - Category: Orthopaedics Authors: Tags: Full length article Source Type: research
More than 600  000 patients in the United States undergo cardiac operations each year, including coronary artery bypass graft operations, valve repair or replacement procedures, or other more complex operations. Patients with atrial fibrillation (AF) who undergo these procedures are at risk for postoperative th romboembolic complications, with the left atrial appendage being a common site of thrombus formation. Occlusion of the left atrial appendage may reduce the risk of thromboembolic stroke and can be performed intraoperatively at the time of cardiac operations. The most common surgical approaches to ac hieve left atr...
Source: JAMA - Category: General Medicine Source Type: research
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