Early vascular imaging and key system strategies expedite carotid revascularization after transient ischemic attack and stroke
International guidelines recommend carotid revascularization within 14 days for patients with a symptomatic transient ischemic attack (TIA) or stroke event. However, significant delays in care persist, with only 9% of outpatients and 36% of inpatients in Ontario meeting this target. The study objective was to explore the influence of health system factors on carotid revascularization timelines.
Atrial fibrillation is the most common sustained cardiac arrhythmia in the general population. In western countries with aging populations, atrial fibrillation poses a significant health concern, as it is associated with a high risk of thromboembolism, stroke, congestive heart failure, and myocardial infarction. Thrombi are generated in the left atrial appendage, and subsequent embolism into the cerebral circulation is a major cause of ischemic stroke. Therefore, patients have a lifetime risk of stroke, and those at high risk, defined as a CHA2DS2-VASc2 (congestive heart failure, hypertension, age>75 years, diabetes mel...
CONCLUSION: Treadmill exercise improved motor function and short-term memory through increasing synaptic plasticity and neurogenesis in photothrombotic stroke mice. Treadmill exercise can be used as an effective treatment strategy to improve brain function related to stroke. PMID: 32482055 [PubMed]
CONCLUSIONS: Inflammatory markers like NLR, LMR and CAR on admission were associated with increased risks of 30-day mortality and 90-day poor outcome in patients with critically ill stroke. Especially, high NLR is independently associated with 90-day poor outcome. PMID: 32486607 [PubMed - as supplied by publisher]
DISCUSSION: Diabetes, but not prediabetes, is associated with an increased risk of ischemic stroke and post-stroke dementia. PMID: 32489021 [PubMed - as supplied by publisher]
CONCLUSIONS: Ticagrelor monotherapy after 1-month DAPT provided consistent treatment effects on ischemic endpoints in patients with or without ACS but only the former experienced a net clinical benefit. Trial registration ClinicalTrials.gov number NCT03231059. PMID: 32482616 [PubMed - as supplied by publisher]
Condition: Stroke, Ischemic Intervention: Device: CRP apheresis Sponsor: Pentracor GmbH Not yet recruiting
ConclusionThoracoscopic epicardial closure of the LAA with the AtriClip PRO2 device is a potentially safe and efficient treatment for stroke prevention in patients with NVAF contraindicated for anticoagulant or antiplatelet therapy.This article is protected by copyright. All rights reserved.
We sought to explore the prevalence, demographics, clinical and imaging features of the Carotid web (CaW) on CT angiography (CTA) in patients with cryptogenic and non-cryptogenic stroke through a large-scale retrospective study.
WEDNESDAY, June 3, 2020 -- A significant delay in treatment has been observed for patients with acute ischemic stroke during the COVID-19 pandemic, according to a study published online May 28 in the Journal of NeuroInterventional Surgery. Clemens...
Condition: Acute Ischemic Stroke Interventions: Drug: Xueshuantong lyophilized powder; Drug: Xueshuantong lyophilized powder Placebo (Extremely low dose of Xueshuantong lyophilized powder); Other: Guidelines-based standard care Sponsors: Dongzhimen Hospital, Beijing; Tianjin University of Traditional Chinese Medicine Not yet recruiting