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Condition: Hemorrhagic Stroke
Education: Academia

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Total 250 results found since Jan 2013.

Outcomes of Transcatheter Aortic Valve Implantation in Patients with Cirrhosis.
Authors: Higuchi R, Tobaru T, Hagiya K, Saji M, Mahara K, Takamisawa I, Shimizu J, Iguchi N, Takanashi S, Takayama M, Isobe M Abstract Cirrhosis is a significant adverse factor of cardiac surgeries. Transcatheter aortic valve implantation (TAVI) has evolved as a less invasive therapy for aortic stenosis, whereas detailed case analysis of TAVI in cirrhotic patients is limited.Among 444 consecutive patients who underwent TAVI in the Sakakibara Heart Institute between October 2013 and January 2018, we retrospectively reviewed 11 patients (2.5%) with cirrhosis. All outcomes were defined according to the Valve Academic ...
Source: International Heart Journal - February 13, 2019 Category: Cardiology Tags: Int Heart J Source Type: research

“Code-Stroke” CT Perfusion; Challenges and Pitfalls
Publication date: Available online 14 January 2019Source: Academic RadiologyAuthor(s): Houman Sotoudeh, Asim K. Bag, Michael David BrooksRationale and ObjectivesRegarding the most recent ischemic stroke treatment guideline, perfusion imaging has been recommended up to 24 hours after initial symptoms of brain infarction. Patients with a significant amount of salvageable peri-infarct ischemia and no contraindications benefit from delayed thrombolysis and intra-arterial thrombectomy. This approach causes increasingly more CT perfusion to be done in the subacute phase of ischemic stroke. CT perfusion findings in this “subacu...
Source: Academic Radiology - January 15, 2019 Category: Radiology Source Type: research

Management of Cerebral Vein Thrombosis in a Canadian Tertiary Hospital
Introduction: Cerebral vein thrombosis (CVT) is an uncommon cause of stroke and is more likely to affect young adults and children. Women have a three-fold increased risk compared to men, owing to gender specific factors such as oral contraceptive use (OCP), pregnancy, and hormone replacement therapies. The presenting symptoms of CVT are non-specific and include headache, seizure, focal neurological deficits, or coma as the most severe presentation. The rarity and variable symptoms of the disease leads to delayed diagnosis and implementation of treatment. With improved imaging techniques and increased awareness in recent y...
Source: Blood - November 21, 2018 Category: Hematology Authors: Castellucci, L. A., Chiang, P. Tags: 332. Antithrombotic Therapy: Poster II Source Type: research

Red blood cell transfusion in acute brain injury subtypes: An observational cohort study
ConclusionsIn moderately anemic patients with ABI, RBC transfusion was associated with longer hospital and ICU LOS. Prospective investigations are necessary to further assess these relationships.
Source: Journal of Critical Care - November 12, 2018 Category: Gastroenterology Source Type: research

An Urban 911 System's Experience with Left Ventricular Assist Device Patients.
CONCLUSIONS: EMS interactions with LVAD patients are infrequent but have high rates of admission and incidence of life-threatening diagnoses. The most common prehospital presenting symptoms were weakness and chest pain, and most prehospital interactions did not require LVAD-specific interventions. In addition to acquiring technical knowledge regarding LVADs, EMS providers should be aware of non-device-related complications including intracranial and GI bleeding and take this into account during their assessment. PMID: 30285520 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 6, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Prophylactic Seizure Medication and Health-Related Quality of Life After Intracerebral Hemorrhage
Objectives: Prophylactic levetiracetam is currently used in ~40% of patients with intracerebral hemorrhage, and the potential impact of levetircetam on health-related quality of life is unknown. We tested the hypothesis that prophylactic levetiracetam is independently associated with differences in cognitive function health-related quality of life. Design: Patients with intracerebral hemorrhage were enrolled in a prospective cohort study. We performed mixed models for T-scores of health-related quality of life, referenced to the U.S. population at 50 ± 10, accounting for severity of injury and time to follow-up. ...
Source: Critical Care Medicine - August 16, 2018 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Variability of stroke patients meeting endovascular stroke trial criteria in a non-clinical trial setting
ConclusionsThe proportion of patients with acute stroke and large vessel occlusion presenting within 8 hours that would meet radiological criteria for endovascular stroke trials varies considerably (62–100%) in a cohort outside of clinical trials from an academic comprehensive stroke center. Thus, the radiological criteria used for candidate selection in daily practice will greatly influence the proportion of patients treated with endovascular therapy.
Source: Journal of Neuroradiology - July 10, 2018 Category: Radiology Source Type: research

Comparison of Triflusal with Aspirin in the Secondary Prevention of Atherothrombotic Events; Α Randomised Clinical Trial.
CONCLUSION: The efficacy of triflusal in the secondary prevention of vascular events is similar to aspirin when administered for 12 months. Importantly, triflusal significantly reduced the incidence of ΜΙ and showed a better safety profile compared with aspirin. (ASpirin versus Triflusal for Event Reduction In Atherothrombosis Secondary prevention, ASTERIAS trial; Clinical Trials.gov Identifier: NCT02616497). PMID: 29866011 [PubMed - as supplied by publisher]
Source: Current Vascular Pharmacology - June 4, 2018 Category: Drugs & Pharmacology Authors: Kalantzi KI, Ntalas IV, Chantzichristos VG, Tsoumani ME, Adamopoulos D, Asimakopoulos C, Bourdakis A, Darmanis P, Dimitriadou A, Gkiokas S, Ipeirotis K, Kitikidou K, Klonaris I, Kostaki A, Logothetis D, Mainas K, Mais T, Maragiannis A, Martiadou K, Mavron Tags: Curr Vasc Pharmacol Source Type: research

The Role of Apathy and Depression on Verbal Learning and Memory Performance After Stroke.
Conclusions: These results suggest that apathy, not depression, is related to verbal memory performance in stroke patients. Future research should explore whether treatment of apathy (e.g., improving motivation) could be a novel target for improving cognition after stroke. Researchers should also examine whether this model can be applied to other aspects of cognition, including executive function and other areas of memory including autobiographical and working memory. PMID: 29788381 [PubMed - as supplied by publisher]
Source: Archives of Clinical Neuropsychology - May 18, 2018 Category: Psychiatry & Psychology Authors: Fishman KN, Ashbaugh AR, Lanctôt KL, Cayley ML, Herrmann N, Murray BJ, Sicard M, Lien K, Sahlas DJ, Swartz RH Tags: Arch Clin Neuropsychol Source Type: research

Unmet Needs and Challenges in Clinical Research of Intracerebral Hemorrhage Special Report
Source: Stroke - April 23, 2018 Category: Neurology Authors: The Hemorrhagic Stroke Academia Industry (HEADS) Roundtable Participants* Tags: Statements and Guidelines, Intracranial Hemorrhage Special Reports Source Type: research

Basic and Translational Research in Intracerebral Hemorrhage Special Report
Source: Stroke - April 23, 2018 Category: Neurology Authors: The Hemorrhagic Stroke Academia Industry (HEADS) Roundtable Participants* Tags: Animal Models of Human Disease, Basic Science Research, Intracranial Hemorrhage Special Reports Source Type: research

Acupuncture for acute stroke.
CONCLUSIONS: This updated review indicates that apparently improved outcomes with acupuncture in acute stroke are confounded by the risk of bias related to use of open controls. Adverse events related to acupuncture were reported to be minor and usually did not result in stopping treatment. Future studies are needed to confirm or refute any effects of acupuncture in acute stroke. Trials should clearly report the method of randomization, concealment of allocation, and whether blinding of participants, personnel, and outcome assessors was achieved, while paying close attention to the effects of acupuncture on long-term funct...
Source: Cochrane Database of Systematic Reviews - March 30, 2018 Category: General Medicine Authors: Xu M, Li D, Zhang S Tags: Cochrane Database Syst Rev Source Type: research

Korean Clinical Practice Guidelines for Aneurysmal Subarachnoid Hemorrhage.
Authors: Cho WS, Kim JE, Park SQ, Ko JK, Kim DW, Park JC, Yeon JY, Chung SY, Chung J, Joo SP, Hwang G, Kim DY, Chang WH, Choi KS, Lee SH, Sheen SH, Kang HS, Kim BM, Bae HJ, Oh CW, Park HS, Quality Control Committees from the Korean Society of Cerebrovascular Surgeons, Society of Korean Endovascular Neurosurgeons, Korean Society of Interventional Neuroradiology, Korean Stroke Society and Korean Academy of Rehabilitation Medicine Abstract Despite advancements in treating ruptured cerebral aneurysms, an aneurysmal subarachnoid hemorrhage (aSAH) is still a grave cerebrovascular disease associated with a high rate of mo...
Source: Journal of Korean Neurosurgical Society - March 13, 2018 Category: Neurosurgery Tags: J Korean Neurosurg Soc Source Type: research

Impact of Sex on Comparative Outcomes of Radial Versus Femoral Access in Patients With Acute Coronary Syndromes Undergoing Invasive Management: Data From the Randomized MATRIX-Access Trial
Conclusions Women showed a higher risk of severe bleeding and access site complications, and radial access was an effective method to reduce these complications as well as composite ischemic and ischemic or bleeding endpoints.
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - January 1, 2018 Category: Cardiology Authors: Gargiulo, G., Ariotti, S., Vranckx, P., Leonardi, S., Frigoli, E., Ciociano, N., Tumscitz, C., Tomassini, F., Calabro, P., Garducci, S., Crimi, G., Ando, G., Ferrario, M., Limbruno, U., Cortese, B., Sganzerla, P., Lupi, A., Russo, F., Garbo, R., Ausiello, Tags: Focus on Cardiovascular Outcomes Among Women Source Type: research