Stroke RSS Page 19

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Condition: Stroke
Procedure: Coronary Angioplasty

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Total 3253 results found since Jan 2013.

Successful manual thrombus aspiration in anterior ST-segment elevation myocardial infarction due to cardioembolic obstruction of the left main coronary artery
Publication date: Available online 5 December 2019Source: Journal of Cardiology CasesAuthor(s): Diego Della Riva, Matteo Bruno, Nevio TaglieriAbstractLarge clinical trials and meta-analyses have shown that thrombus aspiration (TA) in the setting of ST-T segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI) does not improve clinical outcome, whilst it may be associated with an increased risk of stroke. Accordingly, in the most recent European Society of Cardiology guidelines the role of routine TA during PPCI has been downgraded to a class III recommendation with level ...
Source: Journal of Cardiology Cases - December 5, 2019 Category: Cardiology Source Type: research

Clinical Impact of Beta Blockers in Patients with Myocardial Infarction from the Korean National Health Insurance Database.
CONCLUSIONS: Prescription of beta blocker in patients with AMI after PCI was sequentially increased. Continuous regular use of beta blocker for 2 years after AMI reduced major adverse events compared to no use of beta blocker. PMID: 32096355 [PubMed - as supplied by publisher]
Source: Korean Circulation Journal - February 27, 2020 Category: Cardiology Tags: Korean Circ J Source Type: research

Efficacy and safety of carotid artery stenting: Experience of a single center.
CONCLUSION: The results of this study revealed that CAS was a safe and practical procedure with an acceptable complication rate. In the appropriate patients, experienced interventionists can achieve good results when aggressive risk modification is applied and an EPD and optimal medical therapy are used. PMID: 33034583 [PubMed - as supplied by publisher]
Source: Turk Kardiyoloji Dernegi arsivi - October 1, 2020 Category: Cardiology Authors: Karaduman BD, Ayhan H, Keleş T, Bozkurt E Tags: Turk Kardiyol Dern Ars Source Type: research

Clinical outcomes of patients after using prehospital fibrinolytic therapy: a systematic review
Conclusion: FT was more effective in prehospital treatment to reduce deaths after five years, however, reinfarction and stroke occurred similarly in the sample analyzed. The time factor reduced clinical outcomes, especially when the implemented therapy occurred within two hours after the occurrence of STEMI. Thus, although the interventions presented similar outcomes. However, FT may represent a viable treatment in places where PPCI cannot be achieved in a timely manner.
Source: Acta Paulista de Enfermagem - October 26, 2020 Category: Nursing Source Type: research

Short dual antiplatelet therapy followed by P2Y12 inhibitor monotherapy vs. prolonged dual antiplatelet therapy after percutaneous coronary intervention with second-generation drug-eluting stents: a systematic review and meta-analysis of randomized clinical trials
ConclusionAfter second-generation DES implantation, 1 –3 months of DAPT followed by P2Y12 inhibitor SAPT is associated with lower major bleeding and similar stent thrombosis, all-cause death, myocardial infarction, and stroke compared with prolonged DAPT. Whether P2Y12 inhibitor SAPT is preferable to aspirin SAPT needs further investigation.
Source: European Heart Journal - December 7, 2020 Category: Cardiology Source Type: research

Robotically assisted coronary artery bypass graft surgery versus drug ‐eluting stents for patients with stable isolated proximal left anterior descending disease
ConclusionR ‐CABG offers lower r‐TLR rate and better angina relief compared with DES for revascularization in patients with isolated proximal LAD stenosis and there was no difference in mortality, MI, stroke, and MACCE between them.
Source: Journal of Cardiac Surgery - February 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shuanglei Li, Huajun Zhang, Cangsong Xiao, Rong Wang, Yang Wu Tags: ORIGINAL ARTICLE Source Type: research

The impact of coronary artery disease severity on long-term outcomes in unprotected left main coronary artery revascularization
CONCLUSION: CAD severity has prognostic value for mortality, MI, and stroke in patients who undergo unprotected LMCA PCI. An increased initial SS and post-procedural rSS were related to adverse cardiovascular outcomes. The rSS was also an independent predictor of major adverse cardiac and cerebrovascular events and mortality.PMID:33390575 | DOI:10.5543/tkda.2020.20576
Source: Turk Kardiyoloji Dernegi arsivi - January 4, 2021 Category: Cardiology Authors: Serkan Kahraman Hicaz Zencirkiran Agus G ökhan Demirci Cemil Can Ali R ıza Demir Ahmet G üner Ali Kemal Kalkan Fatih Uzun Mehmet Ert ürk Mustafa Y ıldız Source Type: research

Impact of time factor and patient characteristics on the efficacy of PCI vs CABG for left main coronary disease: A meta-analysis
Conclusions: The long-term benefit of CABG vs PCI on MACCE in patients with left main coronary disease is consistent across patients with different clinical characteristics. The relative benefit of CABG on MACCE is driven by that of CABG on unplanned revascularization, and becomes greater as time goes on.
Source: Medicine - March 12, 2021 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Direct-Acting Oral Anticoagulants in Atrial Fibrillation: What’s New in the Literature
Atrial fibrillation (AF) is considered the most common sustained cardiac arrhythmia, and it is associated with a significant risk of adverse events, especially ischemic stroke. Oral anticoagulation is the cornerstone for stroke prevention in AF; for many years, only vitamin K antagonists were used for this purpose, with an absolute risk reduction>60%. However, these agents have limitations, such as narrow therapeutic margins and drug–food and drug–drug interactions. More recently, 4 direct-acting oral anticoagulants (DOACs)—non–vitamin K antagonists—have become available for patients with AF: dabigatran, rivaroxa...
Source: Cardiology in Review - April 17, 2021 Category: Cardiology Tags: Review Articles Source Type: research

Aspiration thrombectomy in ST-Elevation myocardial infarction: Further insights from a network meta-analysis of randomized trials
CONCLUSIONS: Our comprehensive network meta-analysis suggests conflicting outcomes with AT. While Mortality, MACE, MI seem better, there is a suggestion that, Stroke and ST might be worse. Whether AT can still be pursued in any select cases should be further scrutinized.PMID:33865512 | DOI:10.1016/j.ihj.2021.01.006
Source: Indian Heart J - April 18, 2021 Category: Cardiology Authors: Rama Dilip Gajulapalli Arun Kanmanthareddy Kathir Balakumaran Hwanhee Hong Shari Bolen Meera Kondapaneni Tilak K R Pasala Source Type: research

Simultaneous cardiocerebral infarctions: a five-year retrospective case series reviewing natural history
CONCLUSION: CCI is a rare but devastating clinical scenario, with high incidence of morbidity and mortality. Treatment strategy can impact patient outcome, and further research is warranted on the ideal acute and post-reperfusion treatments for CCI. In this series, IV tPA at stroke doses appeared to be the preferred initial step for its treatment, with subsequent coronary or cerebral endovascular therapy, if necessary.PMID:33866711 | DOI:10.11622/smedj.2021043
Source: Singapore Medical Journal - April 18, 2021 Category: General Medicine Authors: Cheryl ZY Chong Benjamin YQ Tan Ching-Hui Sia Thet Khaing Leonard LL Yeo Source Type: research

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