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Total 491 results found since Jan 2013.

Managing uncertainty: Physicians' decision-making for stroke prevention for patients with atrial fibrillation and intracerebral haemorrhage
Conclusion Physicians described the process of deciding on stroke prevention in patients with AF post-ICH as 'challenging' due to considerable 'clinical equipoise'. Key factors that affected decision-making was patient comorbidities, functional status, and patient willingness to engage with oral anticoagulation therapy. Shared decision-making was believed to be beneficial, but physicians believed that the ultimate responsibility to decide on stroke prevention lay with the clinician.PMID:35253141 | DOI:10.1055/a-1789-4824
Source: Thrombosis and Haemostasis - March 7, 2022 Category: Hematology Authors: Elena Ivany Robyn Lotto Gregory Yh Lip Deirdre Lane Source Type: research

Effect of the Implementation of a Local Care Pathway on the Transient Ischemic Attack Management in Emergency Departments
Background: Recent studies have demonstrated that urgent care decreases the risk of subsequent stroke after transient ischemic attack (TIA). In response to heterogeneous TIA management observed in our area, we developed a structured pathway, in accordance with current guidelines and adapted to local resources. We aim to assess the effect of local implementation of this care pathway on TIA management in emergency departments (EDs) in the Rhône area (France). Patients and Methods: EDs of 5 centers that had a minimum of 30 TIA/year in Lyon and Bourgoin-Jallieu participated. The first 30 consecutive patients who ha...
Source: The Neurologist - March 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Estimated number of eligible patients for mechanical thrombectomy based on NIHSS and population-based Brest stroke registry
CONCLUSION: Based on NIHSS, our study provides coherent information concerning the estimated number of MT procedures to be performed in France: 4,877 to 10,494 ischemic strokes would be eligible each year in metropolitan France compared to the 6,596 thrombectomy procedures actually performed in 2018. Depending on the region, an estimated 10-20% to 90-100% increase in MT activity would be necessary to meet patient needs. These data suggest that there is still room for improvement in thrombectomy activity, particularly in certain regions of France, to allow equal access to MT to the entire French population.PMID:35181159 | D...
Source: Revue Neurologique - February 19, 2022 Category: Neurology Authors: L Simoni-Bazziconi F Azri-Negadi F-M Merrien A Jourdain A Leblanc I Viakhireva-Dovganyuk P Goas F Rouhart M Consigny S Timsit Source Type: research

Cognitive Status Predicts Return to Functional Independence After Minor Stroke: A Decision Tree Analysis
About two-thirds of patients with minor strokes are discharged home. However, these patients may have difficulties returning to their usual living activities. To investigate the factors associated with successful home discharge, our aim was to provide a decision tree (based on clinical data) that could identify if a patient discharged home could return to pre-stroke activities and to perform an external validation of this decision tree on an independent cohort. Two cohorts of patients with minor strokes gathered from stroke registries at the Hôpital Pitié-Salpêtrière and University Hospital Bern were included in this s...
Source: Frontiers in Neurology - February 17, 2022 Category: Neurology Source Type: research

Initial Experience with Left Transradial Neurointerventions for Cerebral Aneurysms Using the 6-French Simmons Guiding Sheath
The use of a transradial approach utilizing a Simmons-shaped catheter for neurointervention has been steadily increasing. Although the right radial artery is commonly used, in interventional cardiology, the left transradial approach offers clear clinical benefits for right-handed patients. To the best of our knowledge, no previous studies have examined intracranial aneurysm embolization with the routine use of the left transradial approach. The aim of this study was to evaluate the technical feasibility of left transradial intracranial aneurysm embolization.
Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2022 Category: Neurology Authors: Masashi Uchida, Hidemichi Ito, Hiroshi Takasuna, Tetsuya Goto, Ichiro Takumi, Takayuki Fukano, Yuta Hagiwara, Yuichiro Tanaka Source Type: research

Hypertrophic cardiomyopathies requiring more monitoring for less atrial fibrillation-related complications: a clustering analysis based on the French registry on hypertrophic cardiomyopathy (REMY)
ConclusionBased on a clustering analysis, three phenogroups of HCM according to the risk of AF occurrence can be identified. It can indicate which patients should be more monitored and/or treated, particular to prevent the risk of stroke.Graphic abstract
Source: Clinical Research in Cardiology - February 1, 2022 Category: Cardiology Source Type: research

Large Vessel Occlusion in Patients With Minor Ischemic Stroke in a Population-Based Study. The Dijon Stroke Registry
Conclusion:Large vessel occlusion (LVO) in minor stroke is non-exceptional, and our findings highlight the need for emergency arterial imaging in any patients suspected of acute stroke, including those with minor symptoms because of the absence of obvious predictors of proximal LVO.
Source: Frontiers in Neurology - January 14, 2022 Category: Neurology Source Type: research

Feasibility of a remotely supervised home-based group eHealth Fitness and Mobility Exercise program for stroke: French-Canadian version preliminary study
CONCLUSION: FAME@home was feasible to deliver as a remotely supervised group exercise program to community-dwelling stroke survivors, with high levels of retention and adherence. FAME@home improved accessibility to exercise and facilitated engagement by having a class schedule and social interaction.PMID:34994303 | DOI:10.1080/10749357.2021.2012008
Source: Topics in Stroke Rehabilitation - January 7, 2022 Category: Neurology Authors: Marie-Andr e Gagnon Charles S biyo Batcho Marie-Louise Bird Benoit Labb Krista L Best Source Type: research

Evaluation des processus impliqués dans l’autonomie cognitive chez des patients cérébrolésés atteints de pathologies dégénératives ou de lésions acquises non-évolutives.
Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, Vol 54(4), Oct 2022, 315-321; doi:10.1037/cbs0000299This objective of the present preliminary study was to evaluate the cognitive autonomy of patients suffering from brain lesions by an assessment of several executive and emotional processing supporting this ability. For this purpose, a test of management of everyday life problems (TGV in French) was designed with three sections: detection of problems, generation of solutions and estimation of the seriousness of problems. Control items (to rule out completion bias) and “unexpected”...
Source: Canadian Journal of Behavioural Science - January 6, 2022 Category: Psychiatry & Psychology Source Type: research

Risk of ischemic stroke in patients with COVID-19 infection: A systematic review and meta-analysis
This study systematically reviewed published studies and conducted meta-analysis to evaluate the association between the risk of ischemic stroke and COVID-19. This study was conducted according to guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The protocol used in this study had been registered in the International Prospective Register of Systematic Reviews. EMBASE, PubMed, Cochrane Library and Web of Science were searched from 1st December 2019-19th February 2021. This systematic review and meta-analysis analysed the combined effect estimations based on odds ratios (OR) with the ra...
Source: Brain Research Bulletin - January 3, 2022 Category: Neurology Authors: Yanhua Cui Bing Zhao Tianbai Li Zhaofei Yang Song Li Weidong Le Source Type: research