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Total 2927 results found since Jan 2013.

Outcomes of Primary and Secondary Carotid Artery Stenting Clinical Sciences
This study evaluates outcomes of redo-CAS and CAS after prior ipsilateral carotid endarterectomy (CASAPICEA) relative to primary-CAS.Methods—We studied all patients in the Vascular Quality Initiative, who underwent primary-CAS, CASAPICEA, or redo-CAS (2003–2016). Kaplan–Meier, multivariable logistic and Cox regression analyses were used to evaluate outcomes within 30 days and up to 1 year and identify their predictors.Results—There were 11 742 CAS procedures performed: 8519 (72%) primary-, 2645 (23%) CASAPICEA, and 578 (5%) redo-CAS. Comparing primary-CAS versus CASAPICEA versus redo-CAS, 30-day stroke/death was ...
Source: Stroke - October 23, 2017 Category: Neurology Authors: Isibor J. Arhuidese, Muhammad Rizwan, Besma Nejim, Mahmoud Malas Tags: Cardiovascular Surgery, Stent, Mortality/Survival, Cerebrovascular Disease/Stroke, Cerebrovascular Procedures Original Contributions Source Type: research

Long-Term Outcomes of Stroke or Transient Ischemic Attack after Non-Emergency Percutaneous Coronary Intervention
Elective percutaneous coronary intervention is increasing in volume, which may be due to an increased use of CT coronary angiography as a first-line investigation for the evaluation of chest pain.1,2 Stroke is a debilitating neurological complication with increasing incidence after PCI in recent years, due to an increasing complexity of patients.3 Large observational and randomized controlled studies found that peri-procedural stroke occurred in 0.13-0.4% of unselected patients who underwent PCI.
Source: Journal of Stroke and Cerebrovascular Diseases - April 14, 2021 Category: Neurology Authors: Jamie SY Ho, Ching-Hui Sia, Andie Hartanto Djohan, Rodney Yu-Hang Soh, Benjamin YQ Tan, Leonard LL Yeo, Hui-Wen Sim, Tiong-Cheng Yeo, Huay-Cheem Tan, Mark Yan-Yee Chan, Joshua Ping-Yun Loh Source Type: research

Role of Balloon-Expandable Stents in Intracranial Atherosclerotic Disease in a Series of 182 Patients Brief Reports
Conclusions— Treatment of intracranial atherosclerotic disease with balloon-expandable intracranial stents is a safe and effective method with acceptable adverse events, especially in patients who failed medical therapy and were symptomatic despite being on optimum medical therapy.
Source: Stroke - June 24, 2013 Category: Neurology Authors: Alurkar, A., Karanam, L. S. P., Oak, S., Nayak, S., Sorte, S. Tags: Angiography, Angioplasty and Stenting, Other Stroke Brief Reports Source Type: research

Efficacy and Limitations of Multimodal Endovascular Revascularization Other Than Clot Retrieval for Acute Stroke Caused by Large-vessel Occlusion
Conclusions: Multimodal EVT for acute LVO yields a high reperfusion rate with a minimal risk of sICH and contributes to favorable patient outcomes. These techniques should be considered when clot retrieval is unsuitable or ineffective.
Source: Journal of Stroke and Cerebrovascular Diseases - July 23, 2012 Category: Neurology Authors: Yusuke Egashira, Shinichi Yoshimura, Yukiko Enomoto, Mitsunori Ishiguro, Kiyofumi Yamada, Yoshitaka Tanaka, Toru Iwama Tags: Original Articles Source Type: research

Sex Differences in Revascularization Interventions after Acute Ischemic Stroke
Conclusions: Over the last decade, women hospitalized for AIS in the United States were less likely than men to receive cerebrovascular and cardiac reperfusion therapies. However, the IV tPA treatment sex disparity may have been eliminated.
Source: Journal of Stroke and Cerebrovascular Diseases - May 8, 2013 Category: Neurology Authors: Amytis Towfighi, Daniela Markovic, Bruce Ovbiagele Tags: Original Articles Source Type: research

Periprocedural Myocardial Infarction After Carotid Endarterectomy and Stenting: Systematic Review and Meta-Analysis Clinical Sciences
Conclusions— The risk of MI after CEA and CAS did not significantly differ. Risk factors for MI are overall similar in both techniques except that men are at lower risk of MI after CAS but not after CEA.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Boulanger, M., Cameliere, L., Felgueiras, R., Berger, L., Rerkasem, K., Rothwell, P. M., Touze, E. Tags: Acute myocardial infarction, Carotid Stenosis, Primary and Secondary Stroke Prevention, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Factors Associated With Time to Site Activation, Randomization, and Enrollment Performance in a Stroke Prevention Trial Clinical Sciences
Conclusions—Overall, selection of sites with high enrollment rates will likely require customization to align the sites selected to the factor under study in the trial.Clinical Trial Registration—URL: http://www.clinicaltrials.gov. Unique identifier: NCT02089217.
Source: Stroke - August 28, 2017 Category: Neurology Authors: Bart M. Demaerschalk, Robert D. Brown Jr, Gary S. Roubin, Virginia J. Howard, Eldina Cesko, Kevin M. Barrett, Mary E. Longbottom, Jenifer H. Voeks, Seemant Chaturvedi, Thomas G. Brott, Brajesh K. Lal, James F. Meschia, George Howard Tags: Stent, Cognitive Impairment, Ischemic Stroke Original Contributions Source Type: research

Comprehensive analysis of intra-arterial treatment for acute ischemic stroke due to cervical artery dissection
Conclusions IAT is a valid alternative therapeutic option for AIS caused by CeAD due to the low complication rate and excellent outcomes observed in this study.
Source: Journal of NeuroInterventional Surgery - June 16, 2017 Category: Neurosurgery Authors: Jensen, J., Salottolo, K., Frei, D., Loy, D., McCarthy, K., Wagner, J., Whaley, M., Bellon, R., Bar-Or, D. Tags: Open access, Ischemic stroke Source Type: research

Long-Term Effects on Preventing Stroke after Endovascular Treatment or Bypass Surgery for Intracranial Arterial Stenosis
Background: Intracranial arterial stenosis (ICAS) is an important cause of ischemic stroke worldwide due to its higher risk of recurrence with medical therapy. Although some large randomized studies failed to show the superiority of surgical treatment compared with medical therapy, the results of medical therapy are not sufficient. There are patients who still benefit from surgical treatment. This retrospective analysis aimed to evaluate the long-term efficacy of surgical therapy with percutaneous transluminal angioplasty and/or stenting (PTA/PTAS) or extracranial-intracranial (EC/IC) bypass surgery for patients with ICAS.
Source: Journal of Stroke and Cerebrovascular Diseases - January 10, 2019 Category: Neurology Authors: Takuma Nakashima, Takao Kojima, Norikazu Hatano, Syuntaro Takasu, Yutaro Fuse, Yukio Seki Source Type: research

Stent reconstruction in intracranial atherosclerotic disease related acute ischemic stroke results in high revascularization rates
Intracranial atherosclerotic disease (ICAD) is a major cause of large vessel occlusion (LVO) in acute ischemic stroke (AIS). Our study aimed to analyze the effect of percutaneous transluminal angioplasty and stenting (PTAS) in patients with ICAD undergoing rescue treatment in terms of functional outcome and mortality rate at 90 days and compare the results to LVO with thromboembolic origins.
Source: Journal of Stroke and Cerebrovascular Diseases - July 14, 2023 Category: Neurology Authors: Mara Z. Thut, Nadine Rhiner, Patrick Thurner, Jawid Madjidyar, Tilman Schubert, Susanne Wegener, Christoph Globas, Andreas R. Luft, Zsolt Kulcsar Source Type: research

Does Prior Stroke Predict Long-Term Recurrent Stroke After Percutaneous Coronary Intervention? Five-Year Results From a Large Cohort Study
Conclusions: Coronary heart disease patients with prior stroke who received PCI had a higher incidence of 5-year long-term adverse cardiovascular and cerebrovascular events, especially recurrent stroke. Prior stroke was a strong risk predictor of future stroke events.
Source: Frontiers in Neurology - November 2, 2021 Category: Neurology Source Type: research

Prior ischemic stroke is not associated with worse clinical outcomes in patients undergoing percutaneous coronary intervention.
Conclusions: This study demonstrates that, in daily clinical practice, PCI can be provided safely and with good results to patients with a prior ischemic stroke (≥3 months). PMID: 25090258 [PubMed - as supplied by publisher]
Source: Clinical and Investigative Medicine - August 5, 2014 Category: Biomedical Science Authors: Zhang M, Guddeti RR, Wang SP, Wang J, Xin MK, Chen SJ, Kang JP, Lv Q, Ma CS, Liu JH Tags: Clin Invest Med Source Type: research

Stroke After Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction: Timing, Characteristics, and Clinical Outcomes Coronary Artery Disease
Conclusions— Stroke is an infrequent complication in the setting of ST-segment elevation myocardial infarction treated with primary PCI but is associated with increased morbidity and mortality. Studies to determine mechanisms that may be responsible for strokes that occur >48 hours from primary PCI are warranted. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00091637.
Source: Circulation: Cardiovascular Interventions - April 16, 2013 Category: Cardiology Authors: Guptill, J. T., Mehta, R. H., Armstrong, P. W., Horton, J., Laskowitz, D., James, S., Granger, C. B., Lopes, R. D. Tags: Coronary Artery Disease Source Type: research

Safety of Carotid Intervention Following Thrombolysis in Acute Ischaemic Stroke.
CONCLUSIONS: Early CEA post-thrombolysis appears safe, with stroke or death rates similar to that of the operation without thrombolysis. However, the wide CI obtained highlights the uncertainty of this result. Further, we emphasise that this recommendation is supported by low-quality evidence. Additional data are required to confirm the safety of surgery and early endovascular therapy post-thrombolysis. PMID: 25216626 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 9, 2014 Category: Surgery Authors: Mandavia R, Qureshi MI, Dharmarajah B, Head K, Davies AH Tags: Eur J Vasc Endovasc Surg Source Type: research

Stroke following percutaneous coronary intervention: type-specific incidence, outcomes and determinants seen by the British Cardiovascular Intervention Society 2007-12
Conclusions Incident ischaemic stroke complications have increased over time, whilst haemorrhagic stroke complications have decreased, driven through changes in clinical, procedural, drug-treatment, and demographic factors. Both ischaemic and haemorrhagic strokes are rare but devastating complications with high 30-day mortality and in-hospital MACE rates.
Source: European Heart Journal - July 1, 2015 Category: Cardiology Authors: Kwok, C. S., Kontopantelis, E., Myint, P. K., Zaman, A., Berry, C., Keavney, B., Nolan, J., Ludman, P. F., de Belder, M. A., Buchan, I., Mamas, M. A., on behalf of the British Cardiovascular Intervention Society and the National Institute for Cardiovascul Tags: Interventional cardiology Source Type: research