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Source: Neurology
Procedure: Angiography

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Total 291 results found since Jan 2013.

A Comparison of Door-to-Puncture Times in Expedited Management of Acute Ischemic Stroke Patients (P2.315)
Conclusions: We demonstrate that a substantial time difference exists in the treatment of traditional versus direct AIS patients. Transporting stroke patients directly to the angiography suite may result in significant time saving and lead to better functional outcomes. This should be evaluated in larger prospective studies.Disclosure: Dr. Nayan has nothing to disclose. Dr. See has nothing to disclose. Dr. Khandelwal has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Aziz-Sultan has received personal compensation for activities with Covidien.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Nayan, L., See, A., Khandelwal, P., Patel, N., Aziz-Sultan, M. Tags: Stroke Systems of Care Source Type: research

Inter-Rater Variability for Evaluation of ASPECT Score Between a Neurologist and Neuroradiologist in Acute Stroke Patients (P6.020)
Conclusion Inter-rater agreement of evaluation early acute CT ischemic changes in acute-stroke patients between a neurologist and neuroradiologist was almost perfect. That could improve management of the acute stroke and mechanical thrombectomy care. It would support the faster activation of the thrombectomy team, leading to shorter door-to-needle- times and eventually, better outcomes.Disclosure: Dr. Kral has nothing to disclose. Dr. Bar has nothing to disclose. Dr. Jonszta has nothing to disclose. Dr. Marcian has nothing to disclose. Dr. Kuliha has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kral, J., Bar, M., Jonszta, T., Marcian, V., Kuliha, M. Tags: Ischemic Stroke Diagnosis Source Type: research

Sensitivity and Specificity of the Prehospital NIHSS for Screening Intra-Arterial Thrombectomy Candidates: Experience on a Mobile Stroke Unit (P6.049)
Conclusions: The NIHSS obtained in the prehospital setting can help identify IAT candidates according to current guidelines, but is imprecise. An NIHSS cutoff of >9 identifies 83[percnt] of candidates; while it also falsely identifies a substantial number of patients who could be screened out at CSCs after CTA. An NIHSS cutoff >4 identifies all IAT candidates. Further study of the NIHSS to identify patients who may require transfer to CSCs for IAT may be useful in settings without readily available CTA.Disclosure: Dr. Jagolino has nothing to disclose. Dr. Cai has nothing to disclose. Dr. Rahbar has nothing to disclos...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jagolino, A., Cai, C., Rahbar, M., Bowry, R., Parker, S., Grotta, J. Tags: Prehospital Stroke Care and Uses of NIHSS Source Type: research

Anesthesia and neurologic outcome of endovascular therapy in acute ischemic stroke: MR (not so) CLEAN
Recent trials have confirmed the effectiveness of endovascular mechanical thrombectomy for selected acute ischemic stroke patients with large artery occlusion, whose outcomes remained poor despite optimal medical management. Among many challenges for thrombectomy implementation is determining whether general anesthesia (GA) reduces the benefits of thrombectomy, as several recent studies suggest.1,2 Berkhemer et al.3 approach this question with a post hoc analysis of Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN), the first prospective, randomized stud...
Source: Neurology - August 14, 2016 Category: Neurology Authors: Crosby, G., Muir, K. W. Tags: Stroke prevention, Infarction EDITORIALS Source Type: research

Retinal and Ophthalmic Artery Studies in Ischemic Stroke Patients Using Fundus Photography and Transcranial Doppler Methods (P4.252)
Conclusions:Our study in a robust sample of non-severe stroke patients showed that abnormal retinal AVR is strongly associated with IS patients even after accounting for traditional risk factors. OA-TCD studies, on the other hand, did not have significant associations with stroke group.Disclosure: Dr. Patil has nothing to disclose. Dr. Narayan has nothing to disclose. Dr. Babu K has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Patil, K., Narayan, S., Babu, K. R. Tags: Acute and Diagnostic Imaging in Ischemic Stroke and TIA Source Type: research

Recent Nationwide Trends in Transcranial Doppler Utilization During Acute Ischemic Stroke Hospitalizations (P4.296)
Conclusions:Over the last decade there has been a slight but steady decrease in the use of TCD during AIS hospitalizations in the US. Future studies should examine the cost-utility of TCD, especially with the advent of endovascular stroke treatment systems.Disclosure: Dr. Liu has nothing to disclose. Dr. Lunagariya has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Feng has nothing to disclose. Dr. Ovbiagele has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Liu, Y., Lunagariya, A., Patel, U., Patel, A., Feng, W., Ovbiagele, B. Tags: In-Hospital Stroke Care Source Type: research

Interim Recanalization in Acute Ischemic Stroke Patients Selected for Endovascular Treatment by CT Angiography (P4.210)
Conclusions:A relatively high proportion of patients have interim recanalization between CT angiogram and cerebral angiogram in acute ischemic stroke patients selected for endovascular treatment.Disclosure: Dr. Qureshi has nothing to disclose. Dr. Siddiq has nothing to disclose. Dr. Kainth has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Qureshi, M., Siddiq, F., Kainth, D., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Endovascular Source Type: research

Intervention Stroke Assessment Scale for Eligibility in Endovascular Therapy (ISAS-ET) (P4.213)
Conclusion:In conclusion, the ISAS scoring system might help with the assessment of patient qualification for further endovascular treatment. Further prospective studies are warranted.Disclosure: Dr. Haitham has nothing to disclose. Dr. Bashir has nothing to disclose. Dr. Hussain has nothing to disclose. Dr. Misthal has nothing to disclose. Dr. Moussavi has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Haitham, D., Bashir, A., Hussain, M., Misthal, S., Moussavi, M., Kirmani, J. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Endovascular Source Type: research

"No Turn Back Approach" to Reduce Treatment Time for Endovascular Treatment of Acute Ischemic Stroke (P4.214)
Conclusions: The "no turn back approach" appeared to be feasible and reduced the time interval between ED arrival and microcatheter placement in acute ischemic stroke patients undergoing endovascular treatment.Disclosure: Dr. Egila has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Siddiqi has nothing to disclose. Dr. Mian has nothing to disclose. Dr. Hassan has nothing to disclose. Dr. Miley has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Suri has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Egila, H., Adil, M., Siddiqi, H., Mian, N., Hassan, A., Miley, J., Rodriguez, G., Suri, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Endovascular Source Type: research

Systemic thrombolysis in acute ischemic stroke patients with unruptured intracranial aneurysms
Conclusions: Our prospectively collected multicenter data, coupled with the findings of the meta-analysis, indicate the potential safety of IVT in AIS patients with UIA.
Source: Neurology - October 26, 2015 Category: Neurology Authors: Goyal, N., Tsivgoulis, G., Zand, R., Sharma, V. K., Barlinn, K., Male, S., Katsanos, A. H., Bodechtel, U., Iftikhar, S., Arthur, A., Elijovich, L., Alexandrov, A. W., Alexandrov, A. V. Tags: All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Vessel wall MRI of an inflamed aneurysm with atherosclerosis in a patient with ischemic stroke
This report of a patient with ischemic stroke shows the association of a symptomatic inflamed aneurysm with atherosclerotic plaque on IVWM.
Source: Neurology - August 14, 2016 Category: Neurology Authors: de Havenon, A., Park, M., McNally, S. Tags: MRI, DWI, Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke NEUROIMAGES Source Type: research

Intravenous Thrombolysis Resulting In Acute Ischemic Stroke Recanalization Can Lead To Cerebral Hyperperfusion Syndrome (P7.123)
Conclusion- Cerebral hyperperfusion syndrome after intravenous thrombolysis in acute ischemic stroke should be suspected in patients that achieve arterial recanalization and develop unexplained new neuropsychiatric manifestations.Disclosure: Dr. Ong has nothing to disclose. Dr. Yeo has nothing to disclose. Dr. Ting has nothing to disclose. Dr. Sinha has nothing to disclose. Dr. Teoh has nothing to disclose. Dr. Chan has nothing to disclose. Dr. Seet has nothing to disclose. Dr. Sharma has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ong, J., Yeo, L., Ting, E., Sinha, A., Teoh, H. L., Chan, B., Seet, C. S., Sharma, V. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Stroke Treatment Source Type: research

How temporal evolution of intracranial collaterals in acute stroke affects clinical outcomes
Conclusions: Not all collateral recruitment is beneficial; delayed collateral recruitment may be different from early recruitment and can result in worse outcomes and higher mortality. Prethrombolysis collateral status and recanalization are determinants of how intracranial collateral evolution affects functional outcomes.
Source: Neurology - February 1, 2016 Category: Neurology Authors: Yeo, L. L. L., Paliwal, P., Low, A. F., Tay, E. L. W., Gopinathan, A., Nadarajah, M., Ting, E., Venketasubramanian, N., Seet, R. C. S., Ahmad, A., Chan, B. P. L., Teoh, H. L., Soon, D., Rathakrishnan, R., Sharma, V. K. Tags: CT, All Cerebrovascular disease/Stroke, Infarction ARTICLE Source Type: research

Teaching NeuroImages: Crying thalamus: Manifestation of acute ischemic stroke
This report serves to remind clinicians of the importance of detailed neurologic assessment under such circumstances.
Source: Neurology - February 26, 2017 Category: Neurology Authors: Obeidat, A. Z., Broderick, J. P. Tags: MRI, DWI, All Clinical Neurology, All Cerebrovascular disease/Stroke, Infarction RESIDENT AND FELLOW SECTION Source Type: research

Why are most stroke patients deemed poor candidates for intraaterial therapy? A prospective study (P4.306)
Conclusion: The majority of patients presenting to a large tertiary referral center with AIS due to a large vessel occlusion were found to be poor IA candidates, with more than half excluded for a single reason. Such data addressing the volume and proportion of patients found ineligible for IA therapy in real-world practice can help target efforts to develop new interventional options and improve future clinical trial design.Disclosure: Dr. Damania has nothing to disclose. Dr. Noto has nothing to disclose. Dr. Kung has nothing to disclose. Dr. Liew has nothing to disclose. Dr. Finley has nothing to disclose. Dr. Mangla has...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Damania, D., Noto, A., Kung, N., Liew, J., Finley, H., Mangla, R., Miranpuri, A., Sahin, B., Jahromi, B. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research