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Source: Neurology
Procedure: Angioplasty

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Total 25 results found since Jan 2013.

Prevalence, Risk Factors, and Clinical Significance of Asymptomatic Extracranial Vertebral Artery Disease in Patients with Symptomatic Internal Carotid Artery Stenosis: Analysis of Stent-Protected Angioplasty versus Carotid Endarterectomy (SPACE) Trial (S42.002)
Conclusions: There appears to be an increased risk of stroke and death in patients with symptomatic internal carotid artery stenosis with concurrent asymptomatic extracranial vertebral artery stenosis. Key words: Extracranial vertebral artery; carotid stenosis; vertebral artery stenosis; vertebral artery occlusion; stroke; death.Disclosure: Dr. Qureshi has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Jansen has nothing to disclose. Dr. Eckstein has nothing to disclose. Dr. Ringleb has nothing to disclose.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Qureshi, A., Chaudhry, S., Jansen, O., Eckstein, H.-H., Ringleb, P. Tags: Stroke Mechanism and Modifiers Source Type: research

Embolic Stroke in Relation to Dynamic Vertebral Artery Stenosis: A Case Report (P4.339)
Conclusion: Non-traumatic dynamic vertebral artery occlusion on head turning is a rare stroke mechanism that can be easily overlooked if the history of the initial event with its precipitating factors is not identified. Four Figures of neuroimaging will be included in the submission.Disclosure: Dr. Alghamdi has nothing to disclose. Dr. Benavente has received personal compensation for activities with Bayer for serving on an advisory board.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Alghamdi, S., Benavente, O. Tags: Cerebrovascular Case Reports Source Type: research

Recurrent right middle cerebral artery territory infarctions in a patient with JAK2 (V617F) point mutation positive polycythemia rubra vera (P2.258)
CONCLUSIONS: Hyperviscosity in polycythemia with hematocrit of more than 43[percnt] is known to cause ischemic events and it is evident in our case where our patient had recurrent ischemic strokes whenever the HCT is about 50[percnt] and the right MCA M1 segment though a mild stenosis, it becomes a critical factor for this patient as the patient had recurrent right MCA territory infarcts and hence in addition to regular phlebotomy to keep hematocrit less than 43[percnt], our patient might also need intervention in the form of cerebral angioplasty or stenting to treat even mild arterial stenosis. Study Supported by: ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Suri Mohanram, S., Nattanmai Chandrasekaran, P. Tags: Cerebrovascular Disease and Interventional Neurology: Genetics and Stroke Source Type: research

Body mass index and outcome after revascularization for symptomatic carotid artery stenosis
Conclusions: BMI is not associated with periprocedural risk of stroke or death; however, BMI 25–<30 is associated with lower postprocedural risk than BMI 20–<25. These observations were similar for CAS and CEA.
Source: Neurology - May 22, 2017 Category: Neurology Authors: Volkers, E. J., Greving, J. P., Hendrikse, J., Algra, A., Kappelle, L. J., Becquemin, J.-P., Bonati, L. H., Brott, T. G., Bulbulia, R., Calvet, D., Eckstein, H.-H., Fraedrich, G., Gregson, J., Halliday, A., Howard, G., Jansen, O., Roubin, G. S., Brown, M. Tags: Stroke prevention, Clinical trials Systematic review/meta analysis, Risk factors in epidemiology, Infarction ARTICLE Source Type: research

Stenting for symptomatic vertebral artery stenosis: The Vertebral Artery Ischaemia Stenting Trial
Conclusions: Stenting in extracranial stenosis appears safe with low complication rates. Large phase 3 trials are required to determine whether stenting reduces stroke risk. ISRCTN.com identifier: ISRCTN95212240. Classification of evidence: This study provides Class I evidence that for patients with symptomatic vertebral stenosis, angioplasty with stenting does not reduce the risk of stroke. However, the study lacked the precision to exclude a benefit from stenting.
Source: Neurology - September 18, 2017 Category: Neurology Authors: Markus, H. S., Larsson, S. C., Kuker, W., Schulz, U. G., Ford, I., Rothwell, P. M., Clifton, A., For the VIST Investigators Tags: Stroke prevention, All Cerebrovascular disease/Stroke, Clinical trials Randomized controlled (CONSORT agreement) ARTICLE Source Type: research

An Unusual Case of Acquired Alexia without Agraphia Caused by Perioperative Stroke (P4.368)
Conclusions: Though rare, perioperative strokes occur and are often unidentified. Proceduralists and anesthesiologists should not delay emergent neurological assessment for fear of treatment futility. Though many postoperative patients are not candidates for intravenous thrombolysis, endovascular catheter-based interventions can be considered.Disclosure: Dr. Sener has nothing to disclose. Dr. Siegel has nothing to disclose. Dr. Eidelman has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sener, U., Siegel, J., Eidelman, B. Tags: Cerebrovascular Case Reports Source Type: research

Management of Tandem Occlusion Stroke with Endovascular Therapy (P01.230)
CONCLUSIONS: In cases of tandem occlusions of ICA and MCA, multimodal therapy consistent of intravenous thrombolysis and/or extracranial ICA stenting and intracranial thrombectomy to achieve recanalization may be a safe and efficacious therapeutic option for recanalization. Further prospective studies are warranted.Disclosure: Dr. Guerrero has nothing to disclose. Dr. Dababneh has nothing to disclose. Dr. Mocco has received personal compensation for activities with Concentric Inc as a consultant. Dr. Peters has received personal compensation for activities with Toshiba as a speakers bureau member. Dr. Waters has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Guerrero, W., Dababneh, H., Mocco, J., Peters, K., Waters, M. Tags: P01 Cerebrovascular Disease I Source Type: research

The Cost Per Stroke Prevented (CPSP) from Symptomatic Carotid Artery Stenosis in Ontario, Canada (S51.006)
CONCLUSIONS: The CPSP if done within the recommended time-frame for our virtual population would be $25,326. Recent data from Ontario demonstrates that between 8-36% of carotid artery revascularizations occur within the suggested timeframe. Most carotid artery revascularizations in Ontario have a CPSP of $75,978 (median time for revascularization is between 1-3 months). This represents a clear inefficiency in the system. Further research and government wide initiatives could be aimed at increasing the awareness of the CPSP in order to facilitate policy makers and other stakeholders to develop pathways to ensure prompt trea...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Turkel-Parrella, D., de Oliveira Manoel, A., Marotta, T., Spears, J. Tags: Cerebrovascular Disease and Interventional Neurology: Large Vessel Atherosclerotic Disease Source Type: research

Endovascular management and outcome of acute middle cerebral artery stroke in the setting of spontaneous carotid dissection (P1.012)
Conclusion: This study provides additional evidence that endovascular management of carotid artery dissection in acute middle cerebral artery is effective and safe to maintain distal revascularization. Revascularization can be achieved with a combination of stenting, large catheter mediated angioplasty and thrombectomy. Further studies are warranted to investigate the role of endovascular recanalization for this stroke subtypeDisclosure: Dr. Gulati has nothing to disclose. Dr. Aghaebrahim has nothing to disclose. Dr. Ducruet has nothing to disclose. Dr. Jankowitz has nothing to disclose. Dr. Jovin has received personal com...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Gulati, D., Aghaebrahim, A., Ducruet, A., Jankowitz, B., Jovin, T., Jadhav, A. Tags: Cerebrovascular Disease and Interventional Neurology I ePosters Source Type: research

Rates of In-Hospital Procedures and Outcomes among Subarachnoid Hemorrhage Patients Admitted to Joint Commission Primary Stroke Centers in United States (P1.253)
Conclusions: Compared with non PSCs admissions, patients with subarachnoid hemorrhage admitted to PSCs are more likely to receive endovascular treatment and had higher odds of being discharged to home. Such observations support the notion that PSC certification may favorably impact outcomes in all stroke subtypes.Disclosure: Dr. Saeed has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Afzal has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Riaz has nothing to disclose. Dr. Sachdeva has nothing to disclose. Dr. Safdar has nothing to disclose. Dr. Schulte has nothing to disclose. Dr. Qureshi ...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Saeed, A., Chaudhry, S., Afzal, M., Chaudhry, B., Riaz, A., Sachdeva, G., Safdar, A., Yassin-Kassab, A., Qureshi, A. Tags: Aneurysms and Subarachnoid Hemorrhage Source Type: research

Endovascular Treatment of Acute Middle Cerebral Artery Occlusion: Comparison of Percutaneous Transluminal Angioplasty and Mechanical Embolectomy (P4.298)
CONCLUSIONS: Data from this national multicenter registry showed that both PTA and ME represent safe and effective recanalization methods of acute MCAo. Bridging therapy was associated with better clinical outcome in the case of ME+IVT than PTA+IVT combination. Study Supported by: the grants of the Internal Grant Agency of Ministry of Health of the Czech Republic number NT/11046-6/2010, NT/11386-5/2010, NT/13498-4/2012, and NT/14288-3/2013.Disclosure: Dr. Herzig has received personal compensation for activities with Boehringer Ingelheim and Gedeon Richter as a scientific advisory board member and/or speaker. Dr. Blejcharov...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Herzig, R., Blejcharova, K., Roubec, M., Kuliha, M., Sanak, D., Vitkova, E., Krajickova, D., Tomek, A., Vaclavik, D., Prochazka, V., Kocher, M., Krajina, A., Charvat, F., Zapletalova, J., Skoloudik, D. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Treatment Source Type: research

Intraarterial Treatment for Acute Ischemic Stroke due to Dissection: Retrospective Series of 24 Cases (P4.382)
Conclusions: Despite the additional intravascular risk, these results suggest the utility of IAT in patients with dissection.Disclosure: Dr. Jensen has nothing to disclose. Dr. Salottolo has nothing to disclose. Dr. McCarthy has nothing to disclose. Dr. Frei has received personal compensation for activities with Microvention, Covidien, Stryker, Siemens, and Penumbra as a consultant. Dr. Loy has nothing to disclose. Dr. Wagner has received personal compensation for activities with Genentech, Inc., as a speakers bureau member. Dr. Whaley has received personal compensation for activities with Clinical Data Management/Neurobas...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jensen, J., Salottolo, K., McCarthy, K., Frei, D., Loy, D., Wagner, J., Whaley, M., Bar-Or, D. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

Treatment Trends In Management Of Intracranial Stenosis In The Pre- And Post-Sammpris Era (P1.146)
DISCUSSION: SAMMPRIS had a major impact on treatment trends of physicians managing patients with intracranial stenosis. In the Post-SAMMPRIS survey, 91% of respondents participating in SAMMPRIS and 82% of overall respondents indicated that the SAMMPRIS results changed the way they managed patients with ICAS.As aggressive medical management coupled with optimal risk factor reduction shows promise in reducing rates of recurrent stroke, a novel endovascular therapy will have to seek newer heights of increasing RRR to gain acceptance by practitioners.Disclosure: Dr. Pawar has nothing to disclose. Dr. Turan has received persona...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Pawar, S., Turan, T., Cotsonis, G., Lynn, M., Wooley, R., Stern, B., Derdeyn, C., Fiorella, D., Chimowitz, M. Tags: Cerebrovascular Disease and Interventional Neurology: Intracranial Disease Source Type: research

Treatment Trends In Management Of Intracranial Stenosis In The Pre- And Post-Sammpris Era (I8-1.008)
DISCUSSION: SAMMPRIS had a major impact on treatment trends of physicians managing patients with intracranial stenosis. In the Post-SAMMPRIS survey, 91% of respondents participating in SAMMPRIS and 82% of overall respondents indicated that the SAMMPRIS results changed the way they managed patients with ICAS.As aggressive medical management coupled with optimal risk factor reduction shows promise in reducing rates of recurrent stroke, a novel endovascular therapy will have to seek newer heights of increasing RRR to gain acceptance by practitioners.Disclosure: Dr. Pawar has nothing to disclose. Dr. Turan has received persona...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Pawar, S., Turan, T., Cotsonis, G., Lynn, M., Wooley, R., Stern, B., Derdeyn, C., Fiorella, D., Chimowitz, M. Tags: Clinical Decision Making After the Dust Settles on Clinical Trials Poster Presentations Source Type: research

Can Patient or Arterial Characteristics Guide the Choice between Carotid Angioplasty and Carotid Endarterectomy? The Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) (P01.225)
CONCLUSIONS: Beyond the previously described differential treatment efficacy by age, there were no other patient or arterial characteristic detected to identify patient subgroups that would differentially benefit from the choice of CAS versus CEA. Our inability to identify factors to guide treatment choices could be due to the low number of stroke and death events, incomplete information regarding arterial characteristics in the CEA population, or the potential exclusion of "high risk" groups (such as those with severe arterial tortuosity) from the study.Disclosure: Dr. Moore has nothing to disclose. Dr. Roubin has receive...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moore, W., Roubin, G., Rosenfield, K., Altafullah, I., Ansel, G., Voeks, J., Meschia, J., Lal, B., Howard, G., Brott, T. Tags: P01 Cerebrovascular Disease I Source Type: research