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Specialty: Radiology
Management: Hospitals
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Total 81 results found since Jan 2013.
Integrating New Staff into Endovascular Stroke-Treatment Workflows in the COVID-19 Pandemic INTERVENTIONAL
SUMMARY:
A health care crisis such as the coronavirus disease 2019 (COVID-19) pandemic requires allocation of hospital staff and resources on short notice. Thus, new and sometimes less experienced team members might join the team to fill in the gaps. This scenario can be particularly challenging in endovascular stroke treatment, which is a highly specialized task that requires seamless cooperation of numerous health care workers across various specialties and professions. This document is intended for stroke teams who face the challenge of integrating new team members into endovascular stroke-treatment workflows during the...
Source: American Journal of Neuroradiology - January 11, 2021 Category: Radiology Authors: Goyal, M., Kromm, J., Ganesh, A., Wira, C., Southerland, A., Sheth, K. N., Khosravani, H., Panagos, P., McNair, N., Ospel, J. M., On behalf of the AHA/ASA Stroke Council Science Subcommittees: Emergency Neurovascular Care (ENCC), the Cardiovascular and St Tags: INTERVENTIONAL Source Type: research
Mobile stroke unit for prehospital stroke treatment.
Abstract
CLINICAL ISSUE AND DIAGNOSTIC STANDARDS: The management of acute stroke patients suffers from several major problems in the daily clinical routine. In order to achieve optimal treatment a complex diagnostic work-up and rapid initiation of therapy are necessary; however, most patients arrive at hospital too late for any type of acute stroke treatment, although all forms of treatment are highly time-dependent according to the generally accepted "time is brain" concept.
DIAGNOSTIC INNOVATIONS: Recently, two randomized clinical trials demonstrated the feasibility of prehospital stroke diagnostic work-up ...
Source: Der Radiologe - January 4, 2016 Category: Radiology Authors: Walter S, Grunwald IQ, Fassbender K Tags: Radiologe Source Type: research
Consensus Statements by Korean Society of Interventional Neuroradiology and Korean Stroke Society: Hyperacute Endovascular Treatment Workflow to Reduce Door-to-Reperfusion Time.
Authors: Kim DH, Kim B, Jung C, Nam HS, Lee JS, Kim JW, Lee WJ, Seo WK, Heo JH, Baik SK, Kim BM, Rha JH
Abstract
Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present b...
Source: Korean Journal of Radiology - September 5, 2018 Category: Radiology Tags: Korean J Radiol Source Type: research
Characteristics of Large-Vessel Occlusion Associated with COVID-19 and Ischemic Stroke INTERVENTIONAL
SUMMARY:
The mechanisms and phenotype of ischemic stroke associated with coronavirus disease 2019 (COVID-19) remain uncertain. A retrospective study was conducted in patients with COVID-19 presenting with ischemic stroke from March 1 to May 25, 2020, and cases with large-vessel occlusion were identified. To provide baseline institutional stroke data within and outside the COVID-19 pandemic, all consecutive ischemic stroke and TIA admissions (COVID and non-COVID) to the hospital during a 10-week period from March 1 to May 10, 2020, were collected and compared with data from the same time period in 2019. Among 20 patients wi...
Source: American Journal of Neuroradiology - December 11, 2020 Category: Radiology Authors: John, S., Kesav, P., Mifsud, V. A., Piechowski-Jozwiak, B., Dibu, J., Bayrlee, A., Elkambergy, H., Roser, F., Elhammady, M. S., Zahra, K., Hussain, S. I. Tags: INTERVENTIONAL Source Type: research
The incidence of stroke in patients with early echocardiography after acute myocardial infarction
AbstractLeft ventricular (LV) thrombus formation after ST-elevation myocardial infarction (STEMI) increases the risk of stroke. In our center, most echocardiograms are performed within 2 days post-STEMI. However, LV thrombi often become visible later. We assessed the 1-year incidence of stroke in patients without LV thrombus on echocardiography performed early (1–2 days) vs. later (day ≥ 3) post-STEMI. This retrospective observational study included 416 patients with acut e STEMI. Patients with atrial fibrillation were excluded. All patients underwent echocardiography during admission. Patients with stroke withi...
Source: The International Journal of Cardiovascular Imaging - July 12, 2021 Category: Radiology Source Type: research
Acute Stroke differential diagnosis: stroke mimics
Publication date: Available online 5 May 2017 Source:European Journal of Radiology Author(s): Pedro Vilela Stroke mimics (SM) are non-vascular conditions that present with an acute neurological deficit simulating acute ischemic stroke and represent a significant percentage of all acute stroke hospital admissions. The most common clinical SM includes conversion/functional (psychiatric disorder); seizures and postictal paralysis; toxic-metabolic disturbances; brain tumours; infections, and migraine. Imaging is essential for SM recognition, being Diffusion weighted imaging (DWI), perfusion imaging and angiographic studies ve...
Source: European Journal of Radiology - May 6, 2017 Category: Radiology Source Type: research
Efficacy of recanalization therapy for ischemic stroke: multicenter hospital network experience
DiscussionThe inter-company agreement between Federico II University and several peripheral hospitals allows an absolute and relative increase in endovascular mechanical thrombectomy and intravenous thrombolysis procedures, with a relative prevalence of mechanical thrombectomy. A regional implementation of the stroke multi-disciplinary care system is hardly needed to ensure the optimum treatment for the largest number of patients, improving patient ’s outcome.
Source: La Radiologia Medica - February 8, 2023 Category: Radiology Source Type: research
Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke
Endovascular therapy (EVT) for acute ischemic stroke in selected patients has recently been proven effective in several clinical trials, and the widespread adoption of thrombectomy into routine clinical practice has begun. However, these acute stroke services are resource-intensive, including advanced cerebral imaging and highly trained multidisciplinary hospital teams rapidly responding to emergency activation. Despite the previous acceptance of intravenous fibrinolysis for acute ischemic stroke and the development of designated stroke centers (1), ischemic stroke remains a leading cause of adult death and disability (2).
Source: Journal of Vascular and Interventional Radiology : JVIR - February 23, 2018 Category: Radiology Authors: David Sacks, Blaise Baxter, Bruce C.V. Campbell, Jeffrey S. Carpenter, Christophe Cognard, Diederik Dippel, Muneer Eesa, Urs Fischer, Klaus Hausegger, Joshua A. Hirsch, Muhammad Shazam Hussain, Olav Jansen, Mahesh V. Jayaraman, Alexander A. Khalessi, Brya Tags: Standards of Practice Source Type: research
Northwestern Medicine hastens stroke care with mobile CT unit
The ambulatory CT unit of Northwestern Medicine Central DuPage Hospital has...Read more on AuntMinnie.comRelated Reading:
UCLA offers ambulatory stroke care with mobile CT
Mobile stroke units, spectral CT take spots on ECRI watch list
Mobile stroke unit with CT scanner speeds care in Cleveland
CT hits the road in Houston with stroke ambulance project
Ambulance with mobile CT cuts stroke treatment times
Source: AuntMinnie.com Headlines - May 4, 2018 Category: Radiology Source Type: news
Diverse Functional Connectivity Patterns of Resting-State Brain Networks Associated with Good and Poor Hand Outcomes Following Stroke
Publication date: Available online 20 November 2019Source: NeuroImage: ClinicalAuthor(s): Wenjun Hong, Qixiang Lin, Zaixu Cui, Feiwen Liu, Rong Xu, Chaozheng TangAbstractMotor stroke has been characterized by disruptions in multiple large-scale functional brain networks. However, it remains unclear whether stroke patients with good hand outcomes show different connectivity profiles within and between networks from those with poor hand outcomes. In this cross-sectional study, we recruited 52 chronic subcortical stroke patients [illness duration (mean ± SD): 16 ± 16.2 months] and 52 healthy controls from the local hospital...
Source: NeuroImage: Clinical - November 20, 2019 Category: Radiology Source Type: research
COVID-19 tied to 2+ hour delay in seeking stroke care
Patients with an ischemic stroke are showing up at hospitals and treatment...Read more on AuntMinnie.comRelated Reading:
COVID-19 neuro findings marked by mental status, stroke
CT angio images show stroke in COVID-19 patient
MRI illuminates neurologic manifestations of COVID-19
Stroke scans drop by 40% during COVID-19 outbreak
7T MRI sheds new light on risks associated with stroke
Source: AuntMinnie.com Headlines - May 28, 2020 Category: Radiology Source Type: news
Interdisciplinary networking for optimal treatment decision-making : Fast decision-making in acute ischemic stroke management
This article presents a concept for supraregional stroke care by means of networking all involved actors in the prehospital as well as in the in-hospital area. Further needs analyses should ensure the implementation as well as the generalizability to different regions.PMID:34232343 | DOI:10.1007/s00117-021-00876-6
Source: Der Radiologe - July 7, 2021 Category: Radiology Authors: Karl Egger Ingmar Gergel Hannah Syrek Source Type: research
DWI-MRI shows which stroke patients need fast therapy
Researchers at Massachusetts General Hospital have developed a method that...Read more on AuntMinnie.comRelated Reading:
Timely MRI finds more brain bleeds in military TBI patients
MRI ties small brain lesions to risk of stroke, death
Motion-tracking MRI gives new insight into stroke risk
Promising new MRI technique provides insight into stroke
New MRI technique shows tPA risk for stroke patients
Source: AuntMinnie.com Headlines - November 10, 2015 Category: Radiology Source Type: news
Stroke : How can "time is brain" be translated into clinical practice?
DISCUSSION: Measures to optimize therapy times are mostly organizational and cause little or no extra costs. When implemented these measures can lead to a significant improvement in therapy times and functional patient outcome.
PMID: 26728155 [PubMed - as supplied by publisher]
Source: Der Radiologe - January 4, 2016 Category: Radiology Authors: Ragoschke-Schumm A Tags: Radiologe Source Type: research
