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Specialty: Neurology
Procedure: Angioplasty

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Total 209 results found since Jan 2013.

Mediators of the Age Effect in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) Clinical Sciences
Conclusions— Plaque length seems to be in the pathway between older age and higher risk of S+D among carotid artery stenting–treated patients, but it mediated only 8% of the age effect excess risk of carotid artery stenting in CREST. Other factors and mechanisms underlying the age effect need to be identified as plaque length will not identify elderly patients for whom stenting is safe relative to endarterectomy. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Voeks, J. H., Howard, G., Roubin, G., Farb, R., Heck, D., Logan, W., Longbottom, M., Sheffet, A., Meschia, J. F., Brott, T. G. Tags: Carotid Stenosis, Angioplasty and Stenting Clinical Sciences Source Type: research

Letter by Mulder et al Regarding Article, "2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association" Letters to the Editor
Source: Stroke - October 26, 2015 Category: Neurology Authors: Mulder, M. J. H. L., van Oostenbrugge, R. J., Dippel, D. W. J., for the MR CLEAN Investigators Tags: Acute Cerebral Infarction, Thrombolysis, Angioplasty and Stenting Letters to the Editor Source Type: research

COVID-19 and Stroke: Casual or Causal Role?
We present a case of stroke in a 62-year-old COVID-19-positive patient, with multiple vascular risk factors. The patient arrived 1 h after onset of symptoms, was treated with recombinant tissue plasminogen activator (rtPA) with improvement of neurologic deficits, and later developed right foot arterial ischemia (recanalized by balloon catheter angioplasty) and left arm superficial venous thrombosis. A control computed tomography (CT) scan 7 days after onset showed hemorrhagic transformation of ischemic lesion without mass effect. However, respiratory and neurologic conditions improved so that the patient was discharged to ...
Source: Cerebrovascular Diseases - July 7, 2020 Category: Neurology Source Type: research

Current Advances in Endovascular Treatment of Intracranial Atherosclerotic Disease and Future Prospective
Intracranial atherosclerotic disease (ICAD) is an important cause of large vessel disease leading to acute ischemic stroke (AIS). Currently, medical management such as risk factor control, antiplatelet therapy, and lifestyle changes are considered the first-line of treatment to prevent transient ischemic attack (TIA) or AIS.1 The results of the Warfarin-Aspirin Symptomatic Intracranial Disease (WASID) trial2 demonstrated that symptomatic ICAD is a high-risk cause of recurrent stroke and highlighted the need for better treatment strategies, leading to consideration for both better medical management and the possibility of a...
Source: Journal of Stroke and Cerebrovascular Diseases - December 22, 2020 Category: Neurology Authors: Mostafa Jafari, Thanh N. Nguyen, Santiago Ortega-Gutierrez, Muhammad Shazam Hussain, Ameer E. Hassan, Asad Ikram, Javed Khader Eliyas, Gustavo J. Rodriguez, Afshin A. Divani Tags: Review Article Source Type: research

A Novel Endovascular Therapy Strategy for Acute Ischemic Stroke Due to Intracranial Atherosclerosis-Related Large Vessel Occlusion: Stent-Pass-Aspiration-resCuE-Micowire-Angioplasty (SPACEMAN) Technique
ConclusionsThis study suggests that SPACEMAN exhibits a shorter operation revascularization time than the standard thrombectomy. Complications and prognosis were comparable between the two groups. The safety and efficacy of this novel technique need to be studied in larger patient series.
Source: Frontiers in Neurology - February 14, 2022 Category: Neurology Source Type: research

De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
ConclusionsAlmost one-third of patients with ischemic stroke who undergo endovascular thrombectomy experience headache in the first 24  hours, occurring more frequently in patients who had a previous history of headaches regardless of the procedure complexity.
Source: The Journal of Headache and Pain - July 21, 2022 Category: Neurology Source Type: research

Characteristics of Ischemic Brain Lesions After Stenting or Endarterectomy for Symptomatic Carotid Artery Stenosis: Results From the International Carotid Stenting Study-Magnetic Resonance Imaging Substudy Original Contributions
Conclusions— Compared with patients undergoing CEA, patients treated with CAS had higher numbers of periprocedural ischemic brain lesions, and lesions were smaller and more likely to occur in cortical areas and subjacent white matter. These findings may reflect differences in underlying mechanisms of cerebral ischemia. Clinical Trial Registration— URL: http://www.isrctn.org. Unique identifier: ISRCTN25337470.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Gensicke, H., Zumbrunn, T., Jongen, L. M., Nederkoorn, P. J., Macdonald, S., Gaines, P. A., Lyrer, P. A., Wetzel, S. G., van der Lugt, A., Mali, W. P. T. M., Brown, M. M., van der Worp, H. B., Engelter, S. T., Bonati, L. H., on behalf of the ICSS-MRI Subs Tags: Imaging, Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Original Contributions Source Type: research

Emergent Angioplasty and Stent Placement Recanalization Without Thrombolysis in Acute Middle Cerebral Artery Occlusions
This study evaluated the feasibility, efficacy, and safety of intracranial artery recanalization for acute middle cerebral artery (MCA) occlusion using emergent angioplasty and stent placement without thrombolysis. All patients from a retrospectively collected database who met the inclusion criteria and were treated with an intracranial stent for acute MCA occlusion were included. Treatment comprised angioplasty and stenting without interventional thrombolytic therapy. Recanalization was assessed by angiography immediately after stent placement based on the Thrombolysis in Myocardial Infarction (TIMI) score. Complications ...
Source: Journal of Stroke and Cerebrovascular Diseases - December 12, 2011 Category: Neurology Authors: Xin-Bin Guo, Lai-Jun Song, Sheng Guan Tags: Original Articles Source Type: research

Letter by Desai et al Regarding Article, "Role of Balloon-Expandable Stents in Intracranial Atherosclerotic Disease in a Series of 182 Patients" Letters to the Editor
Source: Stroke - September 23, 2013 Category: Neurology Authors: Desai, S. K., Murph, D., Von Ritschl, R. Tags: Other Stroke Treatment - Medical, Angioplasty and Stenting Letters to the Editor Source Type: research

Higher Risk of Recurrent Ischemic Events in Patients With Intracranial In-Stent Restenosis Clinical Sciences
Conclusions— In-stent restenosis after stenting of intracranial atherosclerosis is significantly associated with an increased risk and an earlier occurrence of recurrent ischemic events in the territory of the stented intracranial artery.
Source: Stroke - October 21, 2013 Category: Neurology Authors: Jin, M., Fu, X., Wei, Y., Du, B., Xu, X.-T., Jiang, W.-J. Tags: Angioplasty and Stenting Clinical Sciences Source Type: research

Periprocedural Hemodynamic Depression Is Associated With a Higher Number of New Ischemic Brain Lesions After Stenting in the International Carotid Stenting Study-MRI Substudy Clinical Sciences
Conclusions— In patients treated by CAS, periprocedural hemodynamic depression is associated with an excess of new ischemic lesions on diffusion-weighted imaging. The findings support the hypothesis that hypoperfusion increases the susceptibility of the brain to embolism. Clinical Trial Registration— URL: http://www.controlled-trials.com. Unique identifier: ISRCTN25337470.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Altinbas, A., Algra, A., Bonati, L. H., Brown, M. M., Kappelle, L. J., de Borst, G. J., Hendrikse, J., van der Tweel, I., van der Worp, H. B., on behalf of the ICSS Investigators Tags: Carotid Stenosis, Computerized tomography and Magnetic Resonance Imaging, Primary and Secondary Stroke Prevention, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Unilateral Opercular Infarction Presenting with Foix-Chavany-Marie Syndrome
A 76-year-old man with a history of pontine, cerebellar infaction suddenly became speechless during the procedure of percutaneous coronary intervention. On examination, he was unable to close his mouth voluntarily, but spontaneous closing was preserved when smiling. He had anarthria and hypophonia, although his comprehension was preserved. He also had a severe dysphagia. Radiological studies revealed an acute stroke in the left anterior operculum, indicating Foix-Chavany-Marie Syndrome (FCMS) caused by a unilateral opercular lesion. Pathophysiology of the previous cases reported as unilateral FCMS remains controversial, bu...
Source: Journal of Stroke and Cerebrovascular Diseases - October 8, 2012 Category: Neurology Authors: Ryo Ohtomo, Atsushi Iwata, Shoji Tsuji Tags: Case Reports Source Type: research

Predictors of Acute and Persisting Ischemic Brain Lesions in Patients Randomized to Carotid Stenting or Endarterectomy Brief Reports
Conclusions— Stenting caused more acute and persisting ischemic brain lesions than endarterectomy. However, the rate of conversion from acute to persisting lesions was lower in the stenting group, most likely attributable to lower acute lesion volumes. Clinical Trial Registration —URL: www.isrctn.org. Unique identifier: ISRCTN25337470.
Source: Stroke - January 27, 2014 Category: Neurology Authors: Rostamzadeh, A., Zumbrunn, T., Jongen, L. M., Nederkoorn, P. J., Macdonald, S., Lyrer, P. A., Kappelle, L. J., Mali, W. P. T. M., Brown, M. M., van der Worp, H. B., Engelter, S. T., Bonati, L. H., on behalf of the ICSS-MRI Substudy Investigators, The foll Tags: Carotid Stenosis, Computerized tomography and Magnetic Resonance Imaging, Carotid endarterectomy, Angioplasty and Stenting Brief Reports Source Type: research

Can We Agree on a Standard Terminology for Catheter-Based Interventions for Acute Ischemic Stroke? Letters to the Editor
Source: Stroke - February 24, 2014 Category: Neurology Authors: Berge, E. Tags: Acute Cerebral Infarction, Angioplasty and Stenting Letters to the Editor Source Type: research

Incidence and Risk Factors for Diffusion-Weighted Imaging (+) Lesions After Intracranial Stenting and Its Relationship With Symptomatic Ischemic Complications Clinical Sciences
Conclusions— The incidence of DWI (+) after intracranial stenting for intracranial atherosclerotic stenosis was 35.0%. Middle cerebral artery, smaller distal parent artery, and treatment-related dissection were independent risk factors for DWI (+). SIC occurred more frequently in the stenosis-associated perforator/mixed type than in the embolic-alone type.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Park, K. Y., Kim, B. M., Kim, D. J., Kim, D. I., Heo, J. H., Nam, H. S., Kim, Y. D., Song, D. Tags: Computerized tomography and Magnetic Resonance Imaging, Angioplasty and Stenting Clinical Sciences Source Type: research