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Condition: Hemorrhagic Stroke

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Total 19785 results found since Jan 2013.

Utilizing fcn techniques for accurate cerebral stroke partitioning in brain ct
This study compares the segmentation accuracy and precision of various fully convolutional neural network (FCN) methods applied to cerebral stroke detection.
Source: Journal of Medical Imaging and Radiation Sciences - August 23, 2023 Category: Radiology Authors: Jing-Wen Chen, Koharu Kimura, Akari Matsushima, Takahide Okamoto, Nan-Hen Lu, Shih-Yen Hsu, Tai-Been Chen Source Type: research

Initial experience with minimally invasive endoscopic evacuation of intracerebral hemorrhage in the setting of radiographic herniation
Spontaneous intracerebral hemorrhage (ICH) can rapidly result in cerebral herniation, leading to poor neurologic outcomes or mortality. To date, neither decompressive hemicraniectomy (DH) nor hematoma evacuation have been conclusively shown to improve outcomes for comatose ICH patients presenting with cerebral herniation, with these patients largely excluded from clinical trials. Here we present the outcomes of a series of patients presenting with ICH and radiographic herniation who underwent emergent minimally invasive (MIS) ICH evacuation.
Source: Journal of Stroke and Cerebrovascular Diseases - August 23, 2023 Category: Neurology Authors: Muhammad Ali, Georgios A. Maragkos, Kurt A. Yaeger, Alexander J. Schupper, Trevor A. Hardigan, Vikram Vasan, Braxton R. Schuldt, Ian C. Odland, Margaret Downes, Jonathan Dullea, Luis C. Ascanio, Zachary S. Troiani, Nicki Mohammadi, Jacques Lara-Reyna, Rob Source Type: research

Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Hospital Course, Confounders, and Medications
This article outlines the process of the development of common data elements for hospital course, confounders, and medications to streamline definitions and variables to collect for clinical studies of DoC.
Source: Neurocritical Care - August 23, 2023 Category: Neurology Source Type: research

Amantadine for NeuroenhaNcement in acutE patients Study - a protocol for a prospective pilot proof of concept phase IIb study in intensive and intermediate care unit patients (ANNES)
Persisting coma is a common complication in (neuro)intensive care in neurological disease such as acute ischemic stroke, intracerebral hemorrhage or subarachnoid hemorrhage. Amantadine acts as a nicotinic rece...
Source: BMC Neurology - August 22, 2023 Category: Neurology Authors: Anna Hofmann, Corinna Blum, Constanze Single, Kamal Adeyemi, Patricia Schwarz, Vasileios Siokas, Tim W. Rattay, Helene A. H äberle, Reimer Riessen, Bettina Brendel, Iris Haug, Ruth Bösel, Manola Zago, Peter Martus, Ulf Ziemann, Annerose Mengel & hellip; Tags: Study Protocol Source Type: research

Bypassing Closest Stroke Center for Intracerebral Hemorrhage
Prehospital stroke triage protocols focus on enabling rapid access to 2 proven time-sensitive short-term treatments: intravenous thrombolysis for all eligible patients with disabling acute ischemic stroke and endovascular therapy (EVT) for select patients with acute ischemic stroke from large vessel occlusion (LVO). As EVT is a particularly powerful treatment with an estimated number needed to treat of 2 to 3, prehospital screening tools and protocols have been developed that prioritize identifying potential patients with LVO in the field and preferentially transporting them to EVT-capable centers, even if this means bypas...
Source: JAMA Neurology - August 21, 2023 Category: Neurology Source Type: research

Effect of Bypassing the Closest Stroke Center in Patients with Intracerebral Hemorrhage
This prespecified secondary analysis of a randomized clinical trial conducted in Catalonia, Spain, assesses whether direct transport to an endovascular treatment –capable stroke center vs to the nearest local stroke center benefits patients experiencing intracerebral hemorrhage.
Source: JAMA Neurology - August 21, 2023 Category: Neurology Source Type: research

Cardiovascular and renal outcomes in patients with atrial fibrillation and stage 4 –5 chronic kidney disease receiving direct oral anticoagulants: a multicenter retrospective cohort study
AbstractThe role of direct oral anticoagulants (DOAC) in patients with atrial fibrillation (AF) and stage 4 –5 chronic kidney disease (CKD) is controversial. Electronic medical records from 2012 to 2021 were retrieved for patients with AF and stage 4–5 CKD receiving oral anticoagulants. Patients were separated into those receiving DOACs (dabigatran, rivaroxaban, apixaban, or edoxaban) or vitamin K ant agonists (VKA). Primary outcomes included ischemic stroke (IS), systemic thrombosis (SE), major bleeding, gastrointestinal bleeding, hemorrhagic stroke, acute myocardial infarction, cardiovascular death, and all-cause dea...
Source: Journal of Thrombosis and Thrombolysis - August 21, 2023 Category: Hematology Source Type: research

O01/8 Flow diverting stents in cerebral small calibre vessels (< 2 mm) for aneurysm treatment
ConclusionThe use of FDS in vessels ≤ 2 mm is technically feasible with good aneurysm occlusion rates and an acceptable safety profile. Nevertheless, it is essential to be aware of the of the main complications associated when operating in small diameter vessels.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Hohenstatt, S., Vinci, S., Vollherbst, D., Tessitore, A., Schmitt, N., Pitrone, A., Caragliano, A., Velo, M., Möhlenbruch, M., Paolucci, A. Tags: 1.1 HAEMORRHAGIC - Aneurysms Source Type: research

O13/126 Safety and efficacy of first-line double stent-retriever: the bifurcation elective thrombectomy with double y stentretriever (BETYS) prospective multicenter registry protocol
ConclusionThe BETYS registry is an ongoing prospective study regarding the use of double SR as first-line treatment in anterior circulation large vessel occlusions.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Perez-Garcia, C., Rosati, S., Lopez-Jurado, A. L.-F., Gomez-Escalonilla Escobar, C. I., Moreu, M. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O15/151 Impact of post-thrombectomy isolated subarachnoid hemorrhage and other types of intracranial hemorrhage on neurological outcomes in patients with anterior circulation ischemic stroke - reperfusion grade determines
ConclusionPost-thrombectomy i-SAH is an important complication as it might aggravate patient’s neurological impairment, particularly in case of incomplete reperfusion.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Landeghem, N. v., Ziegenfuss, C., Demircioglu, A., Dammann, P., Jabbarli, R., Haubold, J., Forsting, M., Wanke, I., Köhrmann, M., Frank, B., Deuschl, C., Li, Y. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O33/325 The efficacy and safety of Double Stentretrevier as a rescue method after failed thrombectomy
ConclusionRescue Mechanical thrombectomy using double-SR is associated with a higher rate of successful recanalization, first-pass effect, and relatively low rate of hemorrhagic complications. Further randomized control trials are needed to confirm results and long-term outcomes.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Rikhtehgarghiasi, R., Deutschel, C., Yamac, E., Wallocha, M., Ayad, A., Li, Y., Chapot, R. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

P005/44 Using the pEGASUS-stent with antithrombogenic properties and single antiplatelet therapy in a case of thrombectomy
IntroductionRescue stenting is used more and more in stroke cases with large-vessel-occlusion or medium-vessel-occlusion refractory to mechanical thrombectomy. The pEGASUS-stent(Phenox) represents a device which is equipped with a hydrophilic polymer coating(HPC) with antithrombogenic properties. The coating allows for implantation under single antiplatelet therapy, thus possibly reducing the risk of bleeding in acute stroke cases.Case HistoryA 79-year-old woman was rushed to emergency room due to left-sided hemiparesis and National-Institutes-of-Health-Stroke-Scale(NIHSS) of 14. Computed-tomography-image showed an occlusi...
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Krug, N., Schulze-Zachau, V., Ntoulias, N., Psychogios, M. Tags: 4.3 CASE PROPOSAL - Acute ischemic stroke Source Type: research

P008/85 Transarterial embolization (including hypoglossal artery) of dural arteriovenous fistula with multiple venous varices: Case report
ConclusionDAVF with venous varix is defined as high risk for venous hypertension or hemorrhage. There is a possibility of lower CN injury during embolization for hypoglossal artery, so accurate knowledge of anatomical structures is essential. Transarterial embolization for DAVF with large venous varix is a safe and considerable treatment option, even when fed by hypoglossal artery.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Lee, J., Yang, J.-C., Hong, C. E., Han, M. H. Tags: 4.3 CASE PROPOSAL - Acute ischemic stroke Source Type: research

P022/217 Hemorrhagic complications during mechanical thrombectomy
ConclusionProcedure-induced hemorrhage complications are rare and potentially disastrous events of which interventionalists need to be aware and be prepared for adequate endovascular solutions.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Mircic, U., Vukasinovic, I., Nestorovic, D., Petrovic, M. Tags: 4.4 CASE PROPOSAL - Complications Source Type: research

P031/333 A very rare complication during mechanical thrombectomy: the breakage of the aspiration catheters tip and his rescue
ConclusionBreakage and retention of the thrombectomy devices represents a very rare cause of complications during mechanical thrombectomy but nevertheless possible. We have reported this case, with its related treatment, in order to help the management of this type of complication.Disclosure of InterestDr. D.G. Romano consultant and proctor for BALT Italy, Microvention Europe, Penumbra Inc.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Tortora, R., Flora, G., Frauenfelder, G., Locatelli, G., Siani, A., Saponiero, R., Romano, D. Tags: 4.4 CASE PROPOSAL - Complications Source Type: research