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Acute Kidney Injury in Acute Stroke. A preliminary study in Hispanic population (P5.041)
Conclusions:The prevalence of AKI after acute stroke in our population is higher than currently reported.Arterial hypertension was observed as a main risk factor. Further analysis with a higher number of patients is needed to confirm this observation and determine its real impact in Hispanic stroke patients.Disclosure: Dr. Olguín-Ramírez has nothing to disclose. Dr. Martínez has nothing to disclose. Dr. Gongora-Rivera has nothing to disclose. Dr. Maya-Quintá has nothing to disclose. Dr. Celis Jasso has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Olguin-Ramirez, L. A., Martinez, H. R., Gongora-Rivera, F., Maya-Quinta, R., Jasso, J. S. C. Tags: Neurocritical Care: Ischemic Injury Source Type: research

Ultra-short door-to-needle times of 10 minutes or less in stroke thrombolysis - experience from 63 cases (S8.002)
Conclusions:An ultra-short DNT ≤10 minutes can be achieved safely in unequivocal clinical scenarios, with pre-notification of the multidisciplinary stroke team practically being a sine-qua-non.Disclosure: Dr. Topakian has nothing to disclose. Dr. Hörmanseder has nothing to disclose. Dr. Einsiedler has nothing to disclose. Dr. Straka has nothing to disclose. Dr. Oel has nothing to disclose. Dr. Metschitzer has nothing to disclose. Dr. Pischinger has nothing to disclose. Dr. Groicher has nothing to disclose. Dr. Müller has nothing to disclose. Dr. Vollmann has nothing to disclose. Dr. Kure has nothing to disclos...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Topakian, R., Hormanseder, B., Einsiedler, S., Straka, U., Oel, D., Metschitzer, B., Pischinger, B., Groicher, S., Muller, P., Vollmann, P., Kure, V., Farmer, D., Mezger, M., Wimmer, F., Sperl, W., Karrer, A., Funk, S., Lampl, R., Lugmayr, H., Schusterede Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Treatment Source Type: research

Comparative analysis of in-hospital outcomes between spontaneous vertebral and carotid arterial dissection at National level (P5.048)
Conclusions:Vertebral artery dissection affects younger patients in comparison to carotid dissections, is associated with higher in hospital complications and procedures, probably thereby leading to prolonged length of stay and higher hospital charges in comparison with carotid artery dissection. Early diagnoses of vertebral artery dissection as a cause of ischemic stroke in the posterior circulation is imperative to improve outcomes.Disclosure: Dr. Qureshi has nothing to disclose. Dr. Afzal has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Khatri has nothing to disclose. Dr. Piriyawat has nothing to disclo...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Qureshi, I., Afzal, M.-R., Qureshi, M., Khatri, R., Piriyawat, P., Rodriguez, G., Cruz-Flores, S., Maud, A. Tags: Neurocritical Care: Ischemic Injury Source Type: research

Stroke versus non-stroke neurological complications after cardiac transplant (P4.299)
Conclusions:Neurological complications after CT in our population reach nearly a quarter of patients, similar to or even lower than in previous studies.4.3% of patients developed stroke, ischemic subtype.Pre- and perioperative variables do not differ between both groups, except from ischemic cardiomyopathy as the cause of heart failure being it more frequent in the stroke group.Disclosure: Dr. Vazquez has nothing to disclose. Dr. Thomson has nothing to disclose. Dr. Molina Melendres has nothing to disclose. Dr. Nadile has nothing to disclose. Dr. Gonzalez Toledo has nothing to disclose. Dr. Claverie has nothing to disclose...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Vazquez, G., Thomson, A., Melendres, J. M., Nadile, D., Toledo, M. E. G., Claverie, C. S., Thomson, A., Peradejordi, M., Couto, B., Favaloro, L. E., Favaloro, R., Bertolotti, A., Klein, F. Tags: In-Hospital Stroke Care Source Type: research

Utilization of Hospice Care and Patient Characteristics Associated With Discharge to Hospice in Acute Ischemic Stroke Patients (P6.263)
Conclusions:The rates of discharge to hospice following AIS have substantially grown in the past decade and at our institution 4.2% were discharged to hospice. These patients were older, had higher median NIHSS and more often had altered level of consciousness upon presentation. Large, multicenter studies are needed to address the variation in the rates of hospice care across the United States.Disclosure: Dr. Vuong has nothing to disclose. Dr. Ali has nothing to disclose. Dr. Chauhan has nothing to disclose. Dr. Onteddu has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Vuong, M., Ali, S., Chauhan, N., Onteddu, S. Tags: Cerebrovascular Disease Systems of Care and Health Policy Source Type: research

Intermediate-term rates of stroke following cardiac procedures: the Nationwide Readmissions Database (P4.305)
Conclusions:Using a large, nationally representative database of inpatient admissions from 2013, we found that 90-day stroke rates are higher after cardiac procedures compared to non-cardiac procedures and non-surgical admissions. However, these rates are likely lower than previously reported.Disclosure: Dr. Stein has nothing to disclose. Dr. Thaler has nothing to disclose. Dr. Liang has nothing to disclose. Dr. Tuhrim has nothing to disclose. Dr. Dhamoon has nothing to disclose. Dr. Dhamoon has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Stein, L., Thaler, A., Liang, J., Tuhrim, S., Dhamoon, A., Dhamoon, M. Tags: Neuroepidemiology: Cerebrovascular Disease I Source Type: research

Altered Cerebral Hemodynamics Causing Neurologic Dysfunction in VA-ECMO (P6.298)
Conclusions:Stroke is a well-known complication of VA-ECMO, however clinicians should also be aware that unilateral cerebral edema, causing alarming clinical findings, can result from altered cerebral hemodynamics. Adjustment of ECMO flow rates can reverse these changes if they are noted acutely.Disclosure: Dr. Dunn has nothing to disclose. Dr. Reynolds has nothing to disclose. Dr. Morris has nothing to disclose. Dr. Willey has received personal compensation for activities with Heartware Incoporated as a consultant, from Claret Medical and Reliant Heart as a clinical trial endpoint committee member, and from Up-to-Date as ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Dunn, L., Reynolds, A., Morris, N., Willey, J. Tags: Cardiovascular Issues in Ischemic Stroke Source Type: research

Derivation and Validation of a Proposed Long Length of Stay (>= 7 days) Score in Patients Hospitalized for Acute Ischemic Stroke (P1.067)
Conclusions:Many factors play a role in determining the length of stay for AIS patients. Our study provides a scoring system that may help physicians predict which patients are more likely to have a prolonged hospital stay.Disclosure: Dr. Mahmood has nothing to disclose. Dr. Ali has nothing to disclose. Dr. Chauhan has nothing to disclose. Dr. Bianchi has nothing to disclose. Dr. Singhal has received personal compensation for activities with Medicolegal, ACTION Trial Stroke, Biogen, and Dock Technologies. Dr. Singhal holds stock and/or stock options in Biogen. Dr. Singhal has received research support from Boehringer Ingel...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mahmood, S., Ali, S., Chauhan, M. A., Bianchi, N., Singhal, A., Schwamm, L. Tags: Practice, Policy, and Ethics I Source Type: research

Postpartum cardiomyopathy with cardioembolic stroke (p3.298)
Conclusions:Peripartum cardiomyopathy is a rare cause of stroke. Though seldom described, it should be considered in appropriate female patients presenting with neurological deficits. Definitive therapy with anticoagulation should be considered to prevent further complications.Disclosure: Dr. Kumbham has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Masangkay has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kumbham, P., Sharma, B., Patel, A., Masangkay, N. Tags: Cerebrovascular Disease Case Reports II Source Type: research

Utilization of Carotid Revascularization for Ischemic Stroke/TIA: A Canadian Perspective (P5.276)
Conclusions:Use of CEA/CAS in patients with acute ischemic stroke/TIA admitted to hospitals in Canada has doubled over the last decade. Differences in utilization by age, sex and across provinces are seen.Disclosure: Dr. Najm has nothing to disclose. Dr. Lindsay has nothing to disclose. Dr. Hill has nothing to disclose. Dr. Demchuk has nothing to disclose. Dr. Menon has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Najm, M., Lindsay, P., Hill, M. D., Demchuk, A., Menon, B. Tags: SubAcute Interventional Therapies in Cerebrovascular Disease Source Type: research

Clinical Characteristics and Healthcare Utilization of Hmong Patients Presenting with Stroke (P3.075)
Conclusions:In this study population, Hmong patients have more poorly controlled risk factors, higher incidence of ICH, small vessel and intracranial atherosclerosis, lower incidence of carotid disease and heart failure and utilized fewer resources than Whites.Disclosure: Dr. KASHYAP has nothing to disclose. Dr. Droegemueller has nothing to disclose. Dr. Erickson has nothing to disclose. Dr. Hanson has nothing to disclose. Dr. Hussein has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: KASHYAP, B., Droegemueller, C., Erickson, L., Hanson, L., Hussein, H. Tags: Cerebrovascular Disease and Interventional Neurology ePoster Session Source Type: research

Left ventricular wall motion abnormalities: What can they tell us about stroke recurrence?
Left ventricular wall motion abnormalities (LVWMAs) are commonly observed in a variety of medical conditions, including coronary artery disease, congestive heart failure, stress-induced cardiomyopathy, myocarditis, chronic renal disease, and stroke.1–4 Their underlying disease mechanisms and their potential causative role for stroke remain inadequately elucidated. LVWMAs may directly increase stroke risk through thrombus formation in the left ventricle5 or may merely indicate the burden of systemic atherosclerosis underlying stroke, and not the primum movens.
Source: Neurology - February 5, 2017 Category: Neurology Authors: Brouns, R. Tags: Cardiac, Embolism, Infarction EDITORIALS Source Type: research

Have clinicians adopted the use of brain MRI for patients with TIA and minor stroke?
Conclusions: Within a national health system, about 40% of patients with TIA/minor stroke had MRI performed within 2 days. Performance of MRI appeared to be influenced by several patient and facility-level variables, suggesting that there has been partial acceptance of the previous guideline that endorsed MRI for patients with TIA.
Source: Neurology - January 15, 2017 Category: Neurology Authors: Chaturvedi, S., Ofner, S., Baye, F., Myers, L. J., Phipps, M., Sico, J. J., Damush, T., Miech, E., Reeves, M., Johanning, J., Williams, L. S., Arling, G., Cheng, E., Yu, Z., Bravata, D. Tags: CT, MRI, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Photoplythesmographic Signal to Screen Sleep-Disordered Breathing in Acute Stroke Patients: Feasibility of a Prospective Clinical Pathway (P1.181)
Conclusions: Screening hospitalized patients admitted for acute stroke with a positive questionnaire and inpatient plythesmography may identify a cohort of patients with high prevalence SDB. Our screening strategy hypothesizes that inpatient ODI can be a potentially cost-effective method for early recognition of SDB in acute stroke patients.Disclosure: Dr. Lim-Hing has nothing to disclose. Dr. Byrne has nothing to disclose. Dr. Yaddanapudi has nothing to disclose. Dr. Pineda has nothing to disclose. Dr. Sharma has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Lim-Hing, K., Byrne, R., Yaddanapudi, S., Pineda, C., Sharma, S. Tags: Cerebrovascular Disease: Risk Factors and Prevention Source Type: research

Association of Hemoglobin A1c and Baseline Ischemic Stroke Severity: A Population-Based Study (P1.187)
Conclusions: We found that elevated HbA1c was associated with decreased stroke severity at presentation. However, this effect is mediated by the history of DM rather than a specific dose-effect of glycemic control. Our results provide evidence that although chronic hyperglycemia increases risk of stroke, it is not associated with increased stroke severity.Disclosure: Dr. Yang has nothing to disclose. Dr. Khoury has nothing to disclose. Dr. Alwell has nothing to disclose. Dr. Moomaw has received research support from the National Institutes of Health. Dr. Yeramaneni has nothing to disclose. Dr. Woo has received research sup...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Yang, Y., Khoury, J., Alwell, K., Moomaw, C., Yeramaneni, S., Woo, D., Flaherty, M., Adeoye, O., Ferioli, S., De Los Rios La Rosa, F., Kissela, B., Kleindorfer, D. Tags: Ischemic Stroke Outcomes Source Type: research

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