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Clinical Importance of Temporal Bone Features for the Efficacy of Contrast-Enhanced Sonothrombolysis: a Retrospective Analysis of the NOR-SASS Trial
AbstractContrast-enhanced sonothrombolysis (CEST) seems to be a safe and promising treatment in acute ischemic stroke. It remains unknown if temporal bone features may influence the efficacy of CEST. We investigated the association between different temporal bone features on admission computed tomography (CT) scan and the outcome in acute ischemic stroke patients included in the randomized Norwegian Sonothrombolysis in Acute Stroke Study (NOR-SASS). Patients diagnosed as stroke mimics and those with infratentorial stroke or with incorrect insonation were excluded. We retrospectively assessed temporal bone heterogeneity (pr...
Source: Translational Stroke Research - November 8, 2017 Category: Neurology Source Type: research

Telemedicine remote controlled stroke evaluation and treatment, the experience of radiographers, paramedics and junior doctors in a novel rural stroke management team
CONCLUSIONS: The telemedicine-based, remote controlled, stroke evaluation and treatment was experienced, by the participants, to be well organised and of high quality. Communication and image reading appear to be the salient challenges. Regular training sessions and follow-up, as well as an evaluation of incidents by the project manager, proved to be of great importance in retaining and securing the continued running of the service and ensuring high-quality treatment. Further research is indicated in the comparison of this telemedicine service with stroke treatment given in a mainstream hospital.PMID:34090447 | DOI:10.1186/s12913-021-06591-1
Source: Rural Remote Health - June 6, 2021 Category: Rural Health Authors: Elin Kjelle Aud Mette Myklebust Source Type: research

Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit
CONCLUSIONThis pilot study shows that anesthesiologists trained in prehospital critical care may effectively assess cerebral CT scans in an MSU, and determine if there are radiological contraindications for thrombolysis.
Source: Journal of Neuroimaging - July 1, 2017 Category: Radiology Authors: Maren Ranhoff Hov, Erik Zakariassen, Thomas Lindner, Terje Nome, Kristi G. Bache, Jo R øislien, Jostein Gleditsch, Volker Solyga, David Russell, Christian G. Lund, Tags: Clinical Investigative Study Source Type: research

Implementation of a telemedicine, stroke evaluation service; a qualitative study
CONCLUSIONS: The service was perceived as valuable to the local community, providing a sense of healthcare security and equitability. Management's involvement, flexibility, and coordination appears to be a key factor for successful implementation and long-term sustainability of the service.PMID:35964091 | DOI:10.1186/s12913-022-08428-x
Source: Rural Remote Health - August 13, 2022 Category: Rural Health Authors: Elin Kjelle Aud Mette Myklebust Source Type: research