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Condition: Stroke
Procedure: Angioplasty

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Total 4288 results found since Jan 2013.

Cerebrovascular Events After a Primary Percutaneous Coronary Intervention Strategy for Acute ST-Segment- Elevation Myocardial Infarction: Analysis From the HORIZONS-AMI Trial Coronary Interventions
Conclusions— In HORIZONS-AMI, cerebrovascular events within 3 years after ST-segment–elevation myocardial infarction in patients undergoing a primary percutaneous coronary intervention management strategy occurred in 2.0% of patients and were most frequent after coronary artery bypass grafting. Cerebrovascular events were often disabling and were strongly associated with high rates of death, reinfarction, recurrent ischemia, and major bleeding. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00433966.
Source: Circulation: Cardiovascular Interventions - April 9, 2015 Category: Cardiology Authors: Nikolsky, E., Mehran, R., Dangas, G. D., Xu, K., Parvataneni, R., Witzenbichler, B., Guagliumi, G., Kornowski, R., Genereux, P., Brener, S. J., Stone, G. W. Tags: Catheter-based coronary interventions: stents, Acute myocardial infarction, Acute Stroke Syndromes Source Type: research

Optimizing endovascular stroke therapy: A primary PCI deja‐vu?
Key Points The optimal revascularization modality (thromboembolectomy, suction thrombectomy, angioplasty with stenting, and stent retriever thrombectomy) for the cerebral circulation remains to be defined Catheter‐based therapy of the acute stroke yields better clinical outcomes in patients <65‐year‐old, with a door‐to‐balloon time <4 hr and successful reperfusion TICI ≥ 2. Considering the significant incidence of acute strokes which are either ineligible for intravenous thrombolytic therapy or present too late, catheter‐based therapies may offer an alternative treatment option. Interventional card...
Source: Catheterization and Cardiovascular Interventions - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mehmet Cilingiroglu, Kostas Marmagkiolis Tags: Peripheral Vascular Disease Source Type: research

Reperfusion of Very Low Cerebral Blood Volume Lesion Predicts Parenchymal Hematoma After Endovascular Therapy Clinical Sciences
Conclusions— These results suggest that VLCBV can be used for risk stratification of patients scheduled to undergo endovascular therapy in trials and routine clinical practice.
Source: Stroke - April 27, 2015 Category: Neurology Authors: Mishra, N. K., Christensen, S., Wouters, A., Campbell, B. C. V., Straka, M., Mlynash, M., Kemp, S., Cereda, C. W., Bammer, R., Marks, M. P., Albers, G. W., Lansberg, M. G., for the DEFUSE 2 Investigators Tags: Acute Cerebral Infarction, Computerized tomography and Magnetic Resonance Imaging, Intracerebral Hemorrhage, Angioplasty and Stenting Clinical Sciences Source Type: research

Extracranial carotid artery stenting followed by intracranial stent-based thrombectomy for acute tandem occlusive disease
Conclusions In acute tandem ICA–MCA/distal ICA occlusions, extracranial stenting followed by intracranial stent-based thrombectomy appears feasible, effective, and safe. Further evaluation of this treatment strategy is warranted.
Source: Journal of NeuroInterventional Surgery - May 14, 2015 Category: Neurosurgery Authors: Cohen, J. E., Gomori, J. M., Rajz, G., Itshayek, E., Eichel, R., Leker, R. R. Tags: Ischemic stroke Source Type: research

EuroPCR 2015: Stroke risk clarified following routine clot removal after heart attack
(EuroPCR) Clearing blood clots from arteries during treatment for an acute myocardial infarction was a relatively common practice until a recent, large-scale study showed that the technique, known as thrombectomy, might actually increase the risk of stroke. Now, new insights from the TOTAL trial, presented here at EuroPCR 2015, indicate that the risk of stroke with thrombectomy during angioplasty, compared to angioplasty alone is evident very early following the procedure.
Source: EurekAlert! - Medicine and Health - May 20, 2015 Category: Global & Universal Source Type: news

Thirty-Day Outcome of a Multicenter Registry Study of Stenting for Symptomatic Intracranial Artery Stenosis in China Clinical Sciences
Conclusions— The short-term safety and efficacy of endovascular stenting for patients with severe symptomatic intracranial atherosclerotic stenosis in China is acceptable. Balloon-mounted stent may have lower degree of residual stenosis than self-expanding stent. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT01968122.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Miao, Z., Zhang, Y., Shuai, J., Jiang, C., Zhu, Q., Chen, K., Liu, L., Li, B., Shi, X., Gao, L., Liu, Y., Wang, F., Li, Y., Liu, T., Zheng, H., Wang, Y., Wang, Y., the Study Group of Registry Study of Stenting for Symptomatic Intracranial Artery Stenosis Tags: Secondary prevention, Antiplatelets, Angioplasty and Stenting Clinical Sciences Source Type: research

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

Stroke in Patients Undergoing Coronary Angiography and Percutaneous Coronary Intervention: Insights From the CADOSA Registry
The objective of this study was to assess the prevalence of periprocedural stroke in contemporary Australian practice.
Source: Heart, Lung and Circulation - July 26, 2016 Category: Cardiology Authors: L. Halliday, R. Tavella, M. Arstall, D. Chew, M. Worthley, C. Zeitz, J. Beltrame Tags: 464 Source Type: research

Carotid endarterectomy versus carotid angioplasty for stroke prevention: a systematic review and meta-analysis
This meta-analysis aimed to evaluate the efficacy of carotid endarterectomy (CE) compared with carotid angioplasty (CA) in preventing stroke. Whether the use of CE is more efficient in preventing stroke than C...
Source: Journal of Cardiothoracic Surgery - September 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Zengyan Diao, Guoyong Jia, Wei Wu and Cuilan Wang Source Type: research

Global longitudinal strain predicts incident atrial fibrillation and stroke occurrence after acute myocardial infarction
Abstract: Patients with acute myocardial infarction are at increased risk of developing atrial fibrillation. We aimed to evaluate whether speckle tracking echocardiography improves risk stratification for atrial fibrillation in these patients. The study comprised of 373 patients with ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention. Patients had an echocardiogram performed at a median of 2 days after their STEMI. The echocardiograms consisted of conventional measurements and myocardial strain analysis by speckle tracking from 3 apical projections. The endpoint was ...
Source: Medicine - November 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Successful drug-coated balloon angioplasty and single anti-platelet therapy to treat an ischaemic stroke patient with haemorrhage and acute coronary syndrome.
Abstract A 55-year-old male presented with two challenging problems, i.e. acute coronary syndrome (ACS) and a major bleeding episode. He first presented with ischaemic stroke and was treated with thrombolysis. However this was complicated by haemorrhagic transformation. He subsequently developed ACS with urgent coronary angiography demonstrating a critical stenosis in the proximal left anterior descending artery. Percutaneous coronary intervention (PCI) was deemed necessary but we were mindful of causing bleeding complications from the use of anti-thrombotic therapy. Despite the complexities, we used a novel appro...
Source: Acute Cardiac Care - November 20, 2016 Category: Cardiology Authors: Ho HH, Mok KH Tags: Acute Card Care Source Type: research

Endovascular prevention and treatment of stroke related to extracranial carotid artery disease.
Abstract Acute ischemic stroke (AIS) is the leading cause of premature mortality and morbidity worldwide for both men and women. Extracranial carotid artery stenosis/occlusion is responsible for approximately 11.5%% of ischemic strokes, whereas extracranial large vessel disease comprises roughly 16.6% of ischemic strokes. Carotid artery disease has been the source of significant debate among neurovascular and cardiovascular specialists, as well as vascular surgeons, as to the best method of revascularization, surgical reconstruction versus endovascular recanalization. There are different treatment modalities and t...
Source: The Journal of Cardiovascular Surgery - December 5, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Rangel-Castilla L, Rajah GB, Shakir HJ, Davies JM, Snyder KV, Siddiqui AH, Levy EI, Hopkins LN Tags: J Cardiovasc Surg (Torino) Source Type: research

Triggering of Stroke or Atrial Fibrillation by Percutaneous Coronary Intervention
I have read the article entitled “Percutaneous Coronary Intervention as a Trigger for Stroke” by Varmdal et al. 1 with great interest, recently published in journal. Their estimates indicated a substantially increased risk of ischemic stroke during the first 2 days after percutaneous coronary intervention (PCI). Relative risk t hen decreased gradually but stayed elevated for 8 weeks. Increased awareness of this vulnerable period after PCI in clinicians and patients could contribute to earlier detection and treatment for patients suffering a postprocedural stroke 1.
Source: The American Journal of Cardiology - January 2, 2017 Category: Cardiology Authors: Levent Cerit Source Type: research