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Procedure: Cardiac Catheterization

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Total 708 results found since Jan 2013.

Incidence and Clinical Impact of Stroke Complicating Percutaneous Coronary Intervention: Results of the Euro Heart Survey Percutaneous Coronary Interventions Registry Cardiac Catheterization
Conclusions— Stroke as complication of PCI occurs rarely (0.4%) in clinical practice in Europe today. However, peri-interventional stroke is still associated with an exceedingly high in-hospital mortality rate. Most predictors for periprocedural stroke are not modifiable and cannot be diminished before PCI. Therefore, treatment of patients with stroke after PCI needs further research.
Source: Circulation: Cardiovascular Interventions - August 20, 2013 Category: Cardiology Authors: Werner, N., Bauer, T., Hochadel, M., Zahn, R., Weidinger, F., Marco, J., Hamm, C., Gitt, A. K., Zeymer, U. Tags: Acute Stroke Syndromes Cardiac Catheterization Source Type: research

Endovascular vs medical management of acute ischemic stroke
Conclusions: This meta-analysis provides strong evidence that endovascular intervention combined with medical management, including IV tissue plasminogen activator for eligible patients, improves the outcomes of appropriately selected patients with acute ischemic stroke in the setting of LVO.
Source: Neurology - November 30, 2015 Category: Neurology Authors: Chen, C.-J., Ding, D., Starke, R. M., Mehndiratta, P., Crowley, R. W., Liu, K. C., Southerland, A. M., Worrall, B. B. Tags: All Clinical trials, All Cerebrovascular disease/Stroke, Class I, Infarction, Intracerebral hemorrhage VIEWS & amp;amp; REVIEWS Source Type: research

Routine troponin measurements are unnecessary in acute ischemic stroke evaluations (P4.285)
CONCLUSIONS: Troponin elevation in patients with ischemic stroke is not caused by acute myocardial ischemia unless iatrogenic in the setting of vasopressor administration. Serum troponins should be measured based on clinical context rather than routinely in all acute ischemic stroke patients.Disclosure: Dr. Ali has nothing to disclose. Dr. Young has nothing to disclose. Dr. Rabinstein has received royalty payments from Elsevier and Oxford University Press. Dr. Rabinstein has received research support from DJO Global. Dr. Flemming has nothing to disclose. Dr. Fugate has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ali, F., Young, J., Rabinstein, A., Flemming, K., Fugate, J. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Care Source Type: research

Arterial ischemic stroke in children with cardiac disease
Conclusions: Infants with cyanotic CHD were most frequently affected by AIS during the periprocedural period. Prospective cohort studies are required to determine effective primary and secondary prevention strategies.
Source: Neurology - December 7, 2015 Category: Neurology Authors: Asakai, H., Cardamone, M., Hutchinson, D., Stojanovski, B., Galati, J. C., Cheung, M. M. H., Mackay, M. T. Tags: Childhood stroke, All Cerebrovascular disease/Stroke, All Pediatric, Cardiac, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Sensitivity of transcranial doppler and transoesophageal echocardiography for the detection of patent foramen ovale in cryptogenic stroke
Conclusions TCD with bubble test is sensitive and specific for the detection of right–to–left shunts due to PFO confirmed at right heart catheterisation. In this population, TOE had low sensitivity for RLS. There was no difference in physical PFO size between TOE positive and negative patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Morhij, D., Dani, K., Stewart Hillis, W., Muir, K. Tags: Headache (including migraine), Neuroimaging, Stroke, Hypertension, Ischaemic heart disease, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Incidence and Risk Factors of Cerebrovascular Events Following Cardiac Catheterization Stroke
Conclusion In a single-center, retrospective assessment over nearly 20 years, cardiac catheterization-related CVEs were very rare and nearly exclusively ischemic. The independent predictors for these events were found to be the performance of an intervention and those associated with increased atherosclerotic burden, specifically older age, triple vessel disease, and prior stroke. The presence of intracoronary thrombus appears also to raise the risk of procedure-related CVE.
Source: JAHA:Journal of the American Heart Association - November 14, 2013 Category: Cardiology Authors: Korn-Lubetzki, I., Farkash, R., Pachino, R. M., Almagor, Y., Tzivoni, D., Meerkin, D. Tags: Stroke Source Type: research

Sex Differences in Revascularization Interventions after Acute Ischemic Stroke
Conclusions: Over the last decade, women hospitalized for AIS in the United States were less likely than men to receive cerebrovascular and cardiac reperfusion therapies. However, the IV tPA treatment sex disparity may have been eliminated.
Source: Journal of Stroke and Cerebrovascular Diseases - May 8, 2013 Category: Neurology Authors: Amytis Towfighi, Daniela Markovic, Bruce Ovbiagele Tags: Original Articles Source Type: research

Radiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures Clinical Sciences
Conclusions—One of 10 people with periprocedural RBIs during cardiac surgeries and invasive vascular diagnostic procedures resulted in strokes or transient ischemic attacks, which may serve as a potential surrogate marker of procedural proficiency and perhaps as a predictor of risk for periprocedural strokes.
Source: Stroke - September 25, 2017 Category: Neurology Authors: Sung-Min Cho, Abhishek Deshpande, Vinay Pasupuleti, Adrian V. Hernandez, Ken Uchino Tags: Magnetic Resonance Imaging (MRI), Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Abstract 205: Stroke Risk and Symptom Recognition Post Cardiac Catheterization Session Title: Poster Session PM
Over 1.4 million cardiac catheterization procedures (CCPs) take place yearly. CPP related stroke incidence in 1973 was reported as 0.23%. CCPs are invasive in nature with complications occurring due to unintentional trauma to preexisting atherosclerotic aortic plaques or thrombus formation at catheter/guidewire tips. Less common causes of ischemic stroke are air, left ventricular clot, hypotension, arterial dissection, fractured guidewire. Transient neurological deficits have been reported following high-osmolar contrast injection into carotid/vertebral arteries. With improved practice, current stroke incidence is 0.06%. P...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Rivet, C., Schaefer, K., Strom, C. Tags: Session Title: Poster Session PM Source Type: research

Effect of prior stroke on long ‐term outcomes of percutaneous coronary interventions in Chinese patients: A large single‐center study
ConclusionsPrior stroke history was the only predictor of risk of post ‐PCI stroke. The noncerebrovascular adverse events were not increased after adjusted analyses of baseline characteristics and propensity analyses.
Source: Catheterization and Cardiovascular Interventions - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jing ‐Jing Xu, Ying Song, Ping Jiang, Zhan Gao, Jian‐Xin Li, Jue Chen, Yue‐Jin Yang, Run‐Lin Gao, Bo Xu, Jin‐Qing Yuan Tags: CORONARY ARTERY DISEASE Source Type: research

Neurological Events Following Transcatheter Aortic Valve Replacement and Their Predictors: A Report From the CoreValve Trials Structural Heart Disease
Conclusions— Predictors of early stroke after TAVR included clinical and procedural factors; predictors of later stroke were limited to patient but not anatomic characteristics. These findings indicate that further refinement of imaging to identify anatomic factors predisposing to embolization may help improve stroke prediction in patients undergoing TAVR. Clinical Trial Registrations— URL: http://www.clinicaltrials.gov. Unique identifiers: NCT01240902, NCT01531374.
Source: Circulation: Cardiovascular Interventions - September 5, 2016 Category: Cardiology Authors: Kleiman, N. S., Maini, B. J., Reardon, M. J., Conte, J., Katz, S., Rajagopal, V., Kauten, J., Hartman, A., McKay, R., Hagberg, R., Huang, J., Popma, J., for the CoreValve Investigators Tags: Valvular Heart Disease, Cardiovascular Surgery, Catheter-Based Coronary and Valvular Interventions, Cerebrovascular Disease/Stroke Structural Heart Disease Source Type: research

Procedure- Related and Perioperative Strokes in Patients on Hemodialysis: A 10-Year Retrospective Study (P6.046)
Conclusion: Peri-procedural and peri-operative strokes are common in patients on Hemodialysis and highest risk is in the period soon after the procedure. Further studies should be directed towards better surgical risk stratification and stroke prevention pre-operatively in these patients.Disclosure: Dr. Sunbulli has nothing to disclose. Dr. Sachar has nothing to disclose. Dr. Rajamani has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sunbulli, M., Sachar, P., Rajamani, K. Tags: In-Hospital Stroke and Stroke Complications Source Type: research

Association of Ischemic Stroke, Hormone Therapy, and Right to Left Shunt in Postmenopausal Women
Conclusions Approximately 20% of older women have a right to left shunt. Hormone therapy in these women may increase the risk of ischemic stroke by promoting paradoxical embolism. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 12, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Nancy C. Greep, David S. Liebeskind, Rubine Gevorgyan, Tam Truong, Bennett Cua, Chi‐Hong Tseng, David W. Dodick, Bart M. Demaerschalk, David E. Thaler, Jonathan M. Tobis Tags: Original Studie Source Type: research

Incidence and clinical impact of stroke complicating transcatheter aortic valve implantation: Results from the German TAVI registry
ConclusionsStroke complicating TAVI is a serious complication with a clinically relevant incidence even in daily practice leading to a fivefold increase in 30‐day‐mortality rate, as well as a significant increase in morbidity and disability in patients, who survive this devastating complication. Further research is needed to identify risk factors and ways to reduce stroke after TAVI. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nicolas Werner, Uwe Zeymer, Steffen Schneider, Timm Bauer, Ulrich Gerckens, Axel Linke, Christian Hamm, Horst Sievert, Holger Eggebrecht, und Ralf Zahn, Tags: Valvular and Structural Heart Diseases Source Type: research

Risk of stroke in first-ever acute urinary retention: A 10-year population-based study
Conclusion There was significant difference in the risk of stroke between patients with and without AUR. Preventive measures should be taken for patients with AUR, which may be associated with an increased risk of subsequent stroke. Large-scale population-based studies in other countries and regions are recommended.
Source: Urological Science - July 1, 2016 Category: Urology & Nephrology Source Type: research