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Total 107 results found since Jan 2013.

Gastrointestinal Hemorrhage Is Associated with Mortality after Acute Ischemic Stroke.
CONCLUSION: AF, oral anticoagulant use, brain herniation and male sex increase GI hemorrhage risk, while hyperlipidemia reduces risk. GI hemorrhage itself increases risk for mortality of acute ischemic stroke. The interaction between GI hemorrhage and brain herniation increased the risk for the mortality after acute ischemic stroke. PMID: 30977448 [PubMed - as supplied by publisher]
Source: Current Neurovascular Research - April 11, 2019 Category: Neurology Authors: Zhou Y, Xu W, Wang W, Yao S, Xiao B, Wang Y, Chen B Tags: Curr Neurovasc Res Source Type: research

Endoscopic gastrostomy for nutritional support in post-stroke dysphagia
CONCLUSIONS: the prevalence of malnutrition is high among patients with post-stroke dysphagia. PEG feeding improves albumin, transferrin, and cholesterol levels. Early post-PEG mortality is high and must be considered on an individual basis.PMID:34632784 | DOI:10.20960/nh.03147
Source: Nutricion Hospitalaria - October 11, 2021 Category: Nutrition Authors: Marta Patita Gon çalo Nunes Miguel Grunho Carla Adriana Santos Jorge Fonseca Source Type: research

Predicting Dysphagia with National Institute of Health Stroke Scale: Distinction between Infra- and Supratentorial Region is Essential
Conclusions: NIH-SS may be used as an adjunct to predict dysphagia in acute stroke patients with moderate sensitivity and specificity. Differentiation between supra- and infratentorial regions is essential not to miss dysphagia in infratentorial stroke.Cerebrovasc Dis 2018;46:150 –158
Source: Cerebrovascular Diseases - October 5, 2018 Category: Neurology Source Type: research

Intraoperative Stroke During Robotic Totally Endoscopic Coronary Artery Bypass
THE INCIDENCE OF stroke after coronary artery bypass graft (CABG) surgery is between 1% and 5% and is one of the most detrimental complications.1 Off-pump CABG is associated with a lower stroke rate than traditional on-pump CABG (0.7% v 1.4%).2 Stroke after CABG is associated with increased morbidity and mortality and increased cost secondary to longer hospital stays and rehabilitation. The authors ’ presented case demonstrates the complexity of perioperative management of a patient scheduled for elective off-pump total endoscopic coronary artery bypass (TECAB) grafting with recent transient ischemic attack (TIA), stroke...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 7, 2019 Category: Anesthesiology Authors: Jennette D. Hansen, Mark A. Chaney, Michael Essandoh, Jean Starr, BobbieJean Sweitzer Tags: Case Conference Source Type: research

Outcomes of endovascular mechanical thrombectomy and intravenous tissue plasminogen activator for the treatment of vertebrobasilar stroke.
CONCLUSIONS: Patients requiring IV-tPA and/or mechanical thrombectomy for the treatment of posterior-circulation strokes suffer from high mortality rates. Increased age is associated with significantly higher mortality rates among posterior-circulation stroke patients who require mechanical thrombectomy. PMID: 24465258 [PubMed]
Source: Journal of Clinical Neurology - December 2, 2014 Category: Neurology Tags: J Clin Neurol Source Type: research

Osler-Weber-Rendu syndrome simulating pulmonary metastasis
Osler–Weber–Rendu syndrome, also known as hereditary haemorrhagic telangiectasia (HHT), is an autosomal dominant disorder of abnormal blood vessel formation manifesting as telangiectasias and arteriovenous malformations (AVMs). The criteria for the diagnosis of HHT are epistaxis, multiple telangiectasias at mucocutaneous surfaces, AVMs in larger organ systems, and a family history of HHT.1–3 Recurrent epistaxis is the most common presenting complaint. Cerebral AVMs occur in about 10–20% of patients with HHT, and are associated with high mortality and morbidity due to stroke or brain abscess. MRI is ...
Source: Postgraduate Medical Journal - February 15, 2013 Category: Journals (General) Authors: Pereira e Silva, J. L., Zanetti, G., Marchiori, E. Tags: GI bleeding, Genetics, Echocardiography, Stroke, Radiology, Surgical diagnostic tests, General surgery, Radiology (diagnostics), Ear, nose and throat/otolaryngology, Epidemiology Images in medicine Source Type: research

Endoscopy Is Relatively Safe in Patients with Acute Ischemic Stroke and Gastrointestinal Hemorrhage
ConclusionsGastrointestinal endoscopy can be safely performed in a substantial number of patients with AIS and GIH.
Source: Digestive Diseases and Sciences - December 5, 2018 Category: Gastroenterology Source Type: research

UCLA study shows promise, offers hope for brain hemorrhage patients
A new endoscopic surgical procedure has been shown to be safer and to result in better outcomes than the current standard medical treatment for patients who suffer strokes as a result of brain hemorrhages, UCLA neurosurgeons have announced.   The findings from their potentially groundbreaking, randomized, controlled phase 2 clinical trial, which was conducted at multiple medical centers, were presented last week at the International Stroke Conference in Honolulu.   "These exciting results offer a glimmer of hope for a condition that most doctors have traditionally considered hopeless," said principal investigator...
Source: UCLA Newsroom: Health Sciences - February 11, 2013 Category: Universities & Medical Training Source Type: news

Abstract 198: Racial Disparity In Resuming Anticoagulation For Atrial Fibrillation After An Episode Of Major Gastrointestinal Bleeding Poster Session II
Conclusion: In conclusion, the racial disparity in resuming warfarin after an episode of major GIB in anticoagulated patients for atrial fibrillation was more for Caucasians than African American. This may be explained by uncertainty of outcomes that frequently leads to overtreatment of minority patients. Cultural beliefs for not resuming warfarin might have also played a role.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Qureshi, W., Garikapati, K., Patsias, I., Cheema, G., Mittal, C., Alirhayim, Z., Paje, D. Tags: Poster Session II Source Type: research

Abstract 202: Predictors of Percutaneous Endoscopic Gastrostomy in Intracerebral Hemorrhage Session Title: Abstract Poster Session II
Conclusions: We identified several independent early predictors of PEG placement in ICH. Early identification of ICH patients who will require PEG placement could result in reduced resource utilization, quicker initiation of rehabilitation, shorter hospital length of stay, and reduction of preventable complications. Prospective studies are required to determine optimal patient selection and timing for PEG placement.
Source: Circulation: Cardiovascular Quality and Outcomes - February 26, 2016 Category: Cardiology Authors: Blatsioris, A. D., Moser, E. A., Stevenson, A., Carter, R. J., Ofner, S., Hulin, A. L., ONeill, D. P., Cohen-Gadol, A. A., Leipzig, T. J., Williams, L. S., Mackey, J. Tags: Session Title: Abstract Poster Session II Source Type: research

Mo1063 Early Placement of Gastrostomy Tube Is Associated With Lower Rates of Pneumonia and Decreased Inpatient Mortality
In patients with acute cerebrovascular disease including stroke, pneumonia is one of the most common causes of death, most of which is attributed to aspiration pneumonia. It is currently not known whether early placement of gastrostomy tube in patients with stroke decreases the rates of pneumonia or provides inpatient mortality benefit.
Source: Gastrointestinal Endoscopy - April 28, 2017 Category: Gastroenterology Authors: Bashar S. Hmoud, Hayley Rogers, David Szafron, Vincent Petros, Hamzeh Saraireh, Habeeb M. Salameh Tags: Monday – ASGE poster Source Type: research

Long-term functional independence after minimally invasive endoscopic intracerebral hemorrhage evacuation
CONCLUSIONS: In a single-center minimally invasive endoscopic ICH evacuation cohort, NIHSS score on presentation, lack of IVH, and shorter time to evacuation were independently associated with functional independence at 6 months. Factors associated with functional independence may help to better predict populations suitable for minimally invasive endoscopic evacuation and guide protocols for future clinical trials.PMID:35561694 | DOI:10.3171/2022.3.JNS22286
Source: Journal of Neurosurgery - May 13, 2022 Category: Neurosurgery Authors: Muhammad Ali Xiangnan Zhang Luis C Ascanio Zachary Troiani Colton Smith Neha S Dangayach John W Liang Magdy Selim J Mocco Christopher P Kellner Source Type: research