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Specialty: Neurosurgery
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Total 6508 results found since Jan 2013.
The golden hour of stroke intervention: effect of thrombectomy procedural time in acute ischemic stroke on outcome
Conclusions
Our findings suggest that extending mechanical thrombectomy procedure times beyond 60 min increases complications and device cost rates while worsening outcomes. These findings can serve as a time frame of when it is prudent to abort a failed thrombectomy case.
Source: Journal of NeuroInterventional Surgery - August 6, 2014 Category: Neurosurgery Authors: Spiotta, A. M., Vargas, J., Turner, R., Chaudry, M. I., Battenhouse, H., Turk, A. S. Tags: Ischemic stroke Source Type: research
ASPECTS decay during inter-facility transfer predicts patient outcomes in endovascular reperfusion for ischemic stroke: a unique assessment of dynamic physiologic change over time
Conclusions
Patients with faster rates of ASPECTS decay during inter-facility transfers are associated with worse clinical outcomes. This value may reflect the rate of physiological infarct expansion and thus serve as a tool in patient selection for IAT.
Source: Journal of NeuroInterventional Surgery - December 11, 2014 Category: Neurosurgery Authors: Sun, C.-H. J., Connelly, K., Nogueira, R. G., Glenn, B. A., Zimmermann, S., Anda, K., Camp, D., Gaunt, S., Pallard, H., Eckenroth, M., Frankel, M. R., Belagaje, S. R., Anderson, A. M., Nahab, F., Yepes, M., Gupta, R. Tags: Editor''s choice, Ischemic stroke Source Type: research
Distal aspiration with retrievable stent assisted thrombectomy for the treatment of acute ischemic stroke
Conclusions
Mechanical thrombectomy utilizing combined manual aspiration with a stent retriever is an effective and safe strategy for endovascular recanalization of large vessel occlusions presenting within the context of AIS.
Source: Journal of NeuroInterventional Surgery - January 13, 2015 Category: Neurosurgery Authors: Humphries, W., Hoit, D., Doss, V. T., Elijovich, L., Frei, D., Loy, D., Dooley, G., Turk, A. S., Chaudry, I., Turner, R., Mocco, J., Morone, P., Fiorella, D., Siddiqui, A., Mokin, M., Arthur, A. S. Tags: Ischemic stroke Source Type: research
Elective treatment of intracranial stenosis with the balloon-expandable Pharos Vitesse stent: 30-day stroke rate and complications
Conclusions
In patients with intracranial stenosis who experience recurrent ischemic events despite best medical treatment, ICAS, using the balloon-expandable Pharos Vitesse stent, may still be considered as an individual treatment option in high-volume neurovascular centers.
Source: Journal of NeuroInterventional Surgery - February 12, 2015 Category: Neurosurgery Authors: von Schoenfeldt, P., Krutzelmann, A., Bussmeyer, M., Mpotsaris, A., Rosenkranz, M., Fiehler, J., Weber, W., Buhk, J.-H. Tags: Ischemic stroke Source Type: research
Interhospital variation in reperfusion rates following endovascular treatment for acute ischemic stroke
Conclusions
Reperfusion rates vary among hospitals, which may be related to differences in treatment protocols and patient characteristics. Additional studies are needed to identify all of the factors that underlie this variability as this could lead to strategies that reduce interhospital variability in reperfusion rates and improve clinical outcomes.
Source: Journal of NeuroInterventional Surgery - March 12, 2015 Category: Neurosurgery Authors: Liggins, J. T. P., Mlynash, M., Jovin, T. G., Straka, M., Kemp, S., Bammer, R., Marks, M. P., Albers, G. W., Lansberg, M. G., on behalf of the DEFUSE 2 Investigators Tags: Ischemic stroke Source Type: research
Emergency carotid artery stenting in patients with acute ischemic stroke due to occlusion or stenosis of the proximal internal carotid artery: a single-center experience
Conclusions
eCAS in patients with AIS due to proximal ICA stenosis or occlusion appears to be a technically feasible and effective method for achieving good clinical outcomes.
Source: Journal of NeuroInterventional Surgery - March 12, 2015 Category: Neurosurgery Authors: Son, S., Choi, D. S., Oh, M. K., Kim, S.-K., Kang, H., Park, K.-J., Choi, N.-C., Kwon, O.-Y., Lim, B. H. Tags: Ischemic stroke Source Type: research
Anxiety and working memory after stroke: implications for norm-referenced methods of identifying cognitive deficits
It is well established that stroke can result in impairments of cognitive functioning, particularly early after stroke onset.1 These cognitive impairments have a negative impact on activities of daily living,2 and are associated with lower mood and poorer quality of life.3 Improvement of cognitive functioning is therefore an important goal of rehabilitation. In clinical settings, the presence of cognitive impairment is usually determined by means of standardised psychometric assessment. A patient's cognitive test performance is compared to the performance of a non-stroke control group on the same test(s). The most appropri...
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 13, 2015 Category: Neurosurgery Authors: Gillespie, D. C. Tags: Stroke, Memory disorders (psychiatry) Editorial commentaries Source Type: research
Carotid I's, L's and T's: collaterals shape the outcome of intracranial carotid occlusion in acute ischemic stroke
Conclusions
Collateral flow patterns distinguish the nature and impact of ICA occlusions on expected revascularization and subsequent clinical outcomes in acute ischemic stroke. The nomenclature of terminal ICA occlusions introduced here (carotid I's, L's, and T's) may enhance future endovascular trials targeting such proximal occlusions.
Trial registration number
NCT00318071 (http://clinicaltrials.gov). MERCI was not registered because enrollment began before July 1, 2005.
Source: Journal of NeuroInterventional Surgery - May 14, 2015 Category: Neurosurgery Authors: Liebeskind, D. S., Flint, A. C., Budzik, R. F., Xiang, B., Smith, W. S., Duckwiler, G. R., Nogueira, R. G., for the MERCI and Multi-MERCI Investigators Tags: Ischemic stroke Source Type: research
Outcomes of manual aspiration thrombectomy for acute ischemic stroke refractory to stent-based thrombectomy
Conclusions
This study suggests that MAT with the Penumbra reperfusion catheter can further increase the revascularization rate without serious complications in patients with acute stroke with refractory occlusions after SBT with a Solitaire stent.
Source: Journal of NeuroInterventional Surgery - June 11, 2015 Category: Neurosurgery Authors: Kim, S. K., Yoon, W., Moon, S. M., Park, M. S., Jeong, G. W., Kang, H. K. Tags: Ischemic stroke Source Type: research
Impact of the ASPECT scores and distribution on outcome among patients undergoing thrombectomy for acute ischemic stroke
Conclusions
These findings support a strategy of selecting candidacy for thrombectomy that does not exclude patients with non-perfect ASPECT scores involving either the basal ganglia or cortical regions. Outcomes were identical among patients with no non-perfect ASPECT scores and those with cortical or subcortical infarcts, despite a higher incidence of hemorrhagic conversion found among those with non-perfect ASPECT scores.
Source: Journal of NeuroInterventional Surgery - July 14, 2015 Category: Neurosurgery Authors: Spiotta, A. M., Vargas, J., Hawk, H., Turner, R., Chaudry, M. I., Battenhouse, H., Turk, A. S. Tags: Ischemic stroke Source Type: research
Comparison of endovascular treatment approaches for acute ischemic stroke: cost effectiveness, technical success, and clinical outcomes
Conclusions
The ADAPT technique represents the most technically successful yet cost-effective approach to revascularization of large vessel intracranial occlusions.
Source: Journal of NeuroInterventional Surgery - August 12, 2015 Category: Neurosurgery Authors: Turk, A. S., Turner, R., Spiotta, A., Vargas, J., Holmstedt, C., Ozark, S., Chalela, J., Turan, T., Adams, R., Jauch, E. C., Battenhouse, H., Whitsitt, B., Wain, M., Chaudry, M. I. Tags: Ischemic stroke Source Type: research
Conscious sedation versus general anaesthesia during mechanical thrombectomy for stroke: a propensity score analysis
Conclusions
In our cohort, thrombectomy patients receiving conscious sedation have decreased in-hospital mortality, decreased rates of pneumonia, and lower hospital costs and lengths of stay when compared with patients who received general anaesthesia. However, most practitioners continue to use general anaesthesia in the setting of acute stroke interventions.
Source: Journal of NeuroInterventional Surgery - October 14, 2015 Category: Neurosurgery Authors: McDonald, J. S., Brinjikji, W., Rabinstein, A. A., Cloft, H. J., Lanzino, G., Kallmes, D. F. Tags: Ischemic stroke Source Type: research
Outcomes after endovascular treatment for anterior circulation stroke presenting as wake-up strokes are not different than those with witnessed onset beyond 8 hours
Conclusions
Rates of good outcomes, parenchymal hematoma, and final infarct volumes following endovascular treatment may not be different in patients with WUS compared with patients with witnessed onset of symptoms beyond 8 h.
Source: Journal of NeuroInterventional Surgery - November 13, 2015 Category: Neurosurgery Authors: Aghaebrahim, A., Leiva-Salinas, C., Jadhav, A. P., Jankowitz, B., Zaidi, S., Jumaa, M., Urra, X., Amorim, E., Zhu, G., Giurgiutiu, D.-V., Horev, A., Reddy, V., Hammer, M., Wechsler, L., Wintermark, M., Jovin, T. Tags: Ischemic stroke Source Type: research
Collateral flow as causative of good outcomes in endovascular stroke therapy
Conclusions
Improved collateral flow in patients with AIS undergoing endovascular therapy was associated with improved radiographic and clinical outcomes. Independent of age, vessel occlusion and time, in patients with comparable ischemic burdens, changes in collateral grade alone led to significant differences in initial stroke severity as well as ultimate clinical outcome.
Source: Journal of NeuroInterventional Surgery - December 13, 2015 Category: Neurosurgery Authors: Sheth, S. A., Sanossian, N., Hao, Q., Starkman, S., Ali, L. K., Kim, D., Gonzalez, N. R., Tateshima, S., Jahan, R., Duckwiler, G. R., Saver, J. L., Vinuela, F., Liebeskind, D. S., for the UCLA Collateral Investigators Tags: Ischemic stroke Source Type: research
Successful recanalization for acute ischemic stroke via the transbrachial approach
We report three cases of acute ischemic stroke where a transbrachial endovascular approach to revascularization was used, resulting in successful recanalization. These examples suggest that a transbrachial approach may be considered as an alternative in the endovascular treatment of acute ischemic stroke.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Okawa, M., Tateshima, S., Liebeskind, D., Ali, L. K., Thompson, M. L., Saver, J., Duckwiler, G. R. Tags: Ischemic stroke Source Type: research